乌灵胶囊对系统性红斑狼疮患者疗效及焦虑、抑郁的影响

Effect of Wuling Capsule on the Efficacy, Anxiety and Depression of Patients with Systemic Lupus Erythematosus

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

安阳市中医院中医风湿科 ;

摘要
分析系统性红斑狼疮合并焦虑抑郁患者应用乌灵胶囊治疗后疗效及负性情绪变化。方法 采用随机数字表法将我院97例系统性红斑狼疮合并焦虑抑郁患者分组,对照组48例给予激素联合免疫抑制剂治疗,观察组49例增加乌灵胶囊口服治疗,观察两组患者治疗前后血清细胞因子、血清补体、神经递质水平、焦虑、抑郁情绪、症状体征变化,对比临床疗效及安全性。结果 观察组治疗后补体C3、C4、NE、5-HT水平及总有效率均高于对照组,IL-17、IL-22、IL-33水平及HAMA、HAMD、SLEDAI评分均低于对照组(P<0.05);不良事件发生率高于对照组(P>0.05)。结论 乌灵胶囊能够有效消除系统性红斑狼疮合并焦虑抑郁患者负性情绪,促进血清细胞因子及补体水平恢复正常,消除患者症状体征,其机制与调节神经递质水平有关,联合常规治疗进一步提升治疗效果,且安全性高。
Abstract
Objective To analyze the efficacy and negative emotion changes of patients with systemic lupus erythematosus complicated with anxiety and depression treated with Wuling Capsule. Methods A total of 97 patients with systemic lupus erythematosus and anxiety and depression were enrolled in our hospital. The control group was treated with hormone combined with immunosuppressive therapy in 48 cases. The observation group was treated with 49 cases of Wuling capsule. The two groups were observed before and after treatment. Serum cytokines, serum complement, neurotransmitter levels, anxiety, depression, changes in symptoms and signs, comparison of clinical efficacy and safety. Results The levels of total C3, C4, NE and 5-HT in the observation group were higher than those in the control group. The levels of IL-17, IL-22, IL-33 and HAMA, HAMD and SLEDAI were lower than those in the control group. (P<0.05); the incidence of adverse events was higher than that of the control group (P>0.05). Conclusion Wuling Capsule can effectively eliminate the negative emotions of patients with systemic lupus erythematosus and anxiety and depression, promote the return of normal serum cytokines and complement levels, and eliminate the symptoms and signs of patients. The mechanism is related to the regulation of neurotransmitter levels, and combined with conventional treatment to further enhance the treatment. The effect is high and the security is high.
关键词
乌灵胶囊;系统性红斑狼疮;焦虑;抑郁
KeyWord
Wuling capsule; systemic lupus erythematosus; anxiety; depression
基金项目
页码 165-167
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单梅花*. 乌灵胶囊对系统性红斑狼疮患者疗效及焦虑、抑郁的影响 [J]. 国际精神病学杂志. 2020; 47; (1). 165 - 167.

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