Endocrinology, Guang'anmen Hospital of China Academy of Chinese Medical Sciences, Beijing 100053, China.
Orthopedics, Hubei Provincial Hospital of Traditional Chinese Medicine, Affiliated Hospital of Hubei University of Chinese Medicine, Hubei Institute of Traditional Chinese Medicine, Wuhan 430000, China.
J Tradit Chin Med. 2022 Oct;42(5):803-809. doi: 10.19852/j.cnki.jtcm.20220719.003.
To evaluate the efficacy of the Shugan Jieyu capsule on improving sleep and emotional disorder during Coronavirus disease 2019 (COVID-19) convalescence.
We conducted a randomized, double-blind, placebo-controlled trial, and recruit 200 COVID-19 convalescence patients and then divide the subjects into two groups respectively: the experimental group ( 100) and the control group ( 100). Patients in the control group were given doses as a placebo, while those in the experimental group were given Shugan Jieyu capsule. The investigators mainly observed the differences between the two groups before and after treatment in terms of the rate of reduction and the rate of efficiency in Hamilton Depression Scale (HAMD-17) total scores from baseline, and recorded the scores of Hamilton Anxiety Scale (HAMA), Patient Health Questionnaire-15 (PHQ-15), Insomnia Severity Index (ISI) and Treatment Emergent Symptom Scale at 2 week, the 4 week and the 6 week respectively after treatment, and compared the differences between the groups. And the occurrence of adverse events was recorded.
After 6-week treatment, there were statistically significant differences in the rate of reduction as well as efficiency in HAMD-17 scores, HAMA Total Scores, PHQ-15 Score, ISI Score from baseline in the experimental group and control group (< 0.05). There were 4 adverse events in the experimental group and 1 in the control group.
Shugan Jieyu capsule could significantly improve sleep and emotional disorder in patients during COVID-19 convalescence.
评价疏肝解郁胶囊改善新型冠状病毒肺炎(COVID-19)恢复期患者睡眠及情绪障碍的疗效。
采用随机、双盲、安慰剂对照临床试验方法,招募 200 例 COVID-19 恢复期患者,将患者分为试验组和对照组,每组 100 例。对照组患者给予安慰剂,试验组患者给予疏肝解郁胶囊。主要观察两组患者治疗前后汉密尔顿抑郁量表(HAMD-17)总分减分率和有效率的差异,记录两组患者治疗后第 2、4、6 周末汉密尔顿焦虑量表(HAMA)总分、患者健康问卷-15(PHQ-15)量表、失眠严重指数量表(ISI)评分及治疗中出现的症状量表(TESS)评分的差异,并进行组间比较。同时记录不良反应发生情况。
经过 6 周治疗,试验组和对照组在 HAMD-17 总分减分率和有效率、HAMA 总分、PHQ-15 评分、ISI 评分方面均较治疗前有统计学差异(<0.05)。试验组出现 4 例不良事件,对照组出现 1 例不良事件。
疏肝解郁胶囊能显著改善 COVID-19 恢复期患者的睡眠及情绪障碍。