SD-265法治疗心胆气虚型慢性失眠的实效性随机对照研究  

Efficacy of SD-265 method on chronic insomnia of type of heart and gallbladder Qi deficiency:A randomized controlled study

作　　者：李红岩[1] 朱可欣 孙书臣[1] 段莹 申江红 马晓晶[2] 黄漫[2] 冯硕[1] 谭赛[1] 叶永铭[2] LI Hongyan;ZHU Kexin;SUN Shuchen;DUAN Ying;SHEN Jianghong;MA Xiaojing;HUANG Man;FENG Shuo;TAN Sai;YE Yongming(Guang’anmen Hospital(South Branch)of China Academy of Traditional Chinese Medicine,Beijing 102618,China;Guang’anmen Hospital of China Academy of Traditional Chinese Medicine,Beijing 100053,China;Air Force Specialty Medical Center,Beijing 100142,China)

机构地区：[1]中国中医科学院广安门医院(南区),北京102618 [2]中国中医科学院广安门医院,北京100053 [3]空军特色医学中心,北京100142

出　　处：《现代中西医结合杂志》2024年第19期2650-2654,共5页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：国家重点研发计划项目(2018YFC1705603);中国中医科学院广安门医院南区院所级课题项目(Y2021-04);北京市大兴区孙书臣名医工作室项目(BJDX-MYGZS-2021-2023)。

摘　　要：目的观察SD-265法治疗心胆气虚型慢性失眠患者的临床疗效。方法将2020年8月—2022年8月就诊于中国中医科学院广安门医院(南区)睡眠医学中心、中国中医科学院广安门医院针灸门诊及招募的64例慢性失眠患者随机分为2组,观察组34例采用SD-265法治疗,对照组30例采用温胆汤口服,2组均治疗1周。观察2组治疗前后主观指标[匹兹堡睡眠质量指数量表(PSQI)总分、入睡时间、睡眠时间、睡眠效率]及客观指标(体动记录仪记录的睡眠潜伏期、清醒次数、入睡后清醒时间、总睡眠时间、睡眠效率)变化。结果与治疗前比较,2组治疗后PSQI总分均明显降低,入睡时间均明显缩短,睡眠时间均明显增加,观察组睡眠效率明显提高,且观察组治疗后PSQI总分明显低于对照组,睡眠效率明显高于对照组,差异均有统计学意义(P均<0.05);与治疗前比较,2组治疗后睡眠潜伏期均明显缩短,睡眠效率均明显提高,观察组清醒次数减少,且观察组治疗后睡眠潜伏期明显短于对照组,差异均有统计学意义(P均<0.05)。结论SD-265法可在短期内缩短患者睡眠潜伏期,增加睡眠时长,提高睡眠效率,从而改善心胆气虚型失眠患者睡眠质量。Objective It is to observe the clinical efficacy of SD-265 method in the treatment of patients with chronic insomnia of type of heart and gallbladder Qi deficiency.Methods Sixty-four cases of chronic insomnia patients treated in the Sleep Medicine Center of Guang'anmen Hospital(South Branch)and Acupuncture Clinic of Guang’anmen Hospital from August 2020 to August 2022 were recruited and randomly divided into 2 groups,34 cases of the observation group were treated with SD-265 method,and 30 cases of the control group were treated with decoction for warming gallbladder by oral administration,both groups were treated for one week.The changes in subjective indexes(total score of Pittsburgh Sleep Quality Index(PSQI),time to fall asleep,sleep duration,sleep efficiency)and objective indexes(sleep latency,number of wakefulness,wakefulness time after falling asleep,total sleep duration,sleep efficiency recorded by body movement recorder)before and after treatment were observed in the two groups.Results Compared with those before treatment,the total scores of PSQI were significantly decreased,the times to fall asleep were significantly shortened,the sleep durations were significantly increased in the two groups after treatment,and the sleep efficiency in the observation group was significantly improved,and the total PSQI score of the observation group was significantly lower than that of the control group,the sleep efficiency was significantly higher than that of the control group,the differences were all statistically significant(all P<0.05).Compared with those before treatment,the sleep latencies were significantly shortened,and the sleep efficiencies were significantly improved in the two groups after treatment,the number of wakefulness was reduced in the observation group,and the sleep latency of the observation group was significantly shorter than that of the control group after treatment,the differences were statistically significant(all P<0.05).Conclusion SD-265 method can shorten the sleep latency period,increase

关 键 词：失眠 心胆气虚 SD-265法 睡眠质量 体动记录仪 

分 类 号：R256.23[医药卫生—中医内科学]