疏肝健脾汤联合心理疏导治疗大学生失眠的效果

Efficacy of Shugan Jianpi Decoction Combined with Psychological Counseling on Insomnia of College Students

目的:观察疏肝健脾汤联合心理疏导治疗大学生失眠的临床效果。方法:选取2017年8月-2019年9月福建农林大学医院收治92例门诊患者,随机分为治疗组和对照组,每组46例。治疗组:疏肝健脾汤联合心理疏导治疗;对照组:艾司唑仑治疗。两组疗程均4周。观察两组治疗总有效率、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)评分及复发率。结果:治疗组治疗总有效率为93.48%,高于对照组的78.26%,差异有统计学意义(P<0.05);治疗后,两组PSQI评分和SAS、SDS评分比较,治疗组均低于对照组,差异有统计学意义(P<0.05);两组复发率比较,治疗组为4.35%,低于对照组的19.57%,差异有统计学意义(P<0.05)。结论:疏肝健脾汤联合心理疏导治疗大学生失眠效果显著,安全性高,依从性高,复发率低,值得临床推广。

Objective:To observe the clinical effect of Shugan Jianpi Decoction combined with psychological guidance on insomnia of college students.Method:A total of 92 outpatients admitted to Hospital of Fujian Agriculture and Forestry University from August 2017 to September 2019 were selected and randomly divided into the treatment group and the control group,46 cases in each group.The treatment group:Shugan Jianpi Decoction combined with psychological counseling treatment;the control group:Estazolam treatment.The course of treatment in both groups was 4 weeks.The total effective rates,pittsburgh sleep quality index(PSQI)score,self-rating anxiety scale(SAS),self-rating depression scale(SDS)scores and recurrence rate of the two groups were observed.Result:The total effective rate of the treatment group was 93.48%,which was higher than 78.26%of the control group,and the difference was statistically significant(P<0.05).After treatment,the PSQI,SAS and SDA scores were compared between two groups,and the treatment group was lower than the control group,and the differences were statistically significant(P<0.05).The recurrence rate of the treatment group was 4.35%,which was lower than 19.57%in the control group,the difference was significant(P<0.05).Conclusion:Shugan Jianpi Decoction combined with psychological counseling in the treatment of insomnia in college students has significant effects,high safety,high compliance and low recurrence rate,which is worthy of clinical promotion.