黄连阿胶汤加减配合推拿疗法治疗阴虚火旺型失眠患者的疗效观察

Curative Effect Observation of Huanglian Ejiao Decoction Combined with Massage Therapy in the Treatment of Insomnia Patients with Yin Deficiency and Fire Prosperity Type

目的观察黄连阿胶汤加减配合推拿疗法治疗阴虚火旺型失眠患者的临床疗效。方法选取2020年1月—2021年1月期间长春中医药大学附属第三临床医院门诊和住院患者90例,按随机数字表法随机分为中药治疗组、百乐眠组、中药+推拿组,每组各30例。中药治疗组口服黄连阿胶汤,百乐眠组口服百乐眠胶囊,中药+推拿组在中药治疗组的基础上+推拿按摩。治疗4周后,观察比较3组患者治疗前后匹兹堡睡眠指数、中医证候评分及临床疗效。结果3组患者治疗后匹兹堡睡眠质量指数总积分均优于治疗前,差异有统计学意义(P<0.05);且百乐眠组和中药+推拿组治疗后匹兹堡睡眠质量指数总积分均优于中药组,差异有统计学意义(P<0.05),中药+推拿组治疗后匹兹堡睡眠质量指数总积分优于百乐眠组,差异有统计学意义(P<0.05)。3组患者治疗后中医证候疗效积分均优于治疗前,差异有统计学意义(P<0.05);且百乐眠组和中药+推拿组治疗后中医证候疗效积分均优于中药组,差异有统计学意义(P<0.05),中药+推拿组治疗后中医证候疗效积分优于百乐眠组,差异有统计学意义(P<0.05)。治疗后中药+推拿组临床总有效率93.4%(28/30)、百乐眠组临床总有效率83.3%(25/30)均优于中药组73.4%(22/30),差异有统计学意义(P<0.05);且中药+推拿组优于百乐眠组,差异有统计学意义(P<0.05)。结论黄连阿胶汤加减配合推拿疗法治疗阴虚火旺型失眠患者,可降低匹兹堡睡眠质量指数积分,改善中医证候,提高临床疗效。

Objective To observe the clinical efficacy of Huanglian Ejiao Decoction combined with massage therapy in the treatment of insomnia patients with yin deficiency and fire exuberance.Methods A total of 90 outpatients and inpatients in the Third Affiliated Clinical Hospital of Changchun University of Traditional Chinese Medicine from January 2020 to January 2021 were selected and randomly divided into the traditional Chinese medicine treatment group,the Bailemian group,and the traditional Chinese medicine+massage group according to the random number table method.30 cases in each group.The Chinese medicine treatment group was given Huanglian Ejiao Decoction orally,the Bailemian group was given Bailemian Capsules orally,and the Chinese medicine+massage group was given the traditional Chinese medicine treatment group+massage massage.After 4 weeks of treatment,the Pittsburgh sleep index,TCM syndrome score and clinical efficacy were observed and compared in the three groups before and after treatment.Results The total scores of Pittsburgh Sleep Quality Index in the three groups after treatment were all better than those before treatment,and the difference was statistically significant(P<0.05).In the traditional Chinese medicine group,the difference was statistically significant(P<0.05).The total score of the Pittsburgh sleep quality index in the traditional Chinese medicine+massage group was better than that in the Bailesian group,and the difference was statistically significant(P<0.05).After treatment,the efficacy scores of TCM syndromes in the three groups were better than those before treatment,and the difference was statistically significant(P<0.05).The difference was statistically significant(P<0.05).After the treatment of the traditional Chinese medicine+massage group,the TCM syndrome efficacy score was better than that of the Bailemian group,and the difference was statistically significant(P<0.05).After treatment,the total clinical effective rate of the traditional Chinesemedicine+massage group was 93.4%(28/30),and the total clinical effective rate of the Bailesian group was 83.3%(25/30),which were both better than those of the traditional Chinese medicine group,73.4%(22/30),with statistical differences.Significant(P<0.05);and the traditional Chinese medicine+massage group was better than the Bailesian group,the difference was statistically significant(P<0.05).Conclusion Huanglian Ejiao decoction combined with massage therapy can reduce the Pittsburgh sleep quality index score,improve TCM syndromes,and improve clinical efficacy in the treatment of insomnia patients with yin deficiency and fire exuberance.