中医药基于抗炎及改善神经递质途径治疗新冠后失眠的研究进展  

Research Progress in Treatment of Insomnia after COVID-19 with Traditional Chinese Medicine Based on Anti-Inflammatory and Neurotransmitter Improvement

作　　者：石琎瑀 刘光辉[2] 王恩龙[2] SHI Jinyu;LIU Guanghui;WANG Enlong(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《实用中医内科杂志》2024年第12期114-118,共5页Journal of Practical Traditional Chinese Internal Medicine

基　　金：辽宁省科技计划项目(20180550374)。

摘　　要：新型冠状病毒肺炎(COVID-19)传染性强,伴随症状多,失眠已经成为新冠肺炎患者康复后最常见的症状之一,目前仍缺少对其发病机制的研究以及有效的治疗方法。中医药疗法主要通过降低体内细胞因子,减轻炎性反应、提高神经递质水平等机制,改善新冠后患者失眠症状。该文收集了中医药通过上述途径治疗新冠后失眠的不同方法以及临床研究,在针灸治疗方面,主要以足三里、百会、神庭、神门、印堂、三阴交居多,传统方剂有交泰丸、沙参麦冬汤,中成药有舒眠胶囊,中药中百合、莲子、夜交藤、合欢皮、柏子仁、酸枣仁也能不同程度地缓解失眠症状。耳穴压豆及传统运动疗法八段锦也能明显缓解失眠、焦虑、抑郁症状。Coronary virus disease 2019(COVID-19)is highly contagious and has many accompanying symptoms.Insomnia has become one of the most common symptoms of COVID-19 patients after rehabilitation.At present,there is still a lack of re⁃search on its pathogenesis and effective treatment methods.Traditional Chinese medicine therapy mainly improves the insomnia symptoms of patients after COVID-19 by reducing the cytokines in the body,relieving inflammatory reaction and improving the levels of neurotransmitters and other mechanisms.This article collected different Method and clinical studies of Chinese medicine to treat insomnia after COVID-19 through the above ways.In acupuncture and moxibustion treatment,Zusanli(ST36),Baihui(DU20),Shenting(DU24),Shenmen(HT7),Yintang(DU29)and Sanyinjiao(SP6)are the most common.Traditional prescrip⁃tions include Jiaotai Pill(交泰丸),Shashen Maidong Decoction(沙参麦冬汤),traditional Chinese patent such as Shumian Cap⁃sules(舒眠胶囊),Chinese medicine like Baihe(Lilii Bulbus),Lianzi(Nelumbinis Semen),Yejiaoteng(Caulis Polygoni Multiflo⁃ri),Hehuanpi(Albiziae Cortex),Baiziren(Platycladi Semen)and Suanzaoren(Ziziphi Spinosae Semen)can also alleviate insom⁃nia symptoms to varying degrees.Ear acupressure and traditional exercise therapy with Baduanjin can also significantly alleviate symptoms of insomnia,anxiety and depression.

关 键 词：新冠肺炎康复期 失眠 中医药 综述 

分 类 号：R259[医药卫生—中西医结合]