中医解郁宁心安神法治疗失眠的疗效探讨

Discussion on the Curative Effect Of The Traditional Chinese Medicine Treatment Of Insomnia

目的总结中医解郁宁心安神法治疗失眠的临床疗效。方法收集2015年3月至2017年12月作者所在医院确诊的失眠患者100例临床资料,经数字表随机原则分为两组,即对照组50例接受单纯西医方案治疗,观察组则采取解郁宁心安神法治疗,比较两组患者临床疗效、治疗前后匹兹堡睡眠质量(PSQI)评分,以及治疗后不良反应。结果①观察组总有效率(94.00%)明显高于对照组(74.00%),差异具有统计学意义(c2=13.430,P<0.05);②治疗后观察组PSQI评分改善效果明显优于对照组,差异具有统计学意义(P<0.05);③观察组治疗后不良反应发生率明显低于对照组,差异存在统计学意义(P<0.05)。结论采用中医理论下"解郁宁心安神法"治疗失眠患者确有较好效果,有助于改善患者睡眠质量,且不良反应较少,值得临床推广应用。

Objective to summarize the clinical effect of the traditional Chinese medicine treatment of insomnia. Methods clinical data of 100 patients with insomnia diagnosed in the hospital of the author from March 2015to December 2017were collected,which were randomly divided into two groups according to the numerical table. Namely,50 patients in the control group were treated with the simple western medical scheme,while patients in the observation group were treated with the method of relieving depression and calm mind.Clinical efficacy,Pittsburgh sleep quality (PSQI)score before and after treatment,and adverse reactions after treatment were compared between the two groups.Results the total effective rate (94.00%)of the observation group was significantly higher than that of the control group (74.00%),with statistically significant difference (c2=13.430,P <0.05).The improvement effect of PSQI score in the observation group was significantly better than that in the control group after treatment,and the difference was statistically significant (P <0.05).The incidence of adverse reactions in the observation group was significantly lower'than that in the control group after treatment,and the difference was statistically significant (P < 0.05).Conclusion the method of relieving depression and calm mind is effective in treating insomnia patients under the theory of traditional Chinese medicine,which is helpful to improve their sleep quality and less adverse reactions,and is worthy of clinical application.