摘要
目的:观察疏肝健脾养心法改善伴焦虑的失眠患者睡眠质量的临床疗效。方法:将68例门诊患者随机分为两组,治疗组32例,对照组36例。治疗组采用疏肝健脾养心法联合黛力新治疗,对照组使用黛力新治疗,两组均治疗4周。治疗结束后采用匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)分别评估两组患者的睡眠质量改善情况,采用汉密尔顿焦虑量表评分(Hamilton Anxiety Scale,HAMA)评估患者焦虑症状改善情况,使用单项症状记分评估中医症状改善情况。结果:两组治疗后PSQI评分及HAMA评分均较同组治疗前改善(治疗组P<0.01,对照组P<0.05),且治疗组评分低于对照组(P<0.05),其中PSQI因子三评分明显低于对照组(P<0.01),治疗组有效率高于对照组(P<0.05),治疗组患者中医证候改善情况优于对照组(P<0.05),心烦、腹胀嗳气、叹息等中医单症积分的改善情况优于对照组(P<0.05),口干苦改善情况明显优于对照组(P<0.01)。结论:疏肝健脾养心法能显著改善患者的睡眠情况及中医症状,尤其可增加患者连续睡眠时间,可改善焦虑症状,安全有效。
Objective:To observe the clinical efficacy of the Shugan Jianpi Yangxin decoction(疏肝健脾养心法)on sleep quality in patients with anxiety.Methods:68 outpatients were randomly divided into two groups,32 cases in the treatment group and 36 cases in the control group.The treatment group was treated with the Shugan Jianpi Yangxin decoction plus deanxit,and the control group was treated with deanxit.Both groups were treated for 4 weeks.After treatment,the PSQI was used to assess the improvement of sleep quality of patients in the groups,the HAMA was applied to assess the amelioration of the patients’anxiety symptoms,and the single symptom score was used to assess the amelioration of TCM symptoms.Results:After treatment,the PSQI score and HAMA score in the groups were improved(P<0.01 in the treatment group,P<0.05 in the control group),and the scores in the treatment group were lower than the control group(P<0.05).Among them,the third factor score of PSQI was significantly lower than the control group(P<0.01).The total efficiency in the treatment group was higher than the control group(P<0.05).The amelioration of TCM symptoms in the treatment group was better than the control group(P<0.05).The amelioration of TCM single symptoms,such as upset,bloating,belching and signs,were better than the control group(P<0.05).The amelioration of dry mouth was significantly better than the control group(P<0.01).Conclusion:The Shugan Jianpi Yangxin decoction can significantly improve the anxiety patient’s sleep quality and TCM symptoms,especially can increase the patient’s continuous sleep time,and can improve anxiety symptoms,is safe and effective.
出处
《中医临床研究》
2021年第4期75-78,共4页
Clinical Journal Of Chinese Medicine
基金
苏州市科技局项目“疏肝健脾养心法联合黛力新治疗伴焦虑的失眠临床对照研究”(SYSD2017186)。
关键词
疏肝健脾养心法
焦虑
失眠
睡眠质量
临床疗效
The Shugan Jianpi Yangxin decoction
Anxiety
Insomnia
Sleep quality
Clinical efficacy
