<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">MRP</journal-id><journal-title-group><journal-title>Medical Research and Practice</journal-title></journal-title-group><issn>2993-9690</issn><eissn>2993-9704</eissn><publisher><publisher-name>Art and Design</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.61369/MRP.2025120048</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>解郁安神方联合针刺治疗青少年焦虑抑郁状态的临床疗效</title><url>https://artdesignp.com/journal/MRP/3/12/10.61369/MRP.2025120048</url><author>张敏,孙逊,张英凯</author><pub-date pub-type="publication-year"><year>2025</year></pub-date><volume>3</volume><issue>12</issue><history><date date-type="pub"><published-time>2025-12-20</published-time></date></history><abstract>目的：探究解郁安神方与针刺疗法相结合在改善青少年焦虑抑郁状态的治疗效果。方法：回顾性筛选2024年2月至同年9月期间，曲靖市中医医院脑病科收治的青少年焦虑抑郁状态病例，总计93例。在对照实验组中，将这些病例划分为三个组别：每组受试者31名，对照组以氟哌噻吨美利曲辛口服治疗；治疗组1以氟哌噻吨美利曲辛与解郁安神方中西医联合治疗；治疗组2以中西药物联合针刺治疗组。对三组患者的焦虑水平、抑郁状况以及总体疗效进行数据解析。结果：经治疗，三组受试者的汉密尔顿焦虑自评量表（HAMA）得分、汉密尔顿抑郁评分（HAMD）均呈现下降趋势，且显著低于治疗前水平。在疗效层面，治疗组1总体有效率90.32%，治疗组2总体有效率93.54%，显著超越了对照组，这一差异在统计学上具有显著意义 ( P＜ 0.05) 。结论：氟哌噻吨美利曲辛联合解郁安神方联合针刺能够有效干预青少年焦虑抑郁状态，降低 HAMA 及 HAMD 评分，缩短起效时间，提高治疗有效率。</abstract><keywords>青少年,焦虑抑郁状态,解郁安神方,针刺治疗</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>[1]COVID-19 Mental Disorders Collaborators. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet. 2021 Nov 6;398(10312):1700-1712.[2]Garc&amp;iacute;a-LopezLJ.Impact of pandemic and after math on resilience of young people in the era of Impact of Covid-19 in Ja en analyses and recommendations.Jaen: Institute of advanced studies;2022.[3]Solmi M, Radua J, Olivola M, et al. Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies. Mol Psychiatry.[4]trawn JR, Wehry AM, DelBello MP, et al. Establishing the neurobiologic basis of treatment in children and adolescents with generalized anxiety disorder. Depress Anxiety. 2012;29:328&amp;ndash;39.[5]Beach SR, et al. Meta-analysis of selective serotonin reuptakeinhibitor -associated QTc prolongation. J Clin Psychiatry. 2014;75(5):e441&amp;ndash;9.[6]凌媛. 中医芳香疗法结合正念认知疗法治疗青少年抑郁症失眠症状的临床研究[D].云南中医药大学,2022.[7]郁病的诊断依据、证候分类、疗效评定&amp;mdash;&amp;mdash;中华人民共和国中医药行业标准《中医内科病证诊断疗效标准》(ZY/T001.1-94)[J].辽宁中医药大学学报,2016,18(11):209.[8]中国精神障碍分类与诊断标准第三版(精神障碍分类)[J].中华精神科杂志,2001,(03):59-63.[9]张明远,许二平,陈毅恒,等.柴胡治疗抑郁症药理作用研究现状[J].中华中医药学刊,2023,41(10):102-108.[10]李硕,闫馨芝,李响,等.基于网络药理学探索当归治疗抑郁症的作用机制[J].甘肃科技,2022,38(9):125-133.[11]周玉.白术内酯Ⅲ的抗抑郁作用及其机制的研究[D].湖南师范大学,2021.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
