苗药窝杠底合温胆汤心身同治慢性失眠30例临床观察

The Clinical Observation of Mentally and Physically Treating 30 Cases of Chronic Insomnia with Wendan Decoction and Miao Medicine Wo Gang Di

目的:观察苗药窝杠底配合温胆汤心身同治慢性失眠的临床疗效。方法:将60例符合中国精神障碍分类与诊断标准(CCMD-3)、失眠诊断标准的慢性失眠患者,通过随机双盲法分成治疗组(苗药中药组)和对照组(西药组)各30例,观察两组患者治疗前后临床疗效及对匹兹堡睡眠质量指数(PSQI)、中医症状总积分的影响。结果:(1)治疗后,治疗组临床总有效率为90%,对照组为73.3%,两组比较有显著性差异(P<0.05);(2)治疗后治疗组PSQI积分值、中医症状总积分明显改善,两组比较有显著差异(P<0.05)。结论:苗药窝杠底加温胆汤心身同治慢性失眠的疗效优于西药组。

Objective： To observe the clinical effect of mentally and physically treating chronic insomnia with Wendan Decoction and Miao Medicine Wo Gang Di. Methods： 60 cases, in line with the Chinese classification and diagnostic criteria for mental disorders （ CCMD - 3） diagnostic criteria of patients with chronic insomnia, through a randomized double blind method were divided into treatment group （Miao medicine traditional medicine group, 30 cases） and western medicine group （30 cases）. The clinical curative Chinese effects of two groups of patients were observed, before and after treatment, with the Pittsburgh sleep quality index （PSQI） and the influence of TCM symptoms total score. Results： （ 1 ） two groups of clinical total effective rate of the treatment group was 90% and 73.3% in the control group, （2） After the treatment of PSQI integral value, the total score significantly improved TCM symptoms. Comparison of the two groups has significant difference （P 〈 0. 05）. Conclusion： Miao Medicine and traditional Chinese medicine （TCM） psychosomatic pathogenesis of chronic insomnia curative effect is superior to the western medicine group.