舒肝解郁胶囊联合黛力新治疗慢性阻塞性肺疾病合并抑郁患者临床观察

Clinical Observation on Shugan Jieyu Capsule Combined with Deanxit in Treating Patients with Chronic Obstructive Pulmonary Disease Complicated with Depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(1)
作者
作者单位

安阳市中医院肺病科 ;

摘要
观察慢性阻塞性肺疾病合并抑郁患者应用舒肝解郁胶囊联合黛力新治疗后效果。方法 采用随机数字表法将我院97例慢性阻塞性肺疾病合并抑郁患者分组,两组患者均给予常规对症支持治疗,对照组48例在此基础上增加黛力新口服治疗,观察组49例增加舒肝解郁胶囊口服治疗,对比两组患者治疗后血清去甲肾上腺素(NE)、多巴胺(DA)、5-羟色胺(5-HT)、机体免疫功能、肺活量(VC)、一秒量比用力肺活量(FEV1/FVC)、一秒量比预计值(FEV1%pred)、汉密顿抑郁量表评分(HAMD)、COPD症状评估评分(CAT)、临床疗效及治疗安全性。结果 治疗后,观察组DA、NE、5-HT、CD3+、CD4+、CD4+/CD8+、FEV1%pred、VC、FEV1/FVC水平及总有效率均高于对照组,CD8+水平及HAMD、CAT评分均低于对照组(P<0.05),TESS评分差异无统计学意义(P>0.05)。结论 舒肝解郁胶囊联合黛力新能够有效消除慢性阻塞性肺疾病合并抑郁患者抑郁情绪,改善肺功能,其机制与调节神经递质水平及免疫功能有关。
Abstract
Objective To observe the effect of Shugan Jieyu Capsule combined with Qianlixin in patients with chronic obstructive pulmonary disease and depression. Methods A total of 97 patients with chronic obstructive pulmonary disease and depression were enrolled in our hospital. Randomized supportive therapy was given to both groups. 48 patients in the control group were given Deanxit oral therapy, and 49 patients in the observation group. Add Shugan Jieyu Capsule orally, compare serum norepinephrine (NE), dopamine (DA), serotonin (5-HT), immune function, vital capacity (VC), one second after treatment Specific vital capacity (FEV1/FVC), one second ratio predicted (FEV1%pred), Hamilton Depression Rating Scale (HAMD), COPD Symptom Assessment Score (CAT), clinical efficacy, and treatment safety. Results After treatment, the levels of DA, NE, 5-HT, CD3+, CD4+, CD4+/CD8+, FEV1% pred, VC, FEV1/FVC and total effective rate were higher in the observation group than in the control group, and the CD8+ level and the HAMD and CAT scores were low. In the control group (P<0.05),There was no significant difference in TESS scores (P>0.05). Conclusion Shugan Jieyu Capsule combined with Deanxit can effectively eliminate depression and improve lung function in patients with chronic obstructive pulmonary disease and depression. The mechanism is related to the regulation of neurotransmitter levels and immune function.
关键词
舒肝解郁胶囊;黛力新;慢性阻塞性肺疾病;抑郁;神经递质;免疫功能
KeyWord
Shugan Jieyu Capsule; Deanxit ; Chronic obstructive pulmonary disease; Depression; Neurotransmitter; Immune function
基金项目
页码 168-170
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李战炜*. 舒肝解郁胶囊联合黛力新治疗慢性阻塞性肺疾病合并抑郁患者临床观察 [J]. 国际精神病学杂志. 2020; 47; (1). 168 - 170.

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