中医特色整合疗法治疗不寐的临床研究

Clinical Study on the Treatment of Insomnia with Traditional Chinese Medicine Characteristic Holistic Therapy

目的:观察中医特色整合疗法治疗不寐的临床疗效。方法:选取2017年1月至2020年10月重庆市中医院收治的不寐患者120例作为研究对象,随机分为观察组与对照组,每组60例,随机分为2组,观察组采用中医特色整合疗法进行治疗,对照组采用常规方案进行治疗,疗程为1个月。采用匹兹堡睡眠质量指数量表(PSQI)、SPIEGEL量表及中医临床评价量表评估2组患者治疗前后的评分变化。结果:对照组、观察组临床总有效率分别为80.70%、94.64%,愈显率分别为54.39%、75.00%。2组治疗后的PSQI、SPIEGEL量表评分、中医临床评价量表评分较治疗前均有改善(P<0.05),2组患者经治疗后均取得了安眠药物减量/停药的效果(P<0.05),观察组的疗效优于对照组(P<0.05)。结论:中医特色整合疗法能够切实提高中医药治疗不寐(失眠)的临床疗效,帮助不寐(失眠)患者减少西药用量和停用西药,具有较好的临床推广价值。

Objective:To observe the clinical effect of TCM characteristic integrated therapy on insomnia.Methods:A total of 120 sleepless patients admitted to Chongqing Hospital of Traditional Chinese Medicine from January 2017 to October 2020 were selected as study subjects and randomly divided into observation and control groups,with 60 patients in each group.The observation group was treated with traditional Chinese medicine characteristic integrated therapy,and the control group was treated with conventional treatment.The course of treatment was 1 month.Pittsburgh Sleep Quality Index(PSQI),SPIEGEL Scale and TCM Clinical Evaluation Scale were used to evaluate the scores of 2 groups before and after treatment.Results:The total clinical effective rate of control group and observation group was 80.70%and 94.64%respectively,and the healing rates were 54.39%and 75.00%respectively.PSQI,SPIEGEL scale scores and TCM clinical evaluation scale scores of 2 groups were improved after treatment compared with before treatment(P<0.05).After treatment,both groups achieved the effect of reducing/suspending sleeping medicines(P<0.05),and the efficacy of observation group was better than control group(P<0.05).Conclusion:TCM characteristic integrated therapy can effectively improve the clinical efficacy of TCM in the treatment of insomnia,and help patients to reduce or withdraw the western medicines,which has good clinical promotion value.