调理脾胃法治疗失眠症患者的临床效果  

Clinical effect of regulating spleen and stomach method in the treatment of patients with insomnia

作　　者：石春明[1] 孙楠[1] 

机构地区：[1]陕西省宝鸡市中医医院,陕西宝鸡721000

出　　处：《中国医药导报》2016年第28期95-98,共4页China Medical Herald

摘　　要：目的观察调理脾胃法治疗失眠症患者的临床效果。方法选取2014年10月~2015年12月宝鸡市中医院神经内科收治的86例失眠症患者作为研究对象,分别于治疗前后采用匹兹堡睡眠质量指数量表（PSQI）评价患者睡眠质量,并测定治疗前后中医证候评分以评价其疗效。结果所有86例失眠症患者治疗后PSQI睡眠质量[（1.84±0.56）分]、入睡时间[（1.79±0.42）分]、睡眠时间[（1.90±0.65）分]、睡眠效率[（1.89±0.57）分]、睡眠障碍[（1.96±0.72）分]、镇静药物[（0.82±0.26）分]、日间功能[（1.49±0.31）分]各要素评分及总评分[（11.76±2.79）分]均较治疗前[（2.36±0.31）、（2.38±0.29）、（2.20±0.21）、（2.14±0.18）、（2.26±0.24）、（1.12±0.08）、（2.29±0.26）、（15.60±4.73）分]显著降低,差异均有统计学意义（均P〈0.05）。治疗后,患者中医证候评分为（24.15±4.78）分,显著低于治疗前[（27.10±4.19）分],差异有统计学意义（t=12.875,P〈0.05）。治疗后,86例患者中,痊愈11例,显效43例,好转29例,无效3例。结论运用调理脾胃法论治失眠症患者临床效果显著,值得推广应用。Objective To observe the effect of regulating spleen and stomach method in the treatment of patients with insomnia. Methods Eighty-six cases of patients with insomnia admitted to Department of Neurology of Baoji Hospital of Traditional Chinese Medicine from October 2014 to December 2015 were selected as research objects, the sleep quality before and after treatment was evaluated by Pittsburgh sleep quality index（PSQI）, and the scores of Chinese medical syndrome before and after treatment were detected, so as to evaluate the clinical efficacy. Results After treatment, the scores of sleep quality [（1.84 ±0.56） points], fall-sleep time [（1.79 ±0.42） points], sleeping time [（1.90 ±0.65）points], sleep efficiency [（1.89 ±0.57） points], sleep disorders [（1.96 ±0.72） points], sedative [（0.82 ±0.26） points], daily function [（1.49±0.31） points] of PSQI and total scores [（11.76±2.79） points] in all 86 cases of patients with insomnia were all lower than those before treatment [（2.36±0.31）,（2.38±0.29）,（2.20±0.21）,（2.14±0.18）,（2.26±0.24）,（1.12±0.08）,（2.29±0.26）,（15.60±4.73） points], the differences were all statistically significant（all P〈0.05）. After treatment, the score of Chinese medical syndrome was（24.15±4.78） points, which was significantly lower than that before treatment [（27.10±4.19） points], the difference was statistically significant（t = 12.875, P〈0.05）. After treatment, there were 11 cases of cured, 43 cases of excellent, 29 cases of improvement, 3 cases of invalid among 86 cases of patients with insomnia.Conclusion Regulating spleen and stomach method in the treatment of patients with insomnia has distinct curative effect, which is worthy of promotion and application.

关 键 词：调理脾胃法 失眠 临床效果 

分 类 号：R256.23[医药卫生—中医内科学]