柴胡加龙骨牡蛎汤加减治疗肝郁型失眠的临床效果分析

Analysis of the clinical effect of modified Chaihu Jia Longgu Muli Decoction in the treatment of insomnia with liver-Qi stagnation syndrome

目的分析柴胡加龙骨牡蛎汤加减治疗肝郁型失眠的临床效果。方法204例肝郁型失眠患者,随机分为对照组及观察组,每组102例。对照组采用艾司唑仑片治疗,观察组采用柴胡加龙骨牡蛎汤加减治疗。对比两组的临床疗效、睡眠质量改善情况及治疗满意度评分。结果观察组治疗总有效率98.04%高于对照组的86.27%,差异有统计学意义(P<0.05)。治疗后,观察组匹兹堡睡眠质量指数(PSQI)评分(6.18±1.15)分低于对照组的(10.18±2.15)分,差异有统计学意义(P<0.05)。观察组满意度评分(89.59±4.15)分高于对照组的(81.23±3.04)分,差异有统计学意义(P<0.05)。结论肝郁型失眠患者接受柴胡加龙骨牡蛎汤加减医治效果较好,可有效改善睡眠质量。

Objective To analyze the clinical effect of modified Chaihu Jia Longgu Muli Decoction in the treatment of insomnia with liver-Qi stagnation syndrome.Methods A total of 204 cases of insomnia with liver-Qi stagnation syndrome were randomly divided into control group and observation group,with 102 cases in each group.The control group was treated with estazolam tablets,and the observation group was treated with modified Chaihu Jia Longgu Muli Decoction.The clinical efficacy,sleep quality improvement and treatment satisfaction scores of the two groups were compared.Results The total effective rate of treatment 98.04%in the observation group was higher than 86.27%in the control group,and the difference was statistically significant(P<0.05).After treatment,the Pittsburgh Sleep Quality Index(PSQI)score(6.18±1.15)points of the observation group was lower than(10.18±2.15)points of the control group,and the difference was statistically significant(P<0.05).The satisfaction score(89.59±4.15)points of the observation group was higher than(81.23±3.04)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Modified Chaihu Jia Longgu Muli Decoction has good effect on the treatment of insomnia with liver-Qi stagnation syndrome,and it can effectively improve the quality of sleep.