枣仁安神颗粒联合中医情志护理干预中年阴虚火旺型失眠临床研究

Clinical Study on Zaoren Anshen Granules Combined with Chinese Medicine Emotional Nursing for Middle-Aged Insomnia of Vigorous Fire Due to Yin Deficiency Type

目的:观察枣仁安神颗粒联合中医情志护理干预中年阴虚火旺型失眠的临床疗效。方法:选取中年阴虚火旺型失眠患者88例,采用随机数字表法分为研究组和对照组各44例。对照组给予常规护理干预,研究组给予枣仁安神颗粒联合中医情志护理干预。比较2组干预前后匹兹堡睡眠质量指数量表(PSQI)、汉密尔顿焦虑量表(HAMA)、健康状况调查简表(SF-36)评分,检查治疗前后血压值。结果:干预前,2组PSQI评分、HAMA评分、SF-36量表评分比较,差异均无统计学意义(P>0.05)。干预后,2组PSQI评分、HAMA评分较治疗前下降,且研究组PSQI评分、HAMA评分低于对照组(P<0.05);2组SF-36量表评分较干预前升高,且研究组SF-36量表评分高于对照组(P<0.05)。干预前,2组血压比较,差异无统计学意义(P>0.05)。干预后,2组血压较干预前下降,且研究组血压低于对照组,差异均有统计学意义(P<0.05)。结论:枣仁安神颗粒联合中医情志护理可以提高中年阴虚火旺型失眠患者的睡眠质量,缓解焦虑状态,稳定患者血压。

Objective: To observe the clinical effect of Zaoren Anshen granules combined with Chinese medicine emotional nursing for middle-aged insomnia of vigorous fire due to yin deficiency type. Methods: A total of 88 cases of patients with middle-aged insomnia of vigorous fire due to yin deficiency type were divided into the study group and the control group according to the random number table method,44 cases in each group.The control group was intervened with routine nursing, and the study group was intervened with Zaoren Anshen granules combined with Chinese medicine emotional nursing. Before and after intervention,the scores of Pittsburgh Sleep Quality Index(PSQI),Hamilton Anxiety Scale(HAMA) and 36-Item Short Form Health Survey(SF-36) in the two groups were compared,and the blood pressure values were examined. Results: Before intervention, there was no significant difference being found in the comparison of the scores of PSQI,HAMA and SF-36 between the two groups(P>0.05).After intervention,the scores of PSQI and HAMA in the two groups were decreased when compared with those before intervention, and the above scores in the study group were lower than those in the control group(P<0.05);the SF-36 scores in the two groups were increased when compared with those before treatment,and the score in the study group was higher than that in the control group(P<0.05).Before intervention,there was no significant difference being found in the comparison of blood pressures between the two groups(P>0.05). After intervention, blood pressures in the two groups were decreased when compared with those before intervention,and the one in the study group was lower than that in the control group,differences being significant(P<0.05).Conclusion: Zaoren Anshen granules combined with Chinese medicine emotional nursing for middle-aged patients with insomnia of vigorous fire due to yin deficiency type can improve sleep quality,relieve anxiety and stabilize blood pressure.