芪枣安神汤联合失眠三针治疗脑梗死后失眠症临床观察  

Clinical Observation on Qizao Anshen Decoction Combined with Three-needle of Insomnia in Treating Insomnia after Cerebral Infarction

作　　者：陈丽[1] 周凌云[1] CHEN Li;ZHOU Lingyun(Department of Encephalopathy,Changzhou Hospital of Traditional Chinese Medicine,Jiangsu Province,Changzhou 213003,China)

机构地区：[1]常州市中医医院脑病科,江苏常州213003

出　　处：《光明中医》2021年第22期3754-3756,共3页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：目的探讨芪枣安神汤联合失眠三针治疗脑梗死后失眠症的临床效果。方法采用回顾性分析方法,选择2018年6月—2020年6月常州市中医院收治的102例脑梗死后痰热内扰型失眠症患者为研究对象,根据治疗方法不同分为对照组44例(采用艾司唑仑联合失眠三针治疗)和研究组58例(在对照组治疗的基础上联合芪枣安神汤治疗),观察2组临床疗效,比较2组治疗前后中医证候评分及匹兹堡睡眠质量指数评分(PSQI),记录2组治疗期间发生的不良反应,并进行对比。结果研究组总有效率比对照组高(94.83%VS 77.27%,P<0.05)。治疗前1 d,2组中医证候评分及PSQI评分对比差异无统计学意义(P>0.05);治疗3个月后,2组中医证候评分及PSQI评分均比治疗前1 d低(P<0.05),且研究组低于对照组(P<0.05)。2组治疗期间不良反应发生率相近(P>0.05)。结论对脑梗死后痰热内扰型失眠症采用芪枣安神汤联合失眠三针和艾司唑仑治疗,可改善中医证候评分,提高睡眠质量,疗效显著,且安全可靠。Objective To explore the clinical effect of Qizao Anshen decoction combined with three-needle of insomnia in treating insomnia after cerebral infarction.Methods A retrospective analysis method was used to select 102 patients with post-cerebral infarction phlegm-heat disturbance insomnia who were admitted to Changzhou Hospital of Traditional Chinese Medicine from June 2018 to June 2020 as the research objects.According to the different treatment methods,they were divided into the control group of 44 cases(Eszolam combined with three-needle of insomnia treatment)and the study group of 58 cases(Qizao Anshen decoction on the basis of the control group).The clinical efficacy of the two groups was observed,the traditional Chinese medicine syndrome scores and Pittsburgh sleep quality index before and after the treatment of the two groups Score(PSQI)was compared,medical records were checked,the adverse reactions that occurred during the treatment of the two groups was recorded and compared.Results The total effective rate of the study group was higher than that of the control group(94.83%VS 77.27%,P>0.05).1 day before treatment,there was no statistical difference between the traditional Chinese medicine syndrome scores and PSQI scores of the two groups(P>0.05).After 3 months of treatment,the traditional Chinese medicine syndrome scores and PSQI scores of the two groups were lower than those on the 1 day before treatment(P<0.05),and The study group was lower than the control group(P<0.05).The incidence of adverse reactions during treatment in the two groups was similar(P>0.05).Conclusion Qizao Anshen decoction combined with three-needle of insomnia and estazolam in the treatment of insomnia with phlegm-heat internal disturbance after cerebral infarction can improve traditional Chinese medicine syndrome scores and improve sleep quality,has significant effect,and it is safe and reliable.

关 键 词：芪枣安神汤 失眠三针 脑梗死后失眠症 痰热内扰证 中医综合疗法 

分 类 号：R256.23[医药卫生—中医内科学] R277.7[医药卫生—中医学]