三联疗法治疗肝郁瘀阻型失眠临床观察

Clinical observation on treating insomnia of the Ganyu Yuzu type by triple therapy

目的:观察中药煎剂、耳针合穴位敷贴治疗肝郁瘀阻型失眠临床疗效并探讨其作用机制。方法:将111例失眠症患者随机分为两组。对照组56例口服疏肝解郁、活血安神中药煎剂,治疗组55例除口服疏肝解郁、活血安神汤外,配合耳针合穴位敷贴。两组均连续治疗4周,治疗后统计疗效。结果:治疗组总有效率为90.91%,对照组总有效率为82.14%,两组疗效比较有显著性差异(P <0.05)。两组匹兹堡+SPIEGEL总分治疗前后差值比较有显著性差异(P <0.05),两组匹兹堡+SPIEGEL总分治疗前后的减分率比较有显著性差异(P <0.01)。结论:中药煎剂、耳针合穴位敷贴比单一中药煎剂治疗肝郁瘀阻型失眠更能有效地改善睡眠。

Objective： To observe clinical efficacy of TCM decoction, ear acupuncture and acupoint application on insomnia of the Ganyu Yuzu type （ 肝郁瘀阻型 ）. Methods： 111 cases were divided into two groups. 56 cases in the control group was given the Shugan Jieyu （ 疏肝解郁 ） and the Huoxue Anshen （活血安神 ） decoction. 55 cases in the treatment group was given ear acupuncture and acupoint application more, for 4 weeks. Results： The total efficiency was 90.91% in the treatment group, higher than 82.14% in the control group, P〈0.05. Before and after treatment, the difference between two groups of Pittsburgh ＋ SPIEGEL total score was significantly different （P〈0.05）. There was a significant difference in the subtraction rate of the Pittsburgh ＋ SPIEGEL total scores between two groups （P〈0.01）. Conclusion： TCM decoction, ear acupuncture and acupoint application on insomnia of the Ganyu Yuzu type can effectively improve sleep.