中西医结合治疗产后抑郁症临床观察.docxVIP

中西医结合治疗产后抑郁症临床观察 石宜乐 (湖北省谷城县人民医院湖北谷城441700) 【摘要】目的：观察中西医结合产后抑郁症的近期及远期临床疗效。方法: 将76名患者随机分为两组，治疗组40例,口服自拟理气养血汤，每日一剂，同时口服 盐酸氟西汀胶囊共四周。对照组36例，口服盐酸氟西汀胶囊，每次20mg,每日 一次，共四周。结果：治疗组总有效率90%,对照组总有效率80 55o两组总 有效率比较有显著性差异(Plt;0 05)o结论：以调治气血为基础治疗产后抑郁 症，结合西药治疗能取得满意疗效，减少副作用，复发率低。 【关键词】产后抑郁症；调理气血；中西医结合Clinical observation on the treatment of postpartum depression with Chinese and Western Medicine Shi Yile(Gucheng Peoples Hospital of Hubei Province, Hubei, Gucheng, 441700) [Abstract 】Objective: To observe the effect of combi nation of postpartum depression in the short-term and long-term clinical efficacy of traditional Chinese medicine and Western medicine. Methods: 76 patients were randomly divided into two groups, the treatment group of 40 cases, with oral administration of self regulating Qi Nourishi ng Soup, daily a age nt, and oral admi nistrati on of fluoxeti ne hydrochloride capsules were around. 36 cases of the control group, oral administration of fluoxeti ne hydrochloride capsules, 20mg everytime, once daily, for four weeks. Results: the total effective rate of treatment group 90%, control group, the total efficiency of 80 55 The total efficiency of two groups had sign讦icant difference (Plt;O 05). Conclusion: to regulate the Qi and blood as the foundation treatment of postpartum depression, combined with western medicine treatment can obtain satisfactory curative effect, less side effect, low recurrence rate. [Keywords] Postpartum depression; regulating qi and blood; integrated traditional Chinese and Western Medicine 【中图分类号】R271 43【文献标识码】B【文章编号】 1003-5028(2013)05-0152-01 产后抑郁症是指在产后6周内岀现的以抑郁症状为表现的病症，以忧郁、悲 伤、沮丧、哭泣、易激动、烦躁，重者出现幻觉或自杀行为等--系列症状为特征 的精神紊乱。近年来，随着社会节奏的加快、生活方式的改变和情感因素的多样 化，该病的发病率逐渐上升，有关流行病学资料显示[1?4],本病发病率国外 约为13%?15%,国内高达30%?40%。产后抑郁症不仅影响产妇的身心健康、 产后的工作生活、影响儿童的心理和智力发育，并可造成家庭生活的不和谐不稳 定。 中医药在本病治疗上一直有着较好的疗效，运用中医药防治产后抑郁症已成 为目前医学界和社会密切关注的重要课题。笔者近年从气血调治产后抑郁症取得 较好疗效，现总结如下。 1资料与方法 1 1临床资料 111 一般资料:选择2009年1月~2012年6月在我院门诊治疗的76名 患者，年龄23~40岁，平均年龄29岁；剖宫产35例，自然分娩41例；初产妇 62例，经产妇14例。随机