腹泻型肠易激综合征(IBS-D)是一种以腹痛、腹胀,伴有稀烂便、排便次数增多为主要症状的功能性胃肠病,其关键病机为肝郁脾虚,焦虑抑郁是肝郁脾虚IBS-D的主要情志表现。IBS-D的治疗上,各医家使用经方,如柴胡桂枝干姜汤、当归芍药散、柴胡...腹泻型肠易激综合征(IBS-D)是一种以腹痛、腹胀,伴有稀烂便、排便次数增多为主要症状的功能性胃肠病,其关键病机为肝郁脾虚,焦虑抑郁是肝郁脾虚IBS-D的主要情志表现。IBS-D的治疗上,各医家使用经方,如柴胡桂枝干姜汤、当归芍药散、柴胡加龙骨牡蛎汤、四逆散、乌梅丸、半夏泻心汤、甘草泻心汤均取得显著效果。文章从病因病机、经方治疗两个方面综述肝郁脾虚型IBS-D的中医研究进展,为经方治疗肝郁脾虚IBS-D提供依据。Diarrhea-predominant irritable bowel syndrome (IBS-D) is a functional gastrointestinal disease characterized by abdominal pain and bloating, accompanied by scattered stools, and increased frequency of bowel movements. Its key pathogenesis is liver depression and spleen deficiency, and anxiety and depression are the main emotional manifestations of liver depression and spleen deficiency in IBS-D. In the treatment of IBS-D, doctors have used classic prescriptions, such as Chaihu Guizhi Ganjiang Decoction, Danggui Shaoyao Powder, Chaihu Jialonggu Oyster soup, Sini Powder, Wumei Pill, Banxia Xiexin Decoction, and Licorice Xiexin Decoction, which have achieved remarkable results. This article reviews the progress of traditional Chinese medicine research on liver stagnation and spleen deficiency type IBS-D from two aspects: etiology, pathogenesis, and treatment with traditional Chinese medicine prescriptions, providing a basis for the treatment of liver stagnation and spleen deficiency IBS-D with traditional Chinese medicine prescriptions.展开更多
目的探讨生活契合社交技能训练联合认知行为疗法(cognitive behavioral therapies,CBT)治疗精神分裂症的效果。方法在鹤壁市人民医院精神科选取86例精神分裂症患者,将他们随机分为对照组和观察组,每组各43例。对照组接受常规的诊疗模式...目的探讨生活契合社交技能训练联合认知行为疗法(cognitive behavioral therapies,CBT)治疗精神分裂症的效果。方法在鹤壁市人民医院精神科选取86例精神分裂症患者,将他们随机分为对照组和观察组,每组各43例。对照组接受常规的诊疗模式治疗,而观察组除接受与对照组相同的治疗外,还额外接受生活契合社交技能训练与认知行为疗法(cognitive behavioral therapies,CBT)的联合治疗。研究对比两组患者在治疗前和接受6个月治疗后的社会功能、精神症状、康复效果和生存质量的变化。其中,社会功能采用住院精神患者社会功能评定量表(scale of social function in psychosis inpatients,SSPI)、精神症状采用阳性与阴性症状量表(positive and negative syndrome scale,PANSS)、康复效果采用住院精神病人康复效果评定量表(inpatient psychiatric rehabilitation efficacy rating scale,IPROS)、生存质量采用世界卫生组织生存质量测定量表简表(the world health organization quality of life questionnaire for HIV brief version,WHOQOL-BPRS)。结果治疗6个月后,2组SSPI量表中关于日常生活能力、动性和交往情况及社会性活动技能共3个维度分值均较治疗前有明显提升(P<0.05),2组PANNS量表中关于阳性症状、阴性症状、一般病理症状及总分均较治疗前有明显降低(P<0.05),2组IPROS评分较治疗前有明显降低(P<0.05),2组WHOQOL-BPRS总分较治疗前有明显提高(P<0.05),其中观察组以上量表评分改善效果均明显优于对照组(P<0.05)。结论生活契合社交技能训练联合CBT治疗精神分裂症患者的效果明确,能明显改善患者的社会功能、精神症状,提升其康复效果和生存质量。展开更多
文摘腹泻型肠易激综合征(IBS-D)是一种以腹痛、腹胀,伴有稀烂便、排便次数增多为主要症状的功能性胃肠病,其关键病机为肝郁脾虚,焦虑抑郁是肝郁脾虚IBS-D的主要情志表现。IBS-D的治疗上,各医家使用经方,如柴胡桂枝干姜汤、当归芍药散、柴胡加龙骨牡蛎汤、四逆散、乌梅丸、半夏泻心汤、甘草泻心汤均取得显著效果。文章从病因病机、经方治疗两个方面综述肝郁脾虚型IBS-D的中医研究进展,为经方治疗肝郁脾虚IBS-D提供依据。Diarrhea-predominant irritable bowel syndrome (IBS-D) is a functional gastrointestinal disease characterized by abdominal pain and bloating, accompanied by scattered stools, and increased frequency of bowel movements. Its key pathogenesis is liver depression and spleen deficiency, and anxiety and depression are the main emotional manifestations of liver depression and spleen deficiency in IBS-D. In the treatment of IBS-D, doctors have used classic prescriptions, such as Chaihu Guizhi Ganjiang Decoction, Danggui Shaoyao Powder, Chaihu Jialonggu Oyster soup, Sini Powder, Wumei Pill, Banxia Xiexin Decoction, and Licorice Xiexin Decoction, which have achieved remarkable results. This article reviews the progress of traditional Chinese medicine research on liver stagnation and spleen deficiency type IBS-D from two aspects: etiology, pathogenesis, and treatment with traditional Chinese medicine prescriptions, providing a basis for the treatment of liver stagnation and spleen deficiency IBS-D with traditional Chinese medicine prescriptions.
文摘目的探讨生活契合社交技能训练联合认知行为疗法(cognitive behavioral therapies,CBT)治疗精神分裂症的效果。方法在鹤壁市人民医院精神科选取86例精神分裂症患者,将他们随机分为对照组和观察组,每组各43例。对照组接受常规的诊疗模式治疗,而观察组除接受与对照组相同的治疗外,还额外接受生活契合社交技能训练与认知行为疗法(cognitive behavioral therapies,CBT)的联合治疗。研究对比两组患者在治疗前和接受6个月治疗后的社会功能、精神症状、康复效果和生存质量的变化。其中,社会功能采用住院精神患者社会功能评定量表(scale of social function in psychosis inpatients,SSPI)、精神症状采用阳性与阴性症状量表(positive and negative syndrome scale,PANSS)、康复效果采用住院精神病人康复效果评定量表(inpatient psychiatric rehabilitation efficacy rating scale,IPROS)、生存质量采用世界卫生组织生存质量测定量表简表(the world health organization quality of life questionnaire for HIV brief version,WHOQOL-BPRS)。结果治疗6个月后,2组SSPI量表中关于日常生活能力、动性和交往情况及社会性活动技能共3个维度分值均较治疗前有明显提升(P<0.05),2组PANNS量表中关于阳性症状、阴性症状、一般病理症状及总分均较治疗前有明显降低(P<0.05),2组IPROS评分较治疗前有明显降低(P<0.05),2组WHOQOL-BPRS总分较治疗前有明显提高(P<0.05),其中观察组以上量表评分改善效果均明显优于对照组(P<0.05)。结论生活契合社交技能训练联合CBT治疗精神分裂症患者的效果明确,能明显改善患者的社会功能、精神症状,提升其康复效果和生存质量。