中医综合疗法治疗失眠的临床研究  

Clinical Effect Observation of TCM Comprehensive Therapy on Insomnia

作　　者：陈佳慧 徐甜 程发峰 马重阳 弓雪峰 王庆国 CHEN Jiahui;XU Tian;CHENG Fafeng;MA Chongyang;GONG Xuefeng;WANG Qingguo(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijng 100700,China;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;School of Traditional Chinese Medicine,Capital Medical University,Beijing 100069,China;Department of Traditional Chinese Medicine,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京中医药大学中医学院,北京100029 [3]首都医科大学中医药学院,北京100069 [4]首都医科大学附属北京朝阳医院中医科,北京100020

出　　处：《辽宁中医杂志》2025年第4期6-9,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82004327,81774122);国家中医药管理局燕京刘氏伤寒流派传承工作室项目(1190062620029);国家重点研发计划项目(2019YFC1710100,2019YFC1710103)。

摘　　要：目的观察中医综合疗法治疗失眠的临床疗效及安全性。方法选取失眠患者80例,按照3:1比例随机分为综合疗法组60例与五行音乐组20例。两组患者均给予睡眠健康教育联合五行音乐治疗,综合疗法组在此基础上加用安睡饮和中药香薰枕进行干预。分别在治疗前及治疗后第4、8、12周,比较两组的失眠严重程度指数量表评分、匹兹堡睡眠质量指数量表评分的变化情况。结果治疗后两组的ISI评分、PSQI总分均较治疗前下降(P<0.01,P<0.05),综合疗法组的日间功能评分较治疗前显著下降(P<0.01),第12周时综合疗法组ISI评分、PSQI总分、日间功能评分均显著低于五行音乐组(P<0.05)。结论中医适宜技术治疗失眠疗效确切,中医综合疗法能有效地降低失眠严重程度,改善睡眠质量及日间疲劳,可考虑作为规模化推广的健康干预方案。Objective To observe the clinical efficacy and safety of TCM comprehensive therapy for insomnia.Methods Eighty patients with insomnia were randomly divided into comprehensive therapy group(60 cases)and five-element music therapy group(20 cases)according to the ratio of 3:1.Two groups were given sleep health education combined with five elements music therapy.On the basis of this,the comprehensive therapy group added Anshui Yin(安睡饮)and Chinese herbal aromatherapy pillow for intervention.Before treatment and 4,8 and 12 weeks after treatment,the scores of insomnia severity index(ISI)and Pittsburgh sleep quality index(PSQI)were compared between the two groups.Results ISI score and PSQI total score of the two groups decreased after treatment(P<0.01,P<0.05).The daytime functional score of the combined therapy group was significantly lower than that before treatment(P<0.01).At the 12th week,ISI score,PSQI total score and daytime function score in the comprehensive therapy group were significantly lower than those in the five-elements music therapy(P<0.05).Conclusion Suitable technology of traditional Chinese medicine has definite curative effect on insomnia.Comprehensive TCM therapy can effectively reduce the severity of insomnia,improve sleep quality and daytime fatigue,which can be considered as a large-scale health intervention program.

关 键 词：失眠 中医综合疗法 五行音乐疗法 药食同源 芳香疗法 随机对照试验 

分 类 号：R256.23[医药卫生—中医内科学]