自拟宁心安神方对首发广泛性焦虑症患者临床疗效及血清炎症因子水平的影响

Impacts of Ningxin Anshen Formula on the Clinical Effects and Inflammatory Factors Levels of Patients with First-Episode Generalized Anxiety Disorder

  • 摘要: 目的 探讨宁心安神方治疗广泛性焦虑症(GAD)血虚肝热证的临床疗效及对患者的血清炎症因子水平的影响。方法 选取符合广泛性焦虑症(血虚肝热证)的患者60例,采用随机、双盲安慰剂对照,疗程为4周,观察组给予宁心安神方颗粒剂口服,对照组给予安慰剂颗粒口服,均每日1剂,早晚温服。观察比较2组患者的临床疗效,血清炎症因子IL-1β、IL-6、TNF-α、γ干扰素(IFN-γ)、皮质醇(CS)和前列腺素E2(PGE2)水平及不良反应发生情况。结果 观察组HAMA评分及总有效率(83.33%),显著高于对照组(40%),P<0.01;与对照组相比,观察组血清IL-1β、IL-6、TNF-α、CS和PGE2水平的变化均有统计学意义(P<0.05~0.01),而血清IFN-γ水平组间比较无统计学差异(P>0.05)。观察组不良反应发生为1例,对照组2例,2组间比较无统计学意义(P>0.05)。结论 宁心安神方能有效改善广泛性焦虑症患者的焦虑状况,减轻机体炎性反应,且不良反应少,依从性好。

     

    Abstract: OBJECTIVE To explore the clinical effects of Ningxin Anshen Granules in the treatment of patients with generalized anxiety disorder (GAD) of blood deficiency and liver heat type, and its impacts on serum inflammatory factors. METHODS 60 patients with generalized anxiety disorder (blood deficiency and liver heat type) were selected. A randomized, double blind placebo control was used as control. The treatment course was 4 weeks. The observation group was intervened by orally taking Ningxin Anshen Granules, and the control group was intervened by orally taking placebo granules. Both groups were taking 1 dose/d, warm taking at morning and evening. Clinical effects, levels of inflammatory factors IL-1β, IL-6, TNF-α, interferon-γ (IFN-γ), cortisol (CS) and prostaglandin E2 (PGE2), and adverse reactions in two groups were observed and compared. RESULTS The total effect of the observation group was 83.33%, which was significantly higher than that of the control group (40%) (P<0.01). Comparing with the control group, the changes of IL-1β, IL-6, TNF-α, CS and PGE2 in the observation group were significant (P<0.05,P<0.01). However, there was no statistical difference in IFN-γ among groups(P>0.05). There was one case of adverse reactions in the observation group and two cases in the control group, and there was no significant difference between the two groups (P>0.05). CONCLUSION Ningxin Anshen Formula can effectively improve the anxiety symptoms of GAD patients, relieve inflammatory response with few adverse reactions and favorable compliance.

     

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