|
|
Expert consensus of integrated traditional Chinese and Western medicine for depression disorder |
Expert Consensus Group of Integrated Diagnosis and Treatment of Traditional Chinese and Western Medicine for Depression Disorder Chinese Ethnic Medicine Society Mental Illness Branch |
|
|
Abstract Depressive disorder is a kind of mental illness that seriously affects public health. In the past 20 years, great achievements have been made in the clinical and basic research of integrated traditional Chinese and Western medicine in the treatment of depression disorder. This expert consensus organizes experts from different disciplines to sort out the pathological mechanism, diagnostic classification and treatment principles of Western medicine, treatment methods, integrated traditional Chinese and Western medicine treatment, clinical treatment suggestions for special populations of depression disorder, suggestions on prevention and recurrence prevention of depression disorder, treatment of adverse reactions of antidepressant drugs and chemicals and summary and prospect, so as to provide guidance and suggestions for clinicians in the diagnosis and treatment of depression disorder with integrated traditional Chinese and Western medicine.
|
|
|
|
|
Cite this article: |
Expert Consensus Group of Integrated Diagnosis and Treatment of Traditional Chinese and Western Medicine for Depression Disorder Chinese Ethnic Medicine Society Mental Illness Branch. Expert consensus of integrated traditional Chinese and Western medicine for depression disorder[J]. 中国医药导报, 2021, 18(6): 4-12.
|
|
|
|
URL: |
http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I6/4 |
[1] Friedrich MJ. Depression is the leading cause of disability around the world [J]. JAMA,2017,317(15):1517.
[2] Huang Y,Wang Y,Wang H,et al. Prevalence of mental disorders in China: a cross-sectional epidemiological study [J]. Lancet Psychiatry,2019,6(3):211-224.
[3] Kolovos S,van Tulder MW,Cuijpers P,et al. The effect of treatment as usual on major depressive disorder:a meta-analysis [J]. J Affect Disord,2017,210:72-81.
[4] Kou MJ,Chen JX. Integrated traditional and Western medicine for treatment of depression based on syndrome differentiation:a meta-analysis of randomized controlled trials based on the Hamilton depression scale [J]. J Tradit Chin Med,2012,32(1):1-5.
[5] Otte C,Gold SM,Penninx BW,et al. Major depressive disorder [J]. Nat Rev Dis Primers,2016,2:16065.
[6] Fonseka TM,MacQueen GM,Kennedy SH. Neuroimaging Biomarkers as Predictors of Treatment Outcome in Major Depressive Disorder [J]. J Affect Disord,2018,233:21-35.
[7] Gethin JA. Electrophysiological and neurocognitive correlates of self-blame and associated vulnerability to major depression [D]. United Kingdom:The University of Manchester,2016.
[8] World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders. Clinical descriptions and diagnostic guidelines [M]. Geneva:World Health Organization,1992.
[9] American Psychiatric Association. Diagnostic and statistical manual of mental disorders(DSM-5?誖)[M]. American Psychiatric Pub,2013.
[10] 郝伟.精神病学[M].7版.北京:人民卫生出版社,2013:117.
[11] 刘保延.ZJ/T E003-2014循证针灸临床实践指南抑郁症(修订版)[S].北京:中国中医药出版社,2014:1-16.
[12] Liu LY,Feng B,Chen J,et al. Herbal medicine for hospitalized patients with severe depressive episode:a retrospective controlled study [J]. J Affect Disord,2015,170:71-77.
[13] Wu R,Zhu D,Xia Y,et al. A role of Yueju in fast-onset antidepressant action on major depressive disorder and serum BDNF expression: a randomly double-blind,fluoxetine-adjunct,placebo-controlled,pilot clinical study [J]. Neuropsychiatr Dis Treat,2015,11:2013-2021.
[14] 杨敏,杨东东,肖文.中西医结合治疗抑郁症的Meta评价[J].中国全科医学,2013,16(17):2006-2009.
[15] Qu SS,Huang Y,Zhang ZJ,et al. A 6-week randomized controlled trial with 4-week follow-up of acupuncture combined with paroxetine in patients with major depressive disorder [J]. J Psychiatr Res,2013,47(6):726-732.
[16] 胡夫东.九味镇心颗粒合并安非他酮治疗首发抑郁症的疗效和安全性对照研究[J].精神医学杂志,2015,28(3):205-207.
[17] 王勇,康明秀,毛稚霞,等.血府逐瘀汤联合度洛西汀治疗抑郁症伴疼痛的临床观察[J].陕西中医,2015,36(9):1199-1201.
[18] 郭桂珍.百合地黄汤合酸枣仁汤加味治疗老年失眠的疗效观察[J].内蒙古中医药,2019,38(5):19-20.
[19] 刘兰英,骆利元,朱春青,等.自拟健脾养阴汤治疗文拉法辛所致盗汗临床观察[J].浙江中西医结合杂志,2017, 27(7):572-574.
