摘要
目的:观察中药足浴联合西药治疗气郁体质失眠的临床疗效。方法:选取气郁体质失眠患者126例,随机分成治疗组和对照组,各63例。对照组采用西药艾司唑仑片治疗,治疗组在对照组基础上给予中药足浴,比较2组治疗前后匹茨堡睡眠质量指数量表评分(PSQI)、临床疗效及气郁体质得分情况。结果:治疗前,2组睡眠质量、进入睡眠时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能及总分、气郁体质积分比较,差异均无统计学意义(P> 0.05)。治疗后,2组睡眠质量、进入睡眠时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能及总分较治疗前显著降低,差异均有统计学意义(P <0.05);治疗组气郁体质积分较治疗前显著降低(P <0.05);治疗组睡眠质量、催眠药物评分及总分、气郁体质积分显著低于对照组(P <0.05)。治疗组总有效率为95.08%,对照组总有效率为83.05%,2组比较,差异有统计学意义(P <0.05)。治疗组的不良反应率为3.28%,对照组的不良反应率为13.56%,2组比较,差异有统计学意义(P <0.05)。结论:中药足浴联合西药治疗气郁体质失眠疗效显著,中药熏洗治疗气郁体质失眠的优势在于改善睡眠质量及减少催眠药物使用。
Objective： To observe the clinical effect of Chinese medicine foot bath combined with western medicine for insomnia with qi depression constitution, Methods： Selected 126 cases of patients with insomnia with qi depression constitution and divided them into the treatment group and the control group randomly, 63 cases in each group. The control group was given western medicine estazolam tablets, while the treatment group was additionally given Chinese medicine foot bath. Compared the scores of Pittsburgh sleep quality index （PSQI）, clinical effect and qi depression constitution before and after treatment. Results- Before treatment, there were no significant differences being found in the comparisons of sleep quality, sleep time, time of falling asleep, sleep efficiency, sleep disorders, hypnotics, daytime function and its total score, and qi depression scores between the two groups （P 〉 0.05）. After treatment, the sleep quality, sleep time, time of falling asleep, sleep efficiency, sleep disorders, hypnotics, daytime function and its total score in the two groups were significantly lower than those before treatment, differences being significant（P 〈 0.05）; the score of qi depression constitution in the treatment group was obviously decreased when compared with that before treatment （P 〈 0.05）; and the sleep quality, hypnotics score, the total score and qJ depression score in the treatment group were clearly lower than those in the control group （P 〈 0.05）. The total effective rate was 95.08% in the treatment group and 83.05% in the control group, difference being significant （P 〈 0.05）. The adverse reaction rate was 3.28% in the treatment group and 13.56% in the control group, difference being significant （P 〈 0.05）. Conclusion： The application of Chinese medicine foot bath combined with western medicine has significant effect in treating insomnia with qi depression constitution. The advantage of Chinese medicine fumigation and washing in treating insomnia with qi depre
作者
邓艳华
周建扬
陈璐佳
DENG Yanhua;ZHOU Jianyang;CHEN Lujia
出处
《新中医》
CAS
2018年第11期71-74,共4页
New Chinese Medicine
基金
中医药部门公共卫生服务补助资金中医药标准制修订项目[SATCM-2015-BZ(334)]
