酸枣仁汤加减治疗失眠伴焦虑、抑郁的效果分析  

Effect Analysis of Modified Suanzaoren Decoction in Treatment of Insomnia with Anxiety and Depression

作　　者：吴丹 周静 Wu Dan;Zhou Jing(Department of Traditional Chinese Medicine,Zhongxian People's Hospital of Chongqing,Chongqing 404300,China;Department of Rehabilitation,Zhongxian People's Hospital of Chongqing,Chongqing 404300,China)

机构地区：[1]重庆市忠县人民医院中医科,重庆404300 [2]重庆市忠县人民医院康复科,重庆404300

出　　处：《中国社区医师》2024年第6期110-112,共3页Chinese Community Doctors

摘　　要：目的:分析酸枣仁汤加减治疗失眠伴焦虑、抑郁的效果。方法:选取2020年4月—2023年4月重庆市忠县人民医院中医科收治的失眠伴焦虑、抑郁患者72例作为研究对象,依据随机数字表法分为对照组和观察组,各36例。对照组采取常规药物治疗,观察组采取酸枣仁汤加减治疗,比较两组治疗效果。结果:治疗后,两组汉密尔顿抑郁量表、汉密尔顿焦虑量表、匹兹堡睡眠质量指数量表评分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P=0.001)。观察组不良反应总发生率低于对照组,差异有统计学意义(P=0.001)。结论:酸枣仁汤加减治疗失眠伴焦虑、抑郁的效果较好,可改善患者焦虑、抑郁情况,提高其睡眠质量,且不良反应发生率低。Objective:To analyze the effect of modified suanzaoren decoction in treatment of insomnia with anxiety and depression.Methods:From April 2020 to April 2023,a total of 72 patients with insomnia,anxiety and depression admitted to the Department of Traditional Chinese Medicine of Zhongxian People's Hospital of Chongqing were selected as the study subjects.They were divided into two groups according to the random number table method,with 36 cases in each group.The control group was treated with conventional drugs,and the observation group was treated with modified suanzaoren decoction.The treatment effects of the two groups were compared.Results:After treatment,the scores of Hamilton Depression Rating Scale,Hamilton Anxiety Rating Scale,and Pittsburgh Sleep Quality Index in the two groups were lower than those before treatment,and the scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.001).The total incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.001).Conclusion:The modified suanzaoren decoction has a good effect in the treatment of insomnia with anxiety and depression,and can alleviate the anxiety and depression of patients,improve their sleep quality,and have a low incidence of adverse reactions.

关 键 词：酸枣仁 失眠 焦虑 抑郁 

分 类 号：R256.23[医药卫生—中医内科学]