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舒肝解郁胶囊治疗伴抑郁症状肝硬化患者的疗效观察

Efficacy of shuganjieyu capsule in treatment of cirrhosis patients with depressive symptoms

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【作者】 计春燕刘浩谭诗云汪毅屈银宗肖卫东张彦

【Author】 JI Chun-yan;LIU Hao;TAN Shi-yun;WANG Yi;QU Yin-zong;XIAO Wei-dong;ZHANG Yan;Department of Gastroenterology,Hubei Xinhua Hospital;Department of Psychiatry,Renmin hospital of Wuhan University;Department of Gastroenterology,Renmin hospital of Wuhan University;

【机构】 湖北省新华医院消化内科武汉大学人民医院精神卫生中心武汉大学人民医院消化内科

【摘要】 [目的]探讨舒肝解郁胶囊对肝硬化患者伴发抑郁症状的治疗效果。[方法]51例肝硬化伴抑郁症状的患者随机分为治疗组(26例)和对照组(25例)。治疗组在常规内科综合治疗基础上同时口服舒肝解郁胶囊0.72g,bid;对照组在常规内科综合治疗基础上同时口服黛力新片1片,bid;2组疗程均为4周。于2组治疗前及治疗4周末分别采用汉密尔顿抑郁量表(HAMD-17)评定抑郁情绪分值,实验室测定肝功能。采用治疗中需处理的不良反应症状量表(TESS)评定安全性。[结果]治疗4周后,治疗组和对照组有效率分别为92%、72%(P<0.05)。治疗组HAMD评分显著下降,且治疗组的TESS评分显著低于对照组,疗效指数显著高于对照组,2组间差异有统计学意义(P<0.05)。[结论]舒肝解郁胶囊对肝硬化伴抑郁症状的患者疗效优于黛力新,且不良反应明显少于黛力新。

【Abstract】 [Objective]To explore the curative effect of shuganjieyu capsule in treatment of cirrhosis patients with depressive symptoms.[Methods]All of 51 cirrhosis patients with depressive symptoms were randomly divided into experiment group(basic medical treatment combined with shuganjieyu capsule,n=26)and control group(basic medical treatment combined with deanxit,n=25).The patients were treatment respectively for 4weeks.Clinical effects were assessed with Hamilton Depression Scale(HAMD-17)before and after treatment.The treatment Emergent Symptoms Scale(TESS)was used to evaluate the safety.[Results]After 4weeks treatment,the efficacy of the experiment group and the control group was 92% and72%,the score of the HAMD decreased significantly in the experiment group,which was significantly different compared with control group(P<0.05).[Conclusions]Shuganjieyu capsule has significant effect on treatment of cirrhosis patients with depressive symptoms,which is superior to deanxit.Shuganjieyu capsule induced less side effects than deanxit.

【关键词】 肝硬化舒肝解郁胶囊抑郁
【Key words】 cirrhosisshuganjieyu capsuledepression
  • 【文献出处】 临床消化病杂志 ,Chinese Journal of Clinical Gastroenterology , 编辑部邮箱 ,2015年01期
  • 【分类号】R575.2
  • 【被引频次】7
  • 【下载频次】102
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