北京中医药大学学报Issue(11)：772-776,5.DOI:10.3969/j.issn.1006-2157.2015.11.012
补益心脾法对产后抑郁症患者中医证候积分以及雌、孕激素的影响
Effects of method of nourishing heart and spleen on estrogen,progestin and TCM syndrome score in patients with postpartum depression
摘要
Abstract
Objective To evaluate the efficacy and safety of Shenqi Jieyu formula (SQJYF),a Chinese medicine compound formulated by the method of nourishing heart and spleen,on patients with postpartum depression (PD),so as to provide more evidence for Chinese medication treatment no depression. Methods Altogether 60 PD patients with the syndrome of deficiency of both heart and spleen from the third affiliated hospital and three communities were included,who were randomly divided into treatment group and placebo group (n =30 each).The patients of the treatment group were taken orally SQJYF one dose daily,while patients of the placebo group were taken starch particles at the same dose for consecu-tive six weeks.The efficacy was assessed by using TCMDepression Scale as well as measuring serum es-trogen,progestin before treatment,at the first week,second week,fourth week and sixth week of treat-ment.Results The total effective rate of treatment group was 86.67%,while 73.33% of the placebo group;the clinical control rate of treatment group was 26.67% to 10.00% in the placebo group.There was significant difference in decreasing rate of TCM score between the two groups at the second week, fourth week and sixth week after treatment (P <0.05).The serum levels of estrogen both increased in two groups.There were significant difference between before and after treatment of each group,and the serum estrogen in treatment group was higher than that in placebo group(P <0.05).The serum levels of progestin both decreased in two groups.After six-week-treatment,the levels showed significant difference between before and after treat(P <0.05),while no difference was proved between the two groups(P >0.05).Conclusion SQJYF had the advantages of rapid onset and less side effects by decreasing TCM syndrome scores and the serum level of estrogen,and increasing the serum level of progestin,on PD depression patients with the syndrome of deficiency of both heart and spleen.关键词
产后抑郁症/心脾两虚证/性激素/参芪解郁方/中医抑郁量表Key words
postpartum depression/heart and spleen deficiency syndrome/sex hormones/Shenqi Jieyu formula/TCMDepression Scale分类
医药卫生引用本文复制引用
王丹,赵瑞珍,李小黎,许芳,唐启盛..补益心脾法对产后抑郁症患者中医证候积分以及雌、孕激素的影响[J].北京中医药大学学报,2015,(11):772-776,5.基金项目
教育部高等学校博士学科点专项科研基金（优先发展领域）资助项目（No．20130013130002）；北京中医药大学创新团队资助项目 （）
