坤泰胶囊对乳腺癌术后抑郁症患者焦虑抑郁情绪及免疫功能的影响

Effect of Kuntai Capsule on Anxiety, Depression and Immune Function in Patients with Postoperative Depression of Breast Cancer

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(2)
作者
作者单位

濮阳市中医医院乳腺病门诊 ;

摘要
分析乳腺癌术后抑郁症患者应用坤泰胶囊治疗后效果。方法 采用随机数字表法将我院87例乳腺癌术后抑郁症患者分组,对照组43例给予TE化疗方案联合心理疏导治疗,观察组44例增加坤泰胶囊进行治疗,对比两组患者治疗后5-羟色胺(5-HT)、多巴胺(DA)、去甲肾上腺素(NE)水平、血常规指标水平、T淋巴细胞亚群细胞水平、汉密尔顿焦虑量表评分(HAMA)、汉密尔顿抑郁量表评分(HAMD)、生存质量、临床疗效及不良反应发生率。结果 观察组治疗后WBC、RBC、PLT、NE、DA、5-HT、CD3+、CD4+、CD4+/CD8+水平及总有效率高于对照组,CD8+水平、HAMA、HAMD、EORTCQLQ-BR23评分及不良反应发生率低于对照组(P<0.05)。结论 坤泰胶囊能够有效改善乳腺癌术后抑郁症患者神经递质水平及免疫功能,促进骨髓抑制的缓解及负面情绪消除,减少化疗期间不良反应,提升患者生存质量。
Abstract
Objective To analyze the effect of Kuntai capsule in the treatment of postoperative depression in patients with breast cancer. Methods 87 patients with postoperative depression of breast cancer were enrolled in our hospital by random number table method. 43 patients in the control group were treated with TE chemotherapy combined with psychological counseling. 44 patients in the observation group were treated with Kuntai capsule. The two groups were treated after treatment. Serotonin (5-HT), dopamine (DA), norepinephrine (NE) levels, blood routine levels, T lymphocyte subsets cell levels, Hamilton Anxiety Scale score (HAMA), Hamilton Depression Scale score (HAMD), quality of life, clinical efficacy, and incidence of adverse reactions. Results The WBC, RBC, PLT, NE, DA, 5-HT, CD3+, CD4+, CD4+/CD8+ levels and total effective rate were higher in the observation group than in the control group, CD8+ level, HAMA, HAMD, EORTCQLQ-BR23 score and adverse reactions. The incidence was lower than the control group (P<0.05). Conclusion Kuntai capsule can effectively improve neurotransmitter level and immune function in patients with postoperative depression of breast cancer, promote the relief of bone marrow suppression and negative emotion elimination, reduce adverse reactions during chemotherapy and improve the quality of life of patients.
关键词
坤泰胶囊;乳腺癌;抑郁症;焦虑;抑郁;免疫功能
KeyWord
Kuntai capsule; breast cancer; depression; anxiety; depression; immune function
基金项目
页码 370-372
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刘海勇*. 坤泰胶囊对乳腺癌术后抑郁症患者焦虑抑郁情绪及免疫功能的影响 [J]. 国际精神病学杂志. 2020; 47; (2). 370 - 372.

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