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益气养心中药复方联合认知疗法治疗广泛性焦虑障碍的疗效。

Efficacy of Yiqiyangxin Chinese medicine compound combined with cognitive therapy in the treatment of generalized anxiety disorders.

机构信息

School of Psychology and Cognitive Science, East China Normal University, Shanghai, P.R. China.

出版信息

Asian Pac J Trop Med. 2012 Oct;5(10):818-22. doi: 10.1016/S1995-7645(12)60150-3.

Abstract

OBJECTIVE

To observe the clinical efficacy of Yiqiyangxin Chinese medicine compound combined with cognitive therapy on generalized anxiety disorders.

METHODS

A total of 202 generalized anxiety disorders patients were randomly allocated to a control condition (Paroxetine combined with cognitive therapy) or a treatment condition (Yiqiyangxin Chinese medicine compound combined with cognitive therapy). Subsequently, scores of Hamilton Anxiety Scale (HAMA), Zung Self-rating Anxiety Scale (SAS) and blood routine, urine routine, liver function, renal function, electrocardiogram were detected before treatment, 3 months, 6 months after treatment and 6 months after medicine withdrawal, respectively.

RESULTS

HAMA and SAS scores were significantly reduced in two groups (P<0.001) after treatment, but the differences in HAMA and SAS scores, apparent effect and effectiveness were not significant (P>0.05). HAMA and SAS scores were significantly increased in two groups (P<0.05) after medicine withdrawal, and there were significant differences in HAMA and SAS scores, recurrent disease and adverse reaction (P<0.001). The incidence of recurrent disease and adverse reaction in treatment group was low. Both two groups showed no apparent abnormality in blood routine, urine routine, liver and renal function, and electrocardiogram.

CONCLUSIONS

Yiqiyangxin Chinese medicine compound combined with cognitive therapy can significantly reduce the recurrence after medicine withdrawal and is effective on generalized anxiety disorders. Furthermore, the incidence of adverse reactions is low. The treatment program is worthy clinic application in the further.

摘要

目的

观察益七养心方中药复方联合认知疗法治疗广泛性焦虑障碍的临床疗效。

方法

将 202 例广泛性焦虑障碍患者随机分为对照组(帕罗西汀联合认知疗法)和治疗组(益七养心方中药复方联合认知疗法)。分别于治疗前、治疗 3 个月、治疗 6 个月及停药 6 个月检测汉密尔顿焦虑量表(HAMA)、Zung 自评焦虑量表(SAS)评分和血常规、尿常规、肝功能、肾功能、心电图。

结果

治疗后两组 HAMA 和 SAS 评分均显著降低(P<0.001),但 HAMA 和 SAS 评分、显效率、有效率差异均无统计学意义(P>0.05)。停药后两组 HAMA 和 SAS 评分均显著升高(P<0.05),且 HAMA 和 SAS 评分、复发率、不良反应差异均有统计学意义(P<0.001)。治疗组复发率、不良反应发生率较低。两组血常规、尿常规、肝肾功能、心电图均未见明显异常。

结论

益七养心方中药复方联合认知疗法能显著降低停药后复发率,治疗广泛性焦虑障碍有效,且不良反应发生率低,该治疗方案值得进一步临床推广应用。

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