补肝养血清心汤治疗肝血亏虚型不寐的临床观察

Clinical Observation of Liver Nourishing Serum Heart Decoction in the Treatment of Liver Blood Deficiency Type Insomnia

目的观察补肝养血清心汤治疗肝血亏虚型不寐的临床疗效。方法选取2021年12月—2022年12月六安市中医院收治的60例证属肝血亏虚的失眠患者为研究对象,采用随机数表法分成观察组、对照组,每组30例。对照组使用右佐匹克隆治疗,观察组在对照组基础上加补肝养血清心汤治疗,1剂/d,分两次服用。治疗8周,对比两组中医证候积分、匹兹堡睡眠质量指数(PSQI)、多导睡眠监测(PSG)指标,评估两组临床治疗效果。结果观察组总有效率明显高于对照组,差异有统计学意义(P<0.05);治疗后,两组中医证候积分、PSQI评分、PSG指标均改善,且观察组指标改善效果较对照组更明显,差异有统计学意义(P<0.05)。结论补肝养血清心汤可缓解睡眠障碍疾病,联合西药治疗更加有效。

Objective To observe the clinical effect of Bugan Yangxue Qingxin decoction on insomnia.Methods A total of 60 patients with insomnia with hepatic blood deficiency admitted to Lu'an Hospital of Traditional Chinese Medicine from December 2021 to December 2022 were selected as the research objects,and they were divided into observation group and control group,with 30 cases in each group.The control group used dexzopiclon,the observation group added a decoction of Yangxue Qingxin bugan based on the control group,1 dose/dan,take two doses one day.Treatment cycle 8 weeks,compare the difference before and after the results of the TCM syndrome score,PSQI and PSG,assessment of the effect of clinical treatment.Results Analysis of reference indexes after 8 weeks of systemic treatment:the overall effectiveness of the observation groups was 93.33%,this exceeded the total effectiveness ratio of 76.67% in the control group;Also to find,TCM syndrome score,PSQI score and PSG index of both groups were statistically analyzed and concluded that,the difference is statistically significant(P<0.05).That is,the symptoms improve.Comparison between groups,the improvement of observation group was the greater one,the difference is statistically significant(P<0.05).Conclusion Bugan Yangxue Qingxin decoction could ease sleep disorders.It is more effective when used in combination with Western medicine.