摘要
目的:观察自拟宁心益肾汤配合空椅子技术治疗心肾不交型失眠的临床疗效。方法:将70例心肾不交型失眠患者,随机分成治疗组和对照组,每组各35例。对照组予以自拟宁心益肾汤治疗,治疗组予以自拟宁心益肾汤配合空椅子技术进行治疗,观察2组临床疗效及匹兹堡睡眠质量指数(PSQI)积分、子人格和谐度量表总分。结果:治疗组和对照组的PSQI总分及各分量表得分在治疗后较治疗前显著下降(P<0.05)。治疗组治疗后在睡眠时间、睡眠障碍、日间功能障碍等分量表的评分上明显低于对照组(P<0.05)。子人格和谐度量表上,对照组和治疗组在治疗前后的总分差异具有统计学意义(P<0.05)。治疗组治疗后的总分高于治疗后的对照组(P<0.05)。结论:自拟宁心益肾汤治疗心肾不交型失眠有显著疗效。自拟宁心益肾汤配合空椅子技术不仅能够显著改善心肾不交型失眠患者的多种症状,还显著提高患者子人格和谐度,比单独使用自拟宁心益肾汤疗效更好,提示二种治疗手段间有协同增效作用。
Objective： To observe the clinical curative effect of the treating insomnia with Ningxin Yishen Decoction and empty chair technique in Gestalt psychotherapy. Methods： Seventy insomnia patients with heart and kidney disconnection were divided into treatment group and control group by random method. Patients in control group drink the Ningxin Yishen decotion,while the treatment group to drink the same decoction together with empty chair technique in gestalt therapy technology. Clinical curative effect and the Pittsburgh sleep quality index（ PSQI） integral,harmonious personality scale were observed of two groups. Results： The total PSQI scores and subscale scores of both groups were significantly decreased after the treatment（ P〈0. 05）. After treatment,the scores of sleep time,sleep disorder and daytime dysfunction were significantly lower in the treatment group than those in the control group（ P〈0. 05）. In Subpersonality harmony scale,the difference between the total score of the control group and the treatment group before and after treatment was statistically significant（ P〈0. 05）. The total score of treatment group was higher than the control group after treatment（ P〈0. 05）. Conclusion： It is effective to treat heart and kidney disconnection insomnia with Ningxin Yishen decoction. Combinition of the decoction and gestalt therapy techniques can not only significantly improve a variety of symptoms of insomnia patients with heart and kidney disconnection,but also improve patients personality harmony degree,which is better than using Ningxin Yishen decoction alone in curative effection. There are synergies between the two treatments.
作者
李思聪
童俞嘉
孔军辉
Li Sicong;Tong Yujia;Kong Junhui(Beijing university of traditional Chinese medicine, Beijing, 102488)
出处
《世界睡眠医学杂志》
2018年第3期316-320,共5页
World Journal of Sleep Medicine
基金
国家大学生创新创业训练计划项目(201710026067)
关键词
自拟宁心益肾汤
空椅子技术
心肾不交
失眠
Self-made Ningxin Yishen Docoction
Gestalt psychotherapy
Empty chair technique
Heart and kidney disconnection
Insomnia
