归脾汤联合地西泮治疗心脾两虚型失眠43例疗效观察  

Efficacy observation on treating 48 cases of insomnia of heart and spleen deficiency type with the Guipi decoction and diazepam

作　　者：杨伟霞[1] 谭广兴[1] 陆少峰[1] 贾宁[1] 

机构地区：[1]广东省佛山市高明区人民医院,广东佛山528500

出　　处：《中国当代医药》2013年第6期131-132,共2页China Modern Medicine

摘　　要：目的探讨归脾汤联合地西泮治疗心脾两虚型失眠的效果。方法选择2010年6月～2012年3月本院收治的96例失眠患者,按照收治顺序单双号分为两组,观察组患者采用归脾汤联合地西泮治疗,对照组采用地西泮治疗,观察比较两组的临床疗效。结果经过治疗,观察组总有效率为93.0%,对照组总有效率为78.3%,两组比较差异有统计学意义(P<0.05)。两组治疗前后匹兹堡睡眠质量指数(PSQI)比较,差异均有统计学意义(P<0.05);两组治疗后睡眠精力不足评分比较,差异有统计学意义(P<0.05)。观察组不良反应例数明显少于对照组。结论归脾汤联合地西泮可有效治疗心脾两虚型失眠,其临床效果显著且不良反应发生率低,值得临床推广应用。Objective To investigate the effect of Guipi decoction and diazepam in treatment of msomma ot heart anti spleen deficiency type. Methods Ninety six cases with insomnia in our hospital from June 2010 to March 2012 were divided into observation group and control group according to odd and even numbers. Observation group was treated by Guipi decoction and diazepam, control group was treated by diazepam. The clinical effects of the two groups were assessed after treatment. Results After treatment, total effective rate of observation group was 93.0%, which was significantly higher than control group＇s total effective rate of 78.3% （P 〈 0.05）. After treatment, the Pittsburgh Sleep Quality Index （PSQI） of two groups showed significant difference compared with before treatment （P 〈 0.05）, the score of lack of energy presented significant differences in the two groups after treatment （P 〈 0.05）. The cases of adverse reactions in treatment group were significantly less than those of control group. Conclusion Guipi decoction and diazepam in treatment of patients with insomnia of heart and spleen deficiency has high efficacy and no side effects, which is worth spreading in clinic.

关 键 词：归脾汤 地西泮 失眠 心脾两虚 临床疗效 

分 类 号：R256.23[医药卫生—中医内科学]