炒酸枣仁配方颗粒配合穴位指针法治疗2型糖尿病心肝血虚型失眠50例

Formula Granules of Fried Semen combined with Point Pointer Method in the Treatment of Insomnia of Type 2 Diabetes with Heart and Liver Blood Deficiency for 50 Cases

目的观察炒酸枣仁配方颗粒配合穴位指针法治疗2型糖尿病心肝血虚型失眠的临床疗效。方法将100例辨证为心肝血虚型的2型糖尿病失眠患者随机分为中医治疗组和西医对照组,各50例。中医治疗组给予口服炒酸枣仁配方颗粒配合穴位指针法治疗。西医对照组给予艾司唑仑片,每次1 mg,睡前1 h口服。2组均治疗4周。分别于治疗前后填写匹兹堡睡眠指数量表(PSQI)、睡眠状态自评量表(SRSS),观察2组的临床疗效。结果 2组患者治疗后PSQI、SRSS量表评分均较治疗前下降(P<0.01);治疗后中医治疗组PSQI、SRSS量表评分均低于西医对照组(P<0.05)。中医治疗组总有效率95.9%,西医对照组总有效率79.2%,差异有统计学意义(P<0.05)。结论炒酸枣仁配方颗粒配合穴位指针法治疗2型糖尿病心肝血虚型失眠疗效显著,能够明显改善失眠患者的临床症状,提高生活质量。

Objective To observe the clinical effect of formula granules of fried seme n combined with point pointer method in the treatment of Insomnia of type 2 diabetes with heart and liver blood deficiency. Methods 100 cases of syndrome differentiation for heart and liver blood deficiency type of type 2 diabetic patients with insomnia were randomly divided into Chinese medicine treat-ment group and Western medicine control group, with 50 cases in each. The TCM treatment group was given oral fried semen granule combined with point pointer therapy, and the Western medicine control group was treated with estazolam tablets, each 1 mg, orally 1hour before going to bed. Two groups were treated for 4 weeks. Before and after treatment, the Pittsburgh sleep index scale（PSQI）and sleep state self rating scale（SRSS） were filled out to observe the clinical effect of the two groups. Results After treatment, the PSQI and SRSS scores of the two groups were lower than before treatment（PSQI）（ P〈0.01）. The SRSS scores of TCM treatment group were lower than those in Western medicine group（P〈0.05）. The total effective rate of the traditional Chinese medicine treatment group and the control group was 95.9% and 79.2%, respectively, and the difference was significant（ P0.05） Conclusion Fried semen formula granule combined with point pointer is significant in the treatment of type 2 diabetic heart and liver blood deficiency type in-somnia, can significantly improve the clinical symptoms of insomnia patients and the quality of life.