糖尿病失眠症患者对补阳还五汤和心理疏导治疗的疗效研究

Study on the Effect of Buyang Huanshu Five Decoction and Psychological Dredging Therapy on Diabetic Insomnia Patients

目的:研究补阳还五汤和心理疏导治疗糖尿病失眠患者的临床疗效。方法:选取2016年5月至2017年5月阳新县中医院收治的糖尿病失眠患者108例,随机分为对照组和观察组,各54例,对照组给予心理疏导治疗,观察组在心理疏导的基础上加用补阳还五汤治疗,比较2组治疗效果、SPIEGEL总评分、血清SP及NPY水平。结果:观察组治疗总有效率显著高于对照组(P<0.05);治疗后,观察组、SPIEGEL总评分和血清SP及NPY水平均显著优于对照组,差异有统计学意义(P<0.05)。结论:应用补阳还五汤和心理疏导治疗糖尿病失眠患者可有效降低其神经肽P及Y物质水平,提高患者睡眠质量,值得推广。

Objective： To study the clinical efficacy of Buyang Huantang five and psychological counseling in the treatment of diabetic insomnia. Methods： 108 cases of diabetic insomniacs treated in our hospital in May 2016-2017 May were randomly divided into the control group and the observation group,each with 54 cases,the control group was given psychological counseling,and the observation group was treated with supplementing Yang and Five Decoction on the basis of psychological counseling. The treatment effect,the total score of SPIEGEL,the serum SP and the level of NPY were compared. Results： the total effective rate of treatment in the observation group was significantly higher than that of the control group（ P 〈 0. 05）. After treatment,the total score of the observation group,SPIEGEL and the level of serum SP and NPY were significantly better than those of the control group（ P 〈 0. 05）,and the difference was statistically significant. Conclusion： the treatment of diabetic insomniacs with Five Decoction and psychological counseling can effectively reduce the level of neuropeptide P and Y,and improve the quality of sleep in patients. It is worth promoting.