中药薰洗治疗老年期精神病患者的临床观察

目的：探讨中药薰洗治疗老年期精神病患者的临床效果。方法将97例老年期精神病患者分为治疗组和对照组，治疗组给予常规治疗配合中药薰洗，对照组给予常规治疗，使用简明精神病评定量表（BPRS）、简易智力状况检查量表（MMSE）、失眠症疗效评定标准等来评价患者的精神症状、认知功能、镇静催眠药物使用情况及睡眠状况的改善情况。结果中药薰洗对老年期精神病患者的精神症状除思维障碍以外的其他症状的改善都有效果（P〈0.05），对老年期精神病患者认知功能的影响无差异（P〉0.05），治疗组睡眠改善有效率为91.7%，对照组睡眠改善有效率为65.3%；中药薰洗对老年期精神病患者镇静催眠的使用率由63%降到21%。结论中药薰洗能改善老年期精神病患者的睡眠状态，从而改善患者的精神症状，无明显副作用和依赖性，操作简单方便，适合长期使用。

The clinical observation of the senile psychotics by the treatment of chi-nese herbal steaming-washing

Objective To explore the clinical effect of chinese herbal steaming-washing on the senile psychotics . Methods 97 senile psychotics were divided into the treatment group and the control group, and the control group was given conventional treatment, but the treatment group was given both conventional treatment and chinese herbal steaming-washing. Used the brief psychiatric rating scale（BPRS）, the condition of simple mental state examination （MMSE）,and curative effect evaluation standard of insomnia to evaluate the mental symptoms,cognitive function,and the improvement of the sleep. Results The chinese herbal steaming-washing had an efficacy in improving the psychi-atric symptoms of the senile psychotics other than thought disorder, P〈0.05, but it had no difference on the influence of cognitive function P〉0.05. The effective rate of sleep improvement was 91.7% in the treatment group and 65.3% in the control group.The chinese herbal steaming-washing significantly reduced the utilization rate of sedative hypnotics from 63% to 21% in the senile psychotics. Conclusion The chinese herbal steaming-washing can improve the sleep of the senile psychotics and the mental symptoms,has no obvious side effect and dependence. The operation is simple,convenient and suitable for long-term use.