桂枝汤合酸枣仁汤口服联合择时顺势足浴治疗失眠临床研究  

Clinical Study on Cinnamon Twig Decoction and Sour Jujube Decoction for oral Administration Combined with Timing and Homeopathy Foot Bath in the Treatment of Insomnia

作　　者：肖永娟[1] XIAO Yong-juan(Pingxiang People's Hospital,Pingxiang,Jiangxi,China,337000)

机构地区：[1]萍乡市人民医院,江西萍乡337000

出　　处：《河南中医》2022年第10期1479-1482,共4页Henan Traditional Chinese Medicine

基　　金：萍乡市科技计划项目(2020PY002)。

摘　　要：目的:观察桂枝汤合酸枣仁汤口服联合择时顺势足浴治疗失眠的临床疗效。方法:将60例失眠患者按照随机数字表法分为观察组和对照组,每组各30例。观察组给予桂枝汤合酸枣仁汤口服,并分别在卯时、酉时给予中药足浴,对照组避开上述时间段进行中药足浴,同时口服桂枝汤合酸枣仁汤。比较两组患者治疗前后匹兹堡睡眠质量指数量表(pitts-burgh sleep quality index,PSQI)、Epworth嗜睡量表(epworth sleeping scale,ESS)、中医证候积分及焦虑、抑郁状态改善情况。结果:两组患者治疗后PSQI和ESS评分低于本组治疗前,且治疗后观察组低于对照组,差异具有统计学意义(P<0.05)。两组患者治疗后失眠多梦、眩晕耳鸣、精神倦怠及肢体麻木等中医证候积分低于本组治疗前,且治疗后观察组低于对照组,差异具有统计学意义(P<0.05)。两组患者治疗后焦虑、抑郁比例低于本组治疗前,差异具有统计学意义(P<0.05);但组间比较,差异无统计学意义(P>0.05)。结论:桂枝汤合酸枣仁汤口服联合择时顺势足浴治疗失眠,可改善患者的临床症状及睡眠质量,缓解焦虑、抑郁状态。Objective:To observe the clinical efficacy of Cinnamon Twig Decoction and Sour Jujube Decoction for oral administra-tion combined with timing and homeopathy foot bath on insomnia.Methods:A total of 60 patients with insomnia were randomly di-vided into the observation group and the control group,with 30 cases in each group.The observation group was given Cinnamon Twig Decoction and Sour Jujube Decoction for oral administration,and also given traditional Chinese medicine foot bath at Maoshi and Youshi respectively.The control group avoided the above-mentioned time period and took Cinnamon Twig Decoction and Sour Jujube Decoction orally at the same time.The Pittsburgh sleep quality index(PSQI),The Epworth Sleeping Scale(ESS),TCM syndrome scores and the improvement of anxiety and depression were compared before and after treatment between the two groups.Results:The PSQI and ESS scores of the two groups after treatment were lower than those of the same group before treatment,and the above indexes of the observation group after treatment were lower than those of the control group,and all the differences were statistically significant(P<0.05).After treatment,the TCM syndrome scores such as insomnia and dreaminess,dizziness and tin-nitus,mental fatigue and limb numbness in the two groups were lower than those of the same group before treatment,and the above indexes of the observation group were lower than those of the control group after treatment,and all the differences were statistically significant(P<0.05).The proportion of anxiety and depression in the two groups after treatment was lower than that of the same group before treatment,and the difference was statistically significant(P<0.05);However,there was no significant difference be-tween the two groups(P>0.05).Conclusion:Cinnamon Twig Decoction and Sour Jujube Decoction combined with timing and home-opathy foot bath can improve the clinical symptoms and sleep quality of patients with insomnia,and alleviate anxiety and depression.

关 键 词：失眠 足浴 桂枝汤 酸枣仁汤 《伤寒论》 《金匮要略》 张仲景 

分 类 号：R256.23[医药卫生—中医内科学]