中医辨证施治联合互联网睡眠调摄治疗慢性失眠的临床研究

Clinical study on the treatment of chronic insomnia by syndrome differentiation treatment of TCM combined with sleep regulation by using internet technology

目的观察中医辨证施治联合互联网睡眠调摄治疗慢性失眠的临床疗效。方法选取2021年1月至2022年1月于杭州市中医院就诊的90例慢性失眠患者为研究对象,根据随机数字表法将其分为对照一组(佐匹克隆片)、对照二组(中药辨证治疗)和干预组(中药辨证治疗联合互联网睡眠调摄),每组各30例。比较三组患者的匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)、患者健康问卷抑郁筛查量表(patients health questionnaire depression scale-9 item,PHQ-9)、广泛性焦虑障碍量表(generalized anxiety disorder-7,GAD-7)评分及临床疗效。结果治疗4周后,三组患者的PSQI、PHQ-9、GAD-7评分均较治疗前显著下降(P<0.05),干预组患者的PSQI、PHQ-9、GAD-7评分的改善程度显著优于对照一组和对照二组(P<0.05);干预组患者的总有效率显著高于对照一组和对照二组(P<0.05)。结论中医辨证施治联合互联网睡眠调摄对慢性失眠具有较好的临床疗效,显著优于单纯中医辨证治疗和西药镇静催眠药治疗,并能有效缓解失眠患者的焦虑、抑郁情绪,值得临床推广使用。

Objective To observe the clinical efficacy of syndrome differentiation treatment of traditional Chinese medicine(TCM)combined with sleep regulation by using internet technology in the treatment of chronic insomnia.Methods Ninety patients with chronic insomnia admitted to Hangzhou Hospital of Traditional Chinese Medicine from January 2021 to January 2022 were selected as the research subjects.According to random number table method,they were divided into control group 1(zopiclone tablet),control group 2(TCM syndrome differentiation treatment)and intervention group(TCM syndrome differentiation treatment combined with internet sleep regulation),with 30 cases in each group.Pittsburgh sleep quality index(PSQI),patients health questionnaire depression scale-9 item(PHQ-9),generalized anxiety disorder 7(GAD-7)score and clinical efficacy were compared among the three groups.Results After 4 weeks of treatment,PSQI,PHQ-9 and GAD-7 scores of the three groups were significantly decreased compared with those before treatment(P<0.05),and the improvement of PSQI,PHQ-9and GAD-7 scores in intervention group was significantly better than that in control group 1 and control group 2(P<0.05).The total response rate of patients in intervention group was significantly higher than that in control group 1 and control group 2(P<0.05).Conclusion Syndrome differentiation treatment of TCM combined with sleep regulation by using internet technology has a good clinical effect on chronic insomnia,which is significantly better than simple TCM syndrome differentiation and western medicine sedative hypnotics,and can effectively relieve anxiety and depression of insomnia patients,which is worthy of clinical application.