中医心理睡眠调控技术治疗心胆气虚型不寐临床研究  

Study on the effect of Traditional Chinese Medicine psychological sleep regulation technology on insomnia with deficiency of heart and gallbladder qi

作　　者：杜辉[1] 张锦花[1] 李桂侠[1] Du Hui;Zhang Jinhua;Li Guixia(Department of Psychological,Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院心理科,北京100053

出　　处：《国际中医中药杂志》2021年第11期1080-1084,共5页International Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(82004349);中国中医科学院广安门医院所级创新培育课题(2019S451)。

摘　　要：目的:评价中医心理睡眠调控技术治疗心胆气虚型不寐的临床疗效。方法:将符合入选标准的2020年6月-2021年3月中国中医科学院广安门医院睡眠医学专题门诊60例心胆气虚型不寐患者,采用随机数字表法分为2组,每组30例。对照组于睡前口服佐匹克隆片,治疗组采用中医心理睡眠调控技术治疗。2组均治疗4周。分别于治疗前后采用失眠严重程度指数量表(Insomnia Severity Index,ISI)评估失眠严重程度,采用自拟中医证候评分量表评估症状严重程度,采用睡眠个人信念和态度量表(Dysfunctional Beliefs and Attitudes About Sleep,DBAS-30)评估与睡眠相关的不合理认知;于治疗第4周采用副反应量表(Treatment Emergent Symptom Scale,TESS)对2组的安全性进行评估。结果:治疗组总有效率为77.7%(23/30)、对照组为80.0%(24/30),2组比较差异无统计学意义(χ^(2)=0.098,P=0.754)。治疗后,治疗组中医证候评分[(5.15±2.66)分比(8.98±2.05)分,t=-1.552]低于对照组(P<0.05),DBAS-30评分[(125.84±20.57)分比(82.89±21.64)分,t=2.445]高于对照组(P<0.05)。结论:中医心理睡眠调控技术可显著改善心胆气虚型不寐患者的临床症状,疗效与佐匹克隆片相似,在改善睡眠个人信念和态度方面优于西药,且安全性较好。Objective:We study the clinical effect of(Traditional Chinese Medicine)TCM psychological sleep regulation technique in treating insomnia with deficiency of heart and gallbladder qi.Methods:A total of 60 patients from the Sleep Medicine Special Outpatient Department of Guang’anmen Hospital of China Academy of Chinese Medical Sciences,who met the inclusion criteria from June 2020 to March 2021,were divided into 2 groups with 30 in each group,by random number table method.The treatment group were treated with TCM psychological sleep regulation technology.The control group were treated with Zopiclone tablets for 4 weeks.We used the Insomnia Severity Index(ISI)to assess the severity of insomnia,the self-developed TCM syndrome to assess the severity of symptoms,and the Dysfunctional Beliefs and Attitudes Scale to assess the unreasonable cognition related to sleep before and after treatment.The Treatment Emergent Symptom Scale(TESS)was used to assess the safety of the 2 groups in the 4th week of treatment.Results:The total effective rate was 77.7%(23/30)in the treatment group and 80.0%(24/30)in the control group.There was no significant difference between the two groups(χ^(2)=0.098,P=0.754).After treatment,the score of TCM syndromes in the treatment group(5.15±2.66 vs.8.98±2.05,t=-1.552)was significantly lower than that of the control group(P<0.05),and the DBAS-30 score(125.84±20.57 vs.82.89±21.64,t=2.445)was significantly higher than that of the control group(P<0.05).Conclusions:TCM psychological sleep control technology can improve the clinical symptoms of patients with insomnia,and heart and gallbladder qi deficiency.The efficacy is similar to that of Zopiclone,and it is superior to western medicine in improving beliefs and attitudes of sleep.

关 键 词：失眠症 心胆气虚证 中医心理疗法 睡眠信念和态度 

分 类 号：R256.23[医药卫生—中医内科学]