中西医结合治疗老年性失眠65例疗效观察

Curative effect of traditional Chinese medicine combined western medicine on 65 patients suffered by senile insomnia

目的:观察中西医结合治疗老年性失眠的疗效。方法:65例患者按随机数字表法分为2组,对照组口服舒乐安定和谷维素,治疗组在对照组治疗基础上加服中成药治疗并观察疗效,并于治疗前后进行匹兹堡睡眠质量指数(PSQI)评分。结果:经过4周治疗,治疗组总有效率94.29%,对照组总有效率70.00%,2组比较差异有统计学意义(P<0.05),2组患者治疗后及停药后2周时PSQI评分比较差异有统计学意义(P<0.05)。结论:中西医结合治疗老年性失眠症疗效确切。

Objective: To observe the curative effect and safety on treating senile insomnia by traditional Chinese medicine combined western medicine. Method: Sixty-five patients suffered by senile insomnia were randomly divided into control group,oral administration estazolam and oryzanol,and traditional Chinese medicine combined western medicine group that was given Chinese patent medicine and the western medicine which was the same as that for the control group.The curative effect was observed by Pittsburgh sleep quality index( PSQI). Results: After 4 weeks treatment,the results were clinical cure 8 cases,excellent 10 cases,effective 15 cases,and no avail 2 cases in 35 cases of the traditional Chinese medicine combined western medicine group. The total effective rate was 94. 29%. While,in 30 cases of the control group,the results were clinical cure 1 case,excellent 6 cases,effective 14 cases,and no avail 9 cases. The total effective rate was 70. 00%. Each of clinical cure rate,no avail rate,and total effective rate is significantly different between the two groups( P < 0. 05). The PSQI either at the immediate time point or at 2 week time point after the treatment is different between the two groups( P < 0. 05). Conclusion: It is effective,persistent and safe that the senile insomnia is treated by traditional Chinese medicine combined western medicine.