心脾兩虛型郁病患者應用歸脾湯加減聯合EFT療法對臨床癥狀及預后的影響

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【摘要】 目的：觀察心脾兩虛型郁病患者應用歸脾湯加減聯合情緒釋放技術（EFT）療法對臨床癥狀及預后的影響。方法：選取云夢縣中醫院2018年6月-2019年6月收治的110例心脾兩虛型郁病患者作為觀察對象，用隨機數表法分為對照組和觀察組，對照組采用EFT療法，觀察組采用EFT療法結合歸脾湯治療。比較兩組癥狀變化情況、焦慮及癥狀評分及臨床療效。結果：治療前兩組各臨床癥狀發生率比較差異無統計學意義（P>0.05），治療后觀察組各癥狀發生率均低于對照組，差異均有統計學意義（P<0.05）。治療前兩組SAS評分及癥狀評分比較差異無統計學意義（P>0.05），治療后觀察組SAS評分及癥狀評分均低于對照組，差異均有統計學意義（P<0.05）。觀察組治療總有效率高于對照組，差異有統計學意義（P<0.05）。結論：心脾兩虛型郁病患者應用歸脾湯加減聯合EFT療法比單EFT療法效果好。

【關鍵詞】 心脾兩虛型郁病 歸脾湯 情緒釋放技術療法

doi：10.14033/j.cnki.cfmr.2020.02.066 文獻標識碼 B 文章編號 1674-6805（2020）02-0-03

[Abstract] Objective： To observe the effects of modified Guipi Decoction combined with EFT on clinical symptoms and prognosis of patients with deficiency of both heart and spleen type depression syndrome. Method： A total of 110 patients with deficiency of both heart and spleen type depression syndrome who were admitted to the hospital from June 2018 to June 2019 were selected as subjects. They were divided into the control group and the observation group by random number table method. The control group was treated with EFT while the observation group was treated with EFT combined with Guipi Decoction. The changes of symptoms， anxiety score， symptom score and clinical efficacy were compared between the two groups. Result： There was no significant difference in the incidence of clinical symptoms between the two groups before treatment （P>0.05）. After treatment， the incidence of symptoms in the observation group were lower than those in the control group， the differences were statistically significant （P<0.05）. There was no significant difference in SAS score and symptom score between the two groups before treatment （P>0.05）. After treatment， the SAS score and symptom score in the observation group were lower than those in the control group， the differences were statistically significant （P<0.05）. The total effective rate of the observation group was higher than that of the control group， the difference was statistically significant （P<0.05）. Conclusion： The curative effect of modified Guipi Decoction combined with EFT is better than that of EFT alone in the treatment of patients with deficiency of both heart and spleen type depression syndrome.

[Key words] Deficiency of both heart and spleen type depression syndrome Guipi Decoction EFT therapy

First-authors address： Yunmeng County Hospital of Traditional Chinese Medicine， Yunmeng 432500， China

郁病指情志之郁，古籍稱：“七情不舒，遂成郁結，既郁之久，變病多端”，西醫中的抑郁癥、癔病、焦慮癥等[1]。按照中醫辨證法分為六種證型：肝郁血虛型、瘀血阻絡型、痰熱瘀結型、心脾兩虛型、肝腎陰虛型、脾腎氣虛型[2]，其中以心脾兩虛型最為常見。患者常表現出心悸膽怯、健忘、易汗、失眠、多疑驚懼等癥狀，隨著社會進入高節奏發展，郁證的發病率逐年增加且有低齡化趨勢[3]。患者睡眠質量低、睡眠時間少、精神長時間處于緊張狀態對患者的社會生活影響極大，且有免疫力下降和繼發各類精神障礙的風險[4]。西醫對此類病癥一般采取藥物治療輔助睡眠，僅能暫時抑制癥狀，不能解決病灶，且可能產生依賴性[5]，中醫療法是郁病治療的發展趨勢。本研究采用對照法研究歸脾湯加減聯合情緒釋放技術（emotional freedom technique，EFT）對心脾兩虛型郁病患者的療效及預后影響，現報道如下。