摘要
目的观察天麻钩藤饮加减联合耳穴压豆治疗阴虚火旺型失眠的效果。方法选取2016年8月—2018年12月于北京中医药大学附属护国寺中医医院门诊收治的64例阴虚火旺型失眠症患者,采用随机数字表法将其分为观察组和对照组,各32例。观察组服用天麻钩藤饮加减联合耳穴压豆治疗,对照组口服艾司唑仑治疗,疗程均为4周。分别于治疗前后采用匹兹堡睡眠质量指数(PSQI)量表评价患者睡眠质量,采用中医证候自评量表评价疗效,并观察两组不良反应发生情况。结果观察组总有效率高于对照组(P<0.05)。两组治疗后的PSQI、中医证候自评量表评分均较治疗前降低(P<0.05),且观察组PSQI、中医证候自评量表评分均低于对照组(P<0.05)。观察组不良反应发生率低于对照组(P<0.05)。结论天麻钩藤饮加减联合耳穴压豆治疗阴虚火旺型失眠的效果显著,且优于艾司唑仑。
Objective To observe the effect of Modified Tianma Gouteng Decoction combined with otopoint pellet-pressing in the treatment of insomnia with the syndrome of hyperactivity of fire due to yin deficiency.Methods Sixty-four patients with insomnia of syndrome of hyperactivity of fire due to yin deficiency at outpatient in Huguosi Hospital of Chinese Medicine Affiliated to Beijing University of Chinese Medicine from August 2016 to December 2018 were selected and divided into observation group and control group according to random number table method,32 cases in each group.Observation group was treated with Modified Tianma Gouteng Decoction combined with otopoint pellet-pressing,while control group was treated with Estazolam orally for four weeks.Before and after treatment,Pittsburgh sleep quality index(PSQI)was used to evaluate sleep quality,and self-rating scale of traditional Chinese medicine was used to evaluate the efficacy.Adverse reactions of the two groups were observed.Results Total effective rate of observation group was higher than that of control group(P<0.05).PSQI and self-rating scale of traditional Chinese medicine scores of two groups after treatment were lower than those before treatment(P<0.05),and PSQI and self-rating scale of traditional Chinese medicine scores of observation group after treatment were lower than those of control group(P<0.05).The incidence of adverse reaction in observation group was lower than that in control group(P<0.05).Conclusion The effect of Modified Tianma Gouteng Decoction combined with otopoint pellet-pressing in the treatment of insomnia with syndrome of hyperactivity of fire due to yin deficiency is better than Estazolam.
作者
刘美华
李双
LIU Meihua;LI Shuang(Department of Traditional Chinese Medicine,Huguosi Hospital of Chinese Medicine Affiliated to Beijing University of Chinese Medicine,Beijing100035,China;Department of Acupuncture,Huguosi Hospital of Chinese Medicine Affiliated to Beijing University of Chinese Medicine,Beijing100035,China)
出处
《中国医药导报》
CAS
2020年第23期146-149,共4页
China Medical Herald
关键词
天麻钩藤饮
耳穴压豆
阴虚火旺型
失眠症
效果
Tianma Gouteng Decoction
Otopoint pellet-pressing
Syndrome of hyperactivity of fire due to yin deficiency
Insomnia
Effect