[20] 刘海军,孙玉涛,董晓柳.柴胡加龙骨牡蛎汤治疗抗精神病药物致高泌乳素血症的临床疗效[J].医学综述,2017, 23(3):605-608.
[21] 范穗强.加味柴胡桂枝汤合并文拉法辛治疗中重度抑郁症的回顾性研究[D].广州:南方医科大学,2012.
[22] 肖乐,丰雷,朱雪泉,等.中国抑郁症患者急性期治疗后残留症状的现状调查[J].中华精神科杂志,2017,50(3):175-181.
[23] 赵金龙,林勇,严韬,等.九味镇心颗粒对失眠患者下丘脑-垂体-甲状腺轴激素水平的影响[J].中华中医药学刊,2015,33(1):212-214.
[24] 彭丹涛,邵文.脑小血管病相关认知功能障碍中国诊疗指南[J].中华老年医学杂志,2019,38(4):345-354.
[25] 郑军然,杨微,谢雁鸣,等. 基于医院信息管理系统数据的抑郁障患者临床特征及病证诊疗分析[J].中医杂志,2014,55(24):2148-2151.
[26] 李腾飞,刘婧婕,曹金绳,等.舒郁降压颗粒治疗轻中度原发性高血压伴焦虑抑郁障碍[J].吉林中医药,2016, 36(10):995-998.
[27] 张岩.丹栀逍遥丸干预原发性老年高血压患者合并抑郁情绪的临床机理研究[J].中医中药,2019,17(4):103-104.
[28] 江芳超,张积友,解春霞,等.补肾益肺颗粒治疗老年高血压合并抑郁的临床观察[J].中医药导报,2017,23(21):94-96.
[29] 梁开斌,马砚涛.加减柴胡龙骨牡蛎汤对冠心病并发抑郁焦虑患者中医证候及负性心理的影响[J].中西医结合心血管病杂志,2017,5(37):137-138.
[30] 乙伶,徐素娥,吴同和.舒郁散治疗冠心病合并抑郁的临床观察[J].中西医结合心脑血管病杂志,2016,14(6):620-622.
[31] 熊爱莲,李仲平.疏肝解郁胶囊联合心理干预治疗脑卒中后抑郁[J].长春中医药大学学报,2015,31(4):751-752.
[32] 陈贺华,刘勇,沈晓明.柴胡疏肝散加味治疗卒中后抑郁的临床观察与机制分析[J].辽宁中医杂志,2013,40(1):112-114.
[33] 周勇,龙明,冉宏. 西酞普兰联合养血清脑颗粒治疗脑卒中后抑郁的临床观察[J].中国药房,2014(12):1105-1107.
[34] 陈江波.舒肝解郁胶囊与帕罗西汀治疗脑卒中后抑郁临床疗效对比分析[J].中西医结合研究,2015(3):138-139,141.
[35] 宋昊,马建东,陈永新,等.解郁丸联合银杏叶胶囊治疗脑卒中后抑郁症的疗效分析[J].中国中医药科技,2014(6):671-672.
[36] 卢伟.糖尿病伴发抑郁症的证候学研究及益肾解郁方干预的临床疗效评价[D].北京:北京中医药大学,2012.
[37] 白小林,杨健,杨国春,等.养阴清郁汤治疗糖尿病合并抑郁症47例[J].陕西中医,2007,28(8):999-1000.
[38] 徐晓艳,季淑梅.百合安神汤治疗 2 型糖尿病合并抑郁症患者30例[J].中国药业,2011,20(16):87-88.
[39] 陈丽兰,简小兵,李慧枝.补气养阴疏肝汤治疗2型糖尿病合并郁证临床观察[J].山西中医,2019,35(1):28-30.
[40] Lawton A,Moghraby OS. Depression in children and young people:identification and management in primary,community and secondary care(NICE guideline CG28)[J]. Arch Dis Child Educ Pract Ed,2016,101(4):206-209.
[41] 牛雅娟.《中国抑郁障碍防治指南》药物治疗解读[J].临床药物治疗杂志,2018,16(5):6-8.
[42] 李团结,姜娴荷,牛曾,等.马丙祥教授治疗儿童青少年抑郁症经验总结[J].中国民族民间医药,2019,28(6):49-51.
[43] 陈鸿雁,王健.从脾胃论治儿童及青少年抑郁症[J].中华中医药杂志,2017,32(7):3051-3053.
[44] 耿力,马润玫.妊娠期抑郁症管理的研究进展[J].中华产科急救电子杂志,2016,5(2):122-125.
[45] 杨阳,汪悦,邬颖华.产后抑郁症的中医治疗进展[J].世界最新医学信息文摘,2019,19(12):62,64.
[46] 谢萍,周科宇,孙国娟,等.孕产期抑郁症的中医药临床及实验研究[J].实用妇产科杂志,2019(4):253-255.
[47] 许琳洁,郑瑀,施蕾,等.产后抑郁症的中医证型和方药规律[J].世界中医药,2017,12(7):1583-1586.
