柴胡桂枝加龙骨牡蛎汤加味治疗顽固性失眠90例临床分析

A clinical analysis of treating 90 cases of intractable insomnia with the Chaihu Guizhi plus Longgu Muli decoction

目标:研究柴胡桂枝加龙骨牡蛎汤加味治疗顽固性失眠的效果。方法:选择2012年2月-2014年2月来我院中医科门诊治疗的顽固性失眠患者90例,随机分为A组和B组,A组采用柴胡桂枝加龙骨牡蛎汤加味治疗,B组采用中成药朱砂安神丸和归脾丸联合治疗。结果:A组患者总有效率86.7%,B组患者总有效率68.9%,A组患者恶化2例,占4.4%,B组患者恶化5例,占11.1%。结论:柴胡桂枝加龙骨牡蛎汤加味治疗顽固性失眠效果优于朱砂安神丸和归脾丸联合治疗效果。

Objective：To study clinical effects of the Chaihu Guizhi plus Longgu Muli decoction on intractable insomnia. Methods：90 cases were randomly divided into the A group and the B group, the A group was given the Chaihu Guizhi plus Longgu Muli decoction;the B group was given Zhusha Anshen Wan and Guipi Wan. Results：The total efficiency in the A group was 86.7%, while in the B group it was 68.9%. In the A group, 2 cases were worse （4.4%）, in the B group, 5 cases were worse （11.1%）. Conclusion：Clinical effects of the Chaihu Guizhi plus Longgu Muli decoction was better than Zhusha Anshen Wan and Guipi Wan.