目的 研究逍遥散加味结合心理疗法治疗产后抑郁症的临床疗效.方法 选取2015年1月-2016年11月产后抑郁症产妇76例,将其随机分两组.药物组采用逍遥散加味进行治疗,药物+心理组采用逍遥散加味结合心理疗法治疗.比较两组产妇产后抑郁症缓解率;治疗前后产妇SCL-90量表不同心理因子评分的差异;治疗前后产妇爱丁堡产后抑郁评分、SF-36生活质量、匹兹堡睡眠质量评分的差异.结果 药物+心理组产妇产后抑郁症缓解率高于药物组,P<0.05;治疗前两组SCL-90量表不同心理因子评分比较无显著差异,P>0.05;治疗后药物+心理组SCL-90量表不同心理因子评分改善幅度更大,P<0.05.治疗前两组爱丁堡产后抑郁评分、SF-36生活质量、匹兹堡睡眠质量评分比较无显著差异,P>0.05;治疗后药物+心理组爱丁堡产后抑郁评分、SF-36生活质量、匹兹堡睡眠质量评分改善幅度更大,P<0.05.结论 逍遥散加味结合心理疗法治疗产后抑郁症的临床疗效确切,可有效改善产妇不良心理状态,减轻抑郁程度,改善产妇生活质量和睡眠质量,值得推广应用.%Objective To study the clinical effect of Xiaoyao powder combined with psychotherapy in the treatment of postpartum depression.Methods 76 cases of patients with postpartum depression from January 2015 to November 2016 were randomly divided into two groups.The treatment group was treated with Xiaoyao powder.The drug and psychotherapy group was treated with Xiaoyao powder combined with psychotherapy.The maternal postpartum depression remission rate was compared.The Difference of psychological factors score of SCL-90 scale before and after treatment, Edinburgh maternal postpartum depression score and SF-36 quality of life, Pittsburgh sleep quality score before and after treatment was compared between the two groups.Results The postpartum depression remission rate of the drug and psychological group was higher than that of the drug group P<0.05.There was no significant difference on SCL-90 scale different psychological factor score between two groups before treatment P>0.05.After treatment, SCL-90 scale different psychological factor scores of the drug and psychological group improved more significantly P<0.05.Before treatment, the Edinburgh postnatal depression score, sleep quality and quality of life in Pittsburgh between the two groups had no significant difference P>0.05.After treatment, Edinburgh postnatal depression scale and SF-36 life quality, Pittsburgh sleep quality score of the drug and psychological group improved more significantly P<0.05.Conclusion Xiaoyao powder combined with psychotherapy in the treatment of postpartum depression has definite clinical effect, can effectively improve the maternal adverse psychological state, reduce the degree of depression, improve quality of life and quality of maternal sleep, and it is worthy of popularization and application.
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