卢海燕+陈志彪

[摘要]目的 探討调安汤配合针灸治疗心血管神经症的临床效果。方法 将2011年7月～2015年5月在我院中医内科治疗的210例心血管神经症患者随机分为两组，对照组采用调安汤治疗，观察组采用调安汤配合针灸治疗，比较两组患者的治疗效果、中医症候改善情况、汉密尔顿抑郁量表（HAMD）及躯体化症状自评量表（SSS）评分。结果 观察组治疗总有效率为97.14%，显著高于对照组的75.24%，差异有统计学意义（P<0.05）；观察组治疗后心悸气短、头晕胸闷、头身困重、不寐、汗多乏力等中医症候积分明显低于对照组，差异有统计学意义（P<0.05）；观察组治疗后的HAMD及SSS评分明显低于对照组，差异有统计学意义（P<0.05）。结论 调安汤配合针灸治疗心血管神经症效果确切，能显著缓解症状，改善身心健康状况，具有积极的临床意义。

[关键词]心血管神经症；调安汤；针灸；效果评价

[中图分类号] R395.3 [文献标识码] A [文章编号] 1674-4721（2017）04（a）-0140-03

Clinical effect of Combination of Nerves-Soothing Decoction and acupuncture in treatment of cardiovascular neurosis

LU Hai-yan1 CHEN Zhi-biao2

1.Department of TCM Internal Medicine，Shijing People′s Hospital of Baiyun District in Guangdong Province，Guangzhou 510430，China；2.Department of TCM Internal Medicine，Qiaozhong Community Service Center of Liwan District in Guangdong Province，Guangzhou 510000，China

[Abstract]Objective To investigate the clinical effect of combination of Nerves-Soothing Decoction and acupuncture in the treatment of cardiovascular neurosis.Methods Altogether 210 patients with cardiovascular neurosis who were treated in department of Traditional Chinese Medicine （TCM） Internal Medicine in our hospital from July 2011 to May 2015 were divided into two groups.Control group was treated with Nerves-Soothing Decoction，while observation group was treated with combination of nerves-soothing decoction and acupuncture；the curative effect，TCM symptom improvement，Hamilton Anxiety and Depression Scale （HAMD） and self-rating symptom scale （SSS） score between two groups were compared.Results The total effective rate of treatment of observation group （97.14%） was significantly higher than that of control group （75.24%），with statistically significant difference （P<0.05）.The post-treatment TCM symptom score of observation group in palpitation and shortness of breath，dizziness，head and body heaviness，insomnia and sweating fatigue were significantly lower than those of control group，with statistically significant difference （P<0.05）.The post-treatment HAMD and SSS score of observation group were significantly lower than those of control group，with statistically significant difference （P<0.05）.Conclusion Combination of Nerves-Soothing Decoction and acupuncture in the treatment of cardiovascular neurosis achieves good clinical effect and can relieve the symptoms，which can improve patients′physical and mental health and is of great clinical significance.

[Key words]Cardiovascular neurosis；Nerves-soothingdecoction；Acupuncture；Effect evaluation

心血管神经症是一种特殊的功能性神经症，主要表现为心悸、胸闷、胸痛等心血管疾病相关症状。本病的发病与精神压力大、生活节奏过快等有关，好发于青年及中年人。目前，临床尚未明确本病发病机制，一般认为与内分泌系统和神经系统密切相关，对心血管系统的功能起到调节作用[1]。中医认为，本病属“心悸”“胸痹”范畴，情志过激是重要的致病因素，而气血和脾气亏虚为发病之本，治疗宜也脾同治、气血并补，通过内服汤药结合外用针灸，可获得良好效果[2]。本研究采用调安汤配合针灸治疗心血管神经症，观察其临床疗效，现具体汇报如下。

1 资料与方法

1.1 一般资料

将2011年7月～2015年5月在我院神经内科治疗的210例心血管神经症患者随机分为两组。观察组105例，男62例，女43例；年龄21～65岁，平均（41.6±5.8）岁；病程3个月～5年。对照组105例，男65例，女40例；年龄20～68岁，平均（42.5±6.4）岁；病程3个月～7年。所有患者均符合心脏神经症的诊断标准[3]，心电图显示无特异性改变，且无其他器质性心脏疾病；……