养血滋阴安神法治疗老年阴虚血少型失眠的临床研究

Clinical Research of Blood-Nourishing,Yin-enriching and Mind-Calming Therapy in Treating Senile Insomnia of Yin Deficiency and Blood Deficiency

目的:观察养血滋阴安神法治疗老年阴虚血少型失眠的临床疗效。方法:将符合诊断标准的70例患者随机分成2组,对照组35人,口服右佐匹克隆片(文飞)2 mg,每晚1次;治疗组35人,在对照组基础上服用天王补心丹(8 g/次,早晚各1次),治疗周期均为4周,观察患者治疗前后睡眠改善情况。结果:治疗组总体疗效好于对照组(P<0.05),治疗组与对照组睡眠相关指标比较有显著性差异(P<0.05),2组PSQI量表维度分析差异有统计学意义(P<0.05)。结论:滋阴养血代表方天王补心丹联合右佐匹克隆疗效优于单纯右佐匹克隆治疗,临床上可用养血滋阴安神法治疗老年阴虚血少型失眠。

Objective： To observe the clinical curative effect of nourishing yin and blood treatment of senile insomnia of yin deficiency and blood deficiency. Methods： 70 patients met diagnostic criteria were randomly divided into 2 groups according to the random principle of statistics ： the control group of 35 people taking Eszopiclone 2 mg, 1 time per night. The treatment group of 35 people taking Tianwang Buxin Dan （8 g, morning and evening every day）, then observe pa- tients＇ sleep improvements in 4weeks. Results： The total curative effect of the treatment group was better than that of the control group （ P 〈 0. 05 ） . There was a significant difference in sleep related indicators and in the dimension of PSQI scale between the two groups （ P 〈 0. 05 ） . Conclusion： Prescription Tianwang Buxin Dan with Eszopiclone is superior to the pure dexzopiclone. Nourishing yin and blood treatment can be clinically put into the senile insomnia of yin deficiency and blood deficiency.