心脾两虚型郁病患者应用归脾汤加减联合EFT疗法对临床症状及预后的影响

高更力

【摘要】 目的：观察心脾两虚型郁病患者应用归脾汤加减联合情绪释放技术（EFT）疗法对临床症状及预后的影响。方法：选取云梦县中医院2018年6月-2019年6月收治的110例心脾两虚型郁病患者作为观察对象，用随机数表法分为对照组和观察组，对照组采用EFT疗法，观察组采用EFT疗法结合归脾汤治疗。比较两组症状变化情况、焦虑及症状评分及临床疗效。结果：治疗前两组各临床症状发生率比较差异无统计学意义（P>0.05），治疗后观察组各症状发生率均低于对照组，差异均有统计学意义（P<0.05）。治疗前两组SAS评分及症状评分比较差异无统计学意义（P>0.05），治疗后观察组SAS评分及症状评分均低于对照组，差异均有统计学意义（P<0.05）。观察组治疗总有效率高于对照组，差异有统计学意义（P<0.05）。结论：心脾两虚型郁病患者应用归脾汤加减联合EFT疗法比单EFT疗法效果好。

【关键词】 心脾两虚型郁病 归脾汤 情绪释放技术疗法

doi：10.14033/j.cnki.cfmr.2020.02.066 文献标识码 B 文章编号 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，遂成郁结，既郁之久，变病多端”，西医中的抑郁症、癔病、焦虑症等[1]。按照中医辨证法分为六种证型：肝郁血虚型、瘀血阻络型、痰热瘀结型、心脾两虚型、肝肾阴虚型、脾肾气虚型[2]，其中以心脾两虚型最为常见。患者常表现出心悸胆怯、健忘、易汗、失眠、多疑惊惧等症状，随着社会进入高节奏发展，郁证的发病率逐年增加且有低龄化趋势[3]。患者睡眠质量低、睡眠时间少、精神长时间处于紧张状态对患者的社会生活影响极大，且有免疫力下降和继发各类精神障碍的风险[4]。西医对此类病症一般采取药物治疗辅助睡眠，仅能暂时抑制症状，不能解决病灶，且可能产生依赖性[5]，中医疗法是郁病治疗的发展趋势。本研究采用对照法研究归脾汤加减联合情绪释放技术（emotional freedom technique，EFT）对心脾两虚型郁病患者的疗效及预后影响，现报道如下。