柴胡疏肝散合黄连温胆汤配合铜砭刮痧治疗肝胃不和型失眠的临床观察  

Clinical Observation of Chaihu Shugan Powder and Huanglian Wendan Decoction Combined with Tongbian Scraping in the Treatment of Insomnia Patients with Disharmony between Liver and Stomach

作　　者：陈果[1] 李玲[1] 刘咏 徐捷[1] CHEN Guo;LI Ling;LIU Yong;XU Jie(The First Affiliated Hospital of Gannan Medical College,Ganzhou 341000,China;不详)

机构地区：[1]赣南医学院第一附属医院,江西赣州341000

出　　处：《中国医学创新》2022年第13期82-87,共6页Medical Innovation of China

基　　金：赣州市指导性科技计划项目(GZ2020ZSF058)。

摘　　要：目的:观察柴胡疏肝散合黄连温胆汤配合铜砭刮痧治疗肝胃不和型失眠患者的临床效果。方法:选取2020年9月-2021年9月赣南医学院第一附属医院康复中医科收治的100例肝胃不和型失眠症患者,按照奇偶数字法将患者分为治疗组和对照组,每组50例。对照组给予柴胡疏肝散合黄连温胆汤治疗,治疗组在对照组基础上配合铜砭刮痧治疗。比较两组临床疗效、中医症候积分、心理健康状况、睡眠状况及不良反应发生情况。结果:治疗组总有效率为92.00%,高于对照组的76.00%,差异有统计学意义(P<0.05)。治疗前,两组症状自评量表(SCL-90)、中医症候积分比较,差异均无统计学意义(P>0.05);治疗后,两组SCL-90、中医症候积分均低于治疗前,且治疗组均低于对照组,差异均有统计学意义(P<0.05)。治疗前,两组匹兹堡睡眠质量指数(PSQI)各因子评分和总分比较,差异均无统计学意义(P>0.05);治疗后,两组PSQI各因子评分和总分均低于治疗前,且治疗组均低于对照组,差异均有统计学意义(P<0.05)。两组治疗期间均未出现明显不良反应。结论:采取柴胡疏肝散合黄连温胆汤配合铜砭刮痧治疗肝胃不和型失眠疗效确切,在改善心理健康状况、缓解症状及提高睡眠质量方面具有积极作用,且安全性高,在临床中值得推广应用。Objective:To observe the clinical effect of Chaihu Shugan Powder and Huanglian Wendan Decoction combined with tongbian scraping in the treatment of insomnia patients with disharmony between liver and stomach.Method:A total of 100 insomnia patients with disharmony between liver and stomach treated in the Department of Rehabilitation Medicine of the First Affiliated Hospital of Gannan Medical College from September 2020 to September 2021 were selected,they were divided into treatment group and control group according to oddeven number method,with 50 patients in each group.The control group was treated with Chaihu Shugan Powder and Huanglian Wendan Decoction,and the treatment group was treated with tongbian scraping on the basis of the control group.Clinical efficacy,TCM syndrome score,mental health status,sleep status and incidence of adverse reactions were compared between two groups.Result:The total effective rate of the treatment group was 92.00%,which was higher than 76.00% of the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in symptom self-rating scale(SCL-90)and TCM symptom score between two groups(P>0.05).After treatment,SCL-90 and TCM syndrome scores of both groups were lower than those before treatment,and those of the treatment group were lower than those of the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in all factors and total scores of Pittsburgh sleep quality index(PSQI)between two groups(P>0.05).After treatment,all factors and total scores of PSQI of both groups were lower than those before treatment,and those of the treatment group were lower than those of the control group,the differences were statistically significant(P<0.05).There were no obvious adverse reactions in the two groups during treatment.Conclusion:Chaihu Shugan Powder combined with Huanglian Wendan Decoction Combined with tongbian scraping is effective in the treatment of insomni

关 键 词：失眠 肝胃不和型 柴胡疏肝散 黄连温胆汤 铜砭刮痧 

分 类 号：R256.23[医药卫生—中医内科学]