脑心同治对失眠患者睡眠及生活质量的影响  

Effect of Concurrent Treatment of Brain and Heart on Sleep and Quality of Life of Insomnia Patients

作　　者：万蝉俊[1] 许雪梅[1] 曾建斌[1] 王慧萍[1] 余学龙[1] 邓红[1] WAN Chanjun;XU Xuemei;ZENG Jianbin;WANG Huiping;YU Xuelong;DENG Hong(Department of Cardiovascular Disease,the Affiliated Hospital of Jiangxi University of Chinese Traditional Medicine,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西中医药大学附属医院心血管科,江西南昌330006

出　　处：《中国中医药现代远程教育》2020年第5期I0102-I0103,共2页Chinese Medicine Modern Distance Education of China

基　　金：江西省卫生健康委中医药科研项目【No.2016A132、2018A072】;江西省卫生健康委科技计划项目【No.20203423、20203433】。

摘　　要：目的观察脑心同治法对心虚胆怯型失眠患者的临床疗效。方法将72例失眠患者随机分为对照组和治疗组各36例。对照组采用艾司唑仑片治疗,治疗组采用十味温胆汤治疗,疗程均为4周。观察2组患者临床疗效、中医证候积分、匹兹堡睡眠质量指数(PSQI)。结果治疗组临床有效率(88.9%)明显高于对照组(66.7%),P<0.05。治疗前,2组中医证候积分、PSQI评分无明显差异(P>0.05);治疗后,治疗组中医证候积分、PSQI评分均明显低于对照组(P<0.05)。结论脑心同治对心虚胆怯型失眠疗效确切,可以明显改善患者的睡眠和生活质量,安全有效。Objective To explore the clinical effect of concurrent treatment of brain and heart on sleep and quality of life of insomnia patients(deficiency of heart and timidity).Methods Totally 72 patients with insomnia were divided into control group and treatment group by random number method,with 36 cases in each group.The control group were given Estazolam tablets treatment.The treatment group was given Shiwei Wendan decoction.The treatment course was 8 weeks.The clinical efficacy,TCM syndrome integral and PSQI score were observed.Results The total effective rate of the treatment group(88.9%)was significantly higher than that of the control group(66.7%)(P<0.05).The TCM syndrome integral and PSQI score of the treatment group were significantly better than that of the control group(P<0.05).Conclusion The concurrent treatment of brain and heart can improve the sleep and quality of life in patients with insomnia.It has significant effect and high safety.

关 键 词：脑心同治 中医药疗法 失眠 睡眠质量 

分 类 号：R256.23[医药卫生—中医内科学]