和胃安神法治疗失眠症的临床研究

Harmonizing stomach and calming nerves method for insomnia: clinical research

目的观察和胃安神法治疗失眠症的临床效果。方法将86例失眠症患者随机分为治疗组和对照组各43例,治疗组采用和胃安神法组方中药治疗,对照组采用艾司唑仑片治疗,疗程均为4周,记录治疗前后失眠中医证候量表和匹兹堡睡眠质量指数量表(PSQI)评分。结果治疗组临床总有效率90.7%,对照组为79.1%,2组比较差异有统计学意义(P<0.05)。治疗组和对照组睡眠质量完全改善率分别为79.1%和53.5%,2组比较差异有统计学意义(P<0.05);治疗后2组PSQI总分分别为(15.71±3.92)分和(11.18±3.59)分,2组比较差异有统计学意义(P<0.01)。结论和胃安神法能改善失眠症患者的症状及睡眠质量。

Objective To observe the clinical efficacy of harmonizing stomach and calming nerves method for insomnia. Methods Eighty-six patients of insomnia were randomly divided into a treatment group（ 43 cases） and a control group（ 43 cases）. The treatment group was treated by TCM treatment of harmonizing stomach and calming nerves method while the control group was treated by estazolam tablets. Both groups were treated for 4 weeks. TCM syndrome score of insomnia and Pittsburg Sleep Quality Index（ PSQI）were observed before and after treatment in two groups. Results The total effective rate was 90. 7% in the treatment group,which was significantly superior to 79. 1% in the control group（ P〈0. 05）. The improving rate of sleep quality was 79. 1% in the treatment,which was significantly superior to 53. 5% in the control group（ P〈0. 05）. After treatment the total score of PSQI was（ 15. 71 ± 3. 92）in the treatment group and（ 11. 18 ± 3. 59） in the control group,which had significant difference（ P 〈0. 01）. Conclusion The harmonizing stomach and calming nerves method could improve the clinical symptoms and sleeping quality in patients with insomnia.