中医综合辨治法治疗心脾两虚型失眠的临床研究

Insomnia of type of dual deficiency of the heart-spleen treated with comprehensive therapy of Chinese medicine

目的观察中医综合辨治法治疗心脾两虚型失眠的临床疗效。方法将160例心脾两虚型失眠患者随机分为治疗组80例、对照组80例。治疗组卯时予"早醒寤方"、酉时予"早醒寐方",并配合温水足浴及针灸治疗。对照组予艾司唑仑1mg,1次/d,睡前15min服用。观察2组临床疗效、夜间睡眠质量指标、日间觉醒状况指标。结果 2组临床疗效比较差异无统计学意义(P>0.05)。夜间睡眠质量指标治疗组治疗后较本组治疗前降低(P<0.05),对照组治疗后较本组治疗前降低(P<0.05);治疗后治疗组较对照组降低明显,治疗前后差值与对照组比较差异有统计学意义(P<0.05),治疗组疗效优于对照组。日间觉醒状况指标治疗组治疗后较本组治疗前降低(P<0.05),对照组治疗后较本组治疗前降低(P<0.05);治疗后治疗组较对照组降低明显,治疗前后差值与对照组比较差异有统计学意义(P<0.05),治疗组疗效优于对照组。结论运用中医综合辨治法治疗失眠具有较好的疗效。

Objective To observe the curative effect of TCM comprehensive therapy on insomnia of type of dual deficiency of the heart-spleen. Methods The patients （n=160） were randomly divided into treatment group and control group （each n=80）. The treatment group was treated with Zaoxingwu Fang at Mao time （from 5 a.m. to 7 a. m.）, Zaoxingmei Fang at You time （from 5 p.m. to 7 p.m.）, foot bath and acupuncture. The control group was given estazolam （1 mg, once a day） 15 minutes before sleep. The curative effect and indexes of night sleep quality and daytime waking state were observed in two groups. Results There was no statistical significance in the difference of curative effect between two groups （P〉0.05）. After treatment, the index of night sleep quality decreased in treatment group than before （P〈0.05）, decreased in control group than before （P〈0.05）, and was significantly lower in treatment group than that in control group （P〈0.05）. After treatment, the index of daytime waking state decreased in treatment group than before （P〈0.05）, decreased in control group than before （P〈0.05）, and significantly lower in treatment group than that in control group （P〈0.05）. Conclusion The TCM comprehensive therapy of TCM has a better curative effect on insomnia.