[48] 王敦建,陈卓伟.加味疏肝解郁汤联合醒脑开窍针法治疗产后抑郁症临床研究[J].四川中医,2017,35(12):184-187.
[49] 崔艳超,唐启盛.归脾汤对产后抑郁模型大鼠HPA轴相关激素及5-羟色胺的影响研究[J].北京中医药,2016, 35(2):122-126.
[50] 王丹,赵瑞珍,李小黎,等.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,2015,38(11):772-776.
[51] Kulkarni J. Perimenopausal depression-an under-recognised entity [J]. Aust Prescr,2018,41(6):183-185.
[52] 卢永屹.围绝经期抑郁症的中医治疗进展[J].江西中医药,2019,50(7):73-76.
[53] 王莹,梁茜.九味镇心颗粒联合舍曲林治疗产后抑郁症的疗效观察[J].现代药物与临床,2017,32(5):867-870.
[54] 丁玉涛.解郁静心颗粒联合氟西汀胶囊在围绝经期抑郁症患者中的应用效果观察[J].中国实用医药,2017, 12(19):152-153.
[55] 陈鹏典,杨卓欣,宁艳,等.针灸干预围绝经期抑郁症的机制研究进展[J].中国医药导报,2019,16(10):45-48.
[56] 李声,罗丁,马瑞,等.针刺与西药治疗围绝经期抑郁症状的Meta分析[J].中国老年学杂志,2019,39(8):1891-1896.
[57] 中华医学会精神医学分会老年精神医学组.老年期抑郁障碍诊疗专家共识[J].中华精神科杂志,2017,50(5):329-334.
[58] 卫强,姚建平,封银曼.中医治疗老年抑郁症研究概述[J].中医药临床杂志,2019,31(7):1216-1219.
[59] 王美双,宋平.老年抑郁症中西医临床研究进展[J].中医药临床杂志,2018,30(10):1948-1950.
[60] 邹卿,徐茜,杨紫君,等.舒肝解郁胶囊治疗老年抑郁症疗效与安全性的Meta分析[J].中国老年学杂志,2020, 40(1):116-121.
[61] 尹霞,高淑英,田静彬.益肾温胆汤联合舍曲林治疗肝郁痰阻型老年女性抑郁障碍的临床观察[J].中国中医基础医学杂志,2019,25(8):1119-1122.
[62] 严彩英,裴瑜,赵梅珍,等.文拉法辛联合中药治疗老年抑郁症的临床研究[J].国际精神病学杂志,2016(5):842-844.
[63] 李海聪,李求兵,杨学青,等.归脾汤加减治疗老年抑郁障碍及改善患者生活质量的临床研究[J].中华中医药杂志,2014,29(6):1855-1859.
[64] 陈晓磊,徐世芬.针刺治疗老年抑郁症的临床思路和机制研究进展[J].老年医学与保健,2019,25(4):544-554.
[65] 凌宇,郭小川,符文彬.整合针灸方案对中老年抑郁患者生活质量的影响[J].中国老年学杂志,2018,38(9):2150-2152.
[66] 黄兴兵,沐楠,梅芳,等.针药结合治疗老年抑郁症的疗效及对血清脑源性神经营养因子水平的影响[J].实用医学杂志,2011,27(1):127-129.
[67] 李赛,许筱颖,郭霞珍,等. 逍遥丸、归脾丸治疗老年期阈下抑郁症疗效观察[J].世界中医药,2017(3):99-102.
[68] 卜繁龙.补益心脾法及安神定志法干预阈下抑郁的临床研究[D].北京:北京中医药大学,2017.
[69] 强亚,武嫣斐.百合地黄汤治疗阈下抑郁48例临床观察[J].中西医结合心脑血管病杂志,2015(2):256-257.
[70] 勾圣乐,朱晨军,许芳,等.益肾调气法干预阈下抑郁肾虚肝郁型患者的临床观察[J].北京中医药,2017(3):81-83.
[71] 谢敏.颐神调气针刺法治疗气郁体质阈下抑郁的临床研究[D].北京中医药大学,2018.
[72] 陈顺喜,刘菲菲.“调神开郁针法”结合心理干预对卒中后轻度抑郁的疗效及量表评分相关性分析[J].针刺研究,2018,43(1):38-42.
[73] 杨学琴,张文悦,马文昊,等.电针联合认知行为疗法早期干预轻度抑郁状态30例疗效观察[J].中医杂志,2012,53(11):936-938,968.
[74] 谭曦,刘爔,杜渐,等.阈下抑郁人群团体中医心理干预研究[J].中医学报,2014,29(9):1364-1366.
[75] 赵永峰. 体育锻炼抗抑郁的研究进展[J].广州体育学院学报,2014,34(4):81-85.
[76] 孙伊平,赵井财.针刺双侧足三里治疗胃胀30例临床观察[J].中国民康医学,2011,23(14):1758. |
|
|
|