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黄连温胆汤加减治疗痰热内扰型失眠临床研究 被引量:14

Clinical Study on Modified Huanglian Wendan Tang for Insomnia of Phlegm-Heat Harassing the Interior Type
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摘要 目的:观察黄连温胆汤加减治疗痰热内扰型失眠的临床疗效。方法:将70例痰热内扰型失眠患者,按随机数字表法分为观察组与对照组,各35例。对照组给予氯硝安定片治疗,观察组在对照组的基础上给予黄连温胆汤加减治疗。2组均治疗3个月,观察比较2组临床疗效、匹兹堡睡眠质量指数(PSQI)评分及不良反应情况。结果:观察组总有效率为97.14%,对照组为82.85%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组入睡时间、睡眠效率、睡眠障碍与日间功能评分均较治疗前降低(P<0.05);且观察组各项评分均低于对照组(P<0.05)。不良反应发生率观察组为8.57%;对照组为28.57%,2组比较,差异有统计学意义(P<0.05)。结论:黄连温胆汤加减联合氯硝安定片治疗痰热内扰型失眠症疗效显著。 Objective:To observe the clinical effect of Huanglian Wendan tang for insomnia of phlegm-heat harassing the interior type.Methods:A total of 70 cases of patients with insomnia of phlegm-heat harassing the interior type were divided into the observation group and the control group according to the random number table method,35 cases in each group.The control group was treated with clonazepam tablets,and the observation group was additionally treated with Huanglian Wendan tang based on the treatment of the control group.Both groups were treated for three months.The clinical effect,Pittsburgh Sleep Quality Index(PSQI)scores and adverse reactions in the two groups were observed and compared.Results:The total effective rate was 97.14%in the observation group and 82.85%in the control group,the difference being significant(P<0.05).After treatment,the scores of time for falling asleep,sleep efficiency,sleep disorders and daytime function in the two groups were decreased when compared with those before treatment(P<0.05);the above scores in the observation group were lower than those in the control group(P<0.05).The incidence of adverse reactions was 8.57%in the observation group and 28.57%in the control group,the difference being significant(P<0.05).Conclusion:Huanglian Wendan tang combined with clonazepam tablets has significant curative effect in treating insomnia of phlegm-heat harassing the interior type.
作者 林国平 LIN Guoping
出处 《新中医》 CAS 2021年第3期28-30,共3页 New Chinese Medicine
关键词 失眠症 痰热内扰 黄连温胆汤加减 氯硝安定片 匹兹堡睡眠质量指数 Insomnia Phlegm-heat harassing the interior Huanglian Wendan tang Clonazepam tablets Pittsburgh Sleep Quality Index
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