Therapeutic Effect of Common Goldenrop Decoction Combined With Ramuli Cinnamomi Decoction in the Treatment of Patients with Insomnia during the Period of the Day from 11 PM to 3 AM

Objective:To observe the clinical efficacy of common goldenrop decoction combined with ramuli cinnamomi decoction in the treatment of patients with insomnia during the period of the day from 11 PM to 3 AM.Methods:80 patients with insomnia during the period of the day from 11 PM to 3 AM were randomly divided into control group and intervention group.The control group was treated with 1 mg of estazolam tablets at 9 PM every night;while the intervention group was given common goldenrop decoction combined with ramuli cinnamomi decoction based on the estazolam tablets.After 2 weeks of treatment and after 2 weeks of withdrawal,the improvement in sleep was observed.Results:After 2 weeks of treatment,the efficacy of the intervention group(97.5%)was significantly higher than that of the control group(75.0%).The difference was statistically significant.After 2 weeks of withdrawal,the intervention group still had an effective rate of 87.5%,which was significantly higher than that of the control group(55.0%).Conclusion:common goldenrop decoction combined with ramuli cinnamomi decoction can improve the short-term and long-term sleep quality of patients with insomnia during the period of the day from 11 PM to 3 AM.

毫针配合火针治疗风寒阻络型神经根型颈椎病临床观察

目的:观察毫针配合火针治疗风寒阻络型神经根型颈椎病(CR)的临床疗效。方法:将60例风寒阻络型CR患者随机分为观察组和对照组,每组30例。对照组采用常规毫针针刺治疗,观察组在对照组治疗方法基础上加用火针点刺治疗。治疗前及治疗1、2、3、4周共5个时间点进行疼痛视觉模拟量表(VAS)和田中靖久颈椎病症状20分量表(YT-20)评分,测量压痛阈,采用红外热像仪测量局部皮肤温度;治疗后进行安全性评价。结果:治疗后各时间点观察组VAS评分均低于同时间点对照组(P<0.05),YT-20评分、压痛阈值及局部皮肤温度均高于对照组(P<0.05)。观察组治疗后各时间点VAS评分均低于治疗前(P<0.05),YT-20评分、压痛阈值及局部皮肤温度均高于治疗前(P<0.05)。治疗3周和4周后,对照组VAS评分均低于治疗前(P<0.05),YT-20评分、压痛阈值及局部皮肤温度均高于治疗前(P<0.05)。两组VAS和YT-20评分、压痛阈值及局部皮肤温度值的组别因素效应均具有统计学意义(P<0.05)。时间及时间与组别交互效应均无统计学意义(P>0.05)。结论:毫针配合火针或毫针单独使用均可缓解风寒阻络型CR患者的颈部疼痛症状,改善颈部温度;毫针配合火针治疗起效更迅速,疗效更好。