越鞠升降汤联合心理干预治疗轻度伴躯体障碍抑郁症

熊爱莲1，李仲平2

(1.张家口市沙岭子医院，河北 张家口 075313；2.河北北方学院，河北 张家口 075000)

摘要：目的观察越鞠升降汤联合心理干预治疗轻度伴躯体障碍抑郁症的临床疗效。方法选择轻度伴躯体障碍抑郁症患者，随机分为治疗组及对照组。治疗组采用越鞠升降汤联合心理干预治疗,对照组仅给予越鞠升降汤治疗。2组均以连续治疗6周为1疗程，采用HAMD抑郁量表评分和4级疗效评定法分别对2组治疗前和治疗后1、2、4、6周末HAMD评分及临床疗效进行评定。结果治疗前2组HAMD评分比较无统计学意义(P>0.05)。治疗组治疗后的HAMD总评分明显低于对照组，躯体症状改善率高于对照组，组间比较具有统计学意义(P<0.05)；治疗组治疗后总有效率显著高于对照组(P<0.05)。结论越鞠升降汤联合心理干预治疗可显著改善轻度伴躯体障碍抑郁症患者的临床症状，减轻抑郁状态，提高患者的生活质量。

关键词：抑郁症;躯体障碍;越鞠升降汤;心理干预

DOI::10.13463/j.cnki.jlzyy.2015.07.014

中图分类号：R749.2文献标志码： A

文章编号：1003-5699(2015)07-0693-03

基金项目:河北省张家口市科技攻关项目(1012011D-3)。

作者简介:熊爱莲(1970-)，女，大学本科，副主任护师，主要从事临床护理研究。

收稿日期:(责任编辑：张晔2015-03-04)

Clinical research on Yuejushengjiang decoction in combined with psychological intervention

in treating mild depression accompanied by body disorder

XIONG Ailian1,LI Zhongping2

(1.Shalingzi Hospital of Zhangjiakou City,Zhangjiakou 075313,Hebei Province,China;

2.Hebei North University,Zhangjiakou 075000,Hebei Province,China)

Abstract:ObjectiveTo observe the clinical efficacy of Yuejushengjiang decoction in combined with psychological intervention in treating mild depression accompanied by body disorder.MethodsThe patients with mild depression accompanied by body disorder who were admitted in our hospital were included in our study and randomized into the treatment group and the control group.The patients in the treatment group were given Yuejushengjiang decoction in combined with psychological intervention,while the patients in the control group were only administered with Yuejushengjiang decoction.Continuous six-week treatment in the two groups was regarded as one course.The HAMD and level four efficacy estimation method were used to evaluate the HAMD score and clinical efficacy before treatment and 1,2,4,6 week after treatment in the two groups.ResultsThe comparison of HAMD score before treatment between the two groups was not significantly different (P>0.05).The HAMD score after treatment in the experiment group was significantly lower than that in the control group,the body symptom improvement rate was significantly higher than that in the control group,the comparison between the two groups was significantly different (P<0.05).The total effective rate after treatment in the treatment group was significantly higher than that in the control group (P<0.05).ConclusionYuejushengjiang decoction in combined with psychological intervention can significantly improve the patients’ clinical symptoms,alleviate the depression status,and enhance the patients’ living qualities with a definite efficacy.

Keywords:depression;body disorder;Yuejushengjiang decoction;psychological intervention

抑郁症是临床常见的情感障碍性疾病。有研究[1]证实，抑郁症患者约60%可伴发躯体障碍，主要表现为失眠多梦、食欲减退、月经紊乱、各种疼痛、性欲减退、胃肠道症状等。上述躯体障碍症状可加重患者病情，使治疗极为棘手。笔者为观察越鞠升降汤联合心理干预治疗轻度伴躯体障碍抑郁症的疗效，选取我院收治的轻度伴躯体障碍抑郁症的患者，给予该方案治疗，现将结果报告如下。

1资料与方法

1.1一般资料选取我院收治的轻度伴躯体障碍抑郁症患者共72例。其中……