目的探讨抑郁症患者采用中医辨证施护综合干预的效果.方法将93例抑郁症患者随机分为观察组48例和对照组45例.两组均采用抗抑郁中西药治疗,对照组采用常规护理,观察组在此基础上将患者分为肝郁气滞、肝郁脾虚、肝郁痰阻、心脾两虚、心肾不交5个证型,按照不同中医证型,给予药膳疗法、耳穴埋豆疗法、音乐疗法综合干预.用汉密尔顿抑郁量表积分对两组患者入院时、干预后4周、8周进行效果评定.结果观察组在干预后4周、8周汉密尔顿抑郁量表积分与对照组比较差异有统计学意义(P<0.05),汉密尔顿抑郁量表减分率的临床疗效优于对照组,两组比较差异有统计学意义(P<0.01).结论药膳疗法、耳穴埋豆疗法、音乐疗法等中医辨证施护综合干预能有效改善患者抑郁、焦虑、失眠等症状,提高患者临床疗效.

Objective To explore the comprehensive intervention effects of the traditional Chinese medical syndrome differentiation nursing on the treatment of depression. Methods Ninety-three patients with depression were randomly divided into observation group (n=4