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目的研究中药白龙解郁颗粒对震后灾民创伤后应激障碍(post traumatic stress disorder,PTSD)的治疗作用。方法对诊断为PTSD阳性患者给予中药白龙解郁颗粒免煎剂口服,运用治疗前后灾民症状自评量表90(SCL-90)得分评价干预效果。结果震后灾民的躯体化、强迫、抑郁、焦虑、敌对、恐怖因子分分别为(1.93±0.92),(2.04±0.92),(1.89±0.97),(1.83±1.02),(1.67±0.93),(1.57±0.96)分,明显高于中国正常人常模(P<0.05);人际关系敏感分为(1.59±0.96)分,低于中国正常人常模(P<0.05);治疗后躯体化、强迫、抑郁、焦虑、敌对、恐怖因子分分别为(1.34±0.45),(1.69±0.61),(1.57±0.61),(1.42±0.43),(1.50±0.57),(1.33±0.47)分,均较治疗前明显下降(P<0.05)。结论震后灾民的PTSD发生率较高,心理问题较为突出,白龙解郁颗粒对震后灾民的PTSD有一定疗效。
Objective To study the therapeutic effect of Chinese herb Bailong Jieyu granule on post traumatic stress disorder (PTSD). Methods The patients diagnosed as PTSD positive were treated with Bailong Jieyu granule-free decoction orally, and the effect of intervention was evaluated by SCL-90 scores before and after treatment. Results The scores of somatization, compulsion, depression, anxiety, hostility and terror of the victims after the earthquake were (1.93 ± 0.92), (2.04 ± 0.92), (1.89 ± 0.97), (1.83 ± 1.02) and (1.67 ± 0.93) , (1.57 ± 0.96) points respectively, which was significantly higher than that of norm in normal Chinese (P <0.05). The interpersonal sensitivity was (1.59 ± 0.96) points lower than that of norm of Chinese normal people (P <0.05) (1.34 ± 0.45), (1.69 ± 0.61), (1.57 ± 0.61), (1.42 ± 0.43), (1.50 ± 0.57) and (1.33 ± 0.47), respectively. The scores of anxiety, Points were significantly lower than before treatment (P <0.05). Conclusion The incidence of PTSD is high after the earthquake, and psychological problems are more prominent. The effect of Bailong Jieyu granule on the PTSD of the victims after the earthquake is obvious.