首页|期刊导航|中国医学创新|安神补心六味丸辅助治疗稳定性冠心病合并焦虑抑郁(肝郁气滞证)的临床效果

安神补心六味丸辅助治疗稳定性冠心病合并焦虑抑郁(肝郁气滞证)的临床效果OA

Clinical Effects of Anshen Buxin Liuwei Pills Adjuvant Therapy on Stable Coronary Heart Disease Complicated with Anxiety and Depression(Liver Depression and Qi Stagnation Syndrome)

中文摘要英文摘要

目的:研究安神补心六味丸辅助治疗稳定性冠心病合并焦虑抑郁(肝郁气滞证)的临床效果.方法:研究对象为 2020 年 8 月—2025 年 8 月山西省汾阳医院收治的 84 例稳定性冠心病合并焦虑抑郁(肝郁气滞证)患者,以随机数字表法分为常规组(n=42)及联合组(n=42).常规组给予稳定性冠心病常规综合治疗及心理干预,联合组加用安神补心六味丸辅助治疗,均治疗 3 个月.比较两组临床疗效、心理状态、血清神经递质水平及不良反应发生率.结果:治疗 3 个月后,联合组治疗总有效率较常规组高(P<0.05).治疗 3 个月后,两组焦虑、抑郁评分均较治疗前降低,且联合组较常规组低(P<0.05).治疗 3 个月后,两组多巴胺、5-羟色胺、去甲肾上腺素水平均较治疗前升高,且联合组较常规组高(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:安神补心六味丸辅助治疗稳定性冠心病合并焦虑抑郁(肝郁气滞证)的临床效果佳,可有效减轻焦虑抑郁症状,调节血清神经递质水平,且不增加不良反应发生风险.

Objective:To study the clinical effects of Anshen Buxin Liuwei Pills adjuvant therapy on stable coronary heart disease complicated with anxiety and depression(liver depression and Qi stagnation syndrome).Method:The study subjects were 84 patients with stable coronary heart disease complicated with anxiety and depression(liver depression and Qi stagnation syndrome)who were admitted to Fenyang Hospital,Shanxi Province from August 2020 to August 2025.They were divided into conventional group(n=42)and combined group(n=42)by random number table method.The conventional group was given conventional comprehensive treatment of stable coronary heart disease and psychological intervention,and the combined group was combined with Anshen Buxin Liuwei Pills adjuvant therapy,and both groups were treated for 3 months.The clinical efficacy,psychological status,serum neurotransmitters levels and incidence of adverse reactions were compared between the two groups.Result:After 3 months of treatment,combined group demonstrated a higher overall response rate of treatment than conventional group(P<0.05).After 3 months of treatment,the anxiety and depression scores of both groups were lower than those before treatment,with combined group exhibiting lower scores than conventional group(P<0.05).After 3 months of treatment,the levels of dopamine,5-hydroxytryptamine,and norepinephrine in both groups were higher than those before treatment,and with higher levels in combined group compared to conventional group(P<0.05).The difference in incidence of adverse reactions was not statistically significant between the two groups(P>0.05).Conclusion:Anshen Buxin Liuwei Pills adjuvant therapy has good clinical efficacy on stable coronary heart disease with anxiety and depression(liver depression and Qi stagnation syndrome).It can effectively relieve the symptoms of anxiety and depression,and regulate the levels of serum neurotransmitters,and does not increase the risk of adverse reactions.

秦杰琛;张然;王琦;赵冉;赵正保;武军

山西医药学院(山西医科大学汾阳学院)药学教研室 山西 汾阳 032200山西医药学院(山西医科大学汾阳学院)药学教研室 山西 汾阳 032200山西医药学院(山西医科大学汾阳学院)药学教研室 山西 汾阳 032200山西医药学院(山西医科大学汾阳学院)药学教研室 山西 汾阳 032200山西医药学院(山西医科大学汾阳学院)药学教研室 山西 汾阳 032200山西省汾阳医院核医学科 山西 汾阳 032200

医药卫生

稳定性冠心病焦虑抑郁安神补心六味丸神经递质

Stable coronary heart diseaseAnxietyDepressionAnshen Buxin Liuwei PillsNeurotransmitters

《中国医学创新》 2026 (22)

11-16,6

2025年度山西医科大学汾阳学院校级科研项目(2505BS02)山西省高等学校教学改革创新项目(J20241703)

10.3969/j.issn.1674-4985.2026.22.003

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