摘要
目的观察中西医结合治疗失眠的临床疗效。方法选取2015年1月~2016年1月于我院治疗的失眠患者,共138例,通过随机数字法分为观察组和对照组,每组各69例,对照组予以西药治疗,观察组联合中药治疗,西药3周为1个疗程,中药4周为1个疗程。治疗3个月后观察其临床疗效。采用匹兹堡睡眠质量指数(PSQI)观察患者的睡眠改善状况。PSQI由18个自评条目组成,包括睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍7个方面。结果观察组患者治疗后的临床总有效率为91.30%,对照组为73.91%,观察组的临床总有效率显著高于对照组,组间比较差异具有显著性(P<0.05),治疗前,观察组与对照组患者的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍各项评分组间比较,差异不显著。但治疗后,观察组与对照组患者的PSQI各项评分分别较治疗前明显改善,且观察组患者治疗后的PSQI各项评分较对照组改善更显著,组间比较差异具有显著性(P<0.05)。结论中西医结合治疗失眠临床疗效确切,可以显著改善患者的睡眠质量,提高睡眠效率,值得临床推广和应用。
Objective To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of insomnia. Methods A total of 138 patients with insomnia who were treated in our hospital from January 2015 to January 2016 were selected. According to the random number method, the patients were divided into the observation group and the control group, with 69 patients in each group. The control group was given western medicine, and the observation group was combined with traditional Chinese medicine. Western medicine was 3 weeks as a course of treatment, and Chinese medicine was 4 weeks as a course of treatment. The clinical efficacy was observed 3 months after the treatment. The sleep improvement condition was observed by Pittsburgh Sleep Quality Index（PSQI）. PSQI consisted of 18 self-assessment items, including seven aspects of sleep quality, time of falling into sleep, sleep duration, sleep efficiency, sleep disorders, hypnotic drugs, and daytime dysfunction. Results The total clinical effective rate was 91.30% in the observation group and 73.91% in the control group after the treatment. The total clinical effective rate in the observation group was significantly higher than that in the control group, and the difference between the two groups was significant（P〈0.05）. Before the treatment, the scores of sleep quality, time of falling into sleep, sleep duration, sleep efficiency, sleep disorders, hypnotic drugs, and daytime dysfunction were not significantly different between the obser- vation group and the control group. However, the scores of PSQI after the treatment were significantly improved in the observation group and the control group compared with those before the treatment. The scores of PSQI after the treatment in the observation group were more significantly improved than those in the control group, and the differences were significant（P〈0.05）. Conclusion The clinical curative effect of integrated traditional Chinese and western medicine in the treatment of insomnia i
出处
《中国现代医生》
2017年第17期82-84,共3页
China Modern Doctor
基金
浙江省中医药科技计划项目(2013ZB149)
