摘要
目的分析自拟舒郁健脾汤治疗肝郁脾虚型失眠的临床疗效。方法120例肝郁脾虚型失眠患者,随机分为对照组与观察组,各60例。对照组采用常规西药治疗,观察组采用舒郁健脾汤治疗。对比两组治疗效果及治疗前后睡眠质量、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分。结果观察组治疗总有效率93.33%高于对照组的78.33%,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)、日间功能障碍及入睡时间评分分别为(1.08±0.06)、(1.58±0.13)、(1.49±0.04)分,均低于对照组的(2.13±0.14)、(2.05±0.16)、(2.02±0.29)分,差异均有统计学意义(P<0.05)。治疗后,观察组SAS及SDS评分分别为(42.41±1.90)、(41.92±2.05)分,均低于对照组的(49.39±1.46)、(50.53±1.87)分,差异均有统计学意义(P<0.05)。结论自拟舒郁健脾汤治疗肝郁脾虚型失眠,可以改善睡眠质量,安全性较高,临床应用价值较高。
Objective To analyze the clinical efficacy of self-made Shuyu Jianpi Decoction in treating insomnia of liver stagnation and spleen deficiency type.Methods A total of 120 patients with insomnia of liver stagnation and spleen deficiency type were randomly divided into control group and observation group,with 60 cases in each group.The control group was treated with conventional western medicine,and the observation group was treated with Shuyu Jianpi Decoction.Both groups were compared in terms of therapeutic effect,sleep quality,self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score before and after treatment.Results The total effective rate of treatment 93.33%in the observation group was higher than 78.33%in the control group,and the difference was statistically significant(P<0.05).After treatment,the Pittsburgh Sleep Quality Index(PSQI)score,daytime dysfunction score and falling asleep time score in the observation group were(1.08±0.06),(1.58±0.13),(1.49±0.04)points,respectively,which were lower than(2.13±0.14),(2.05±0.16),(2.02±0.29)points of the control group,and the differences were statistically significant(P<0.05).After treatment,the SAS and SDS scores of the observation group were(42.41±1.90)and(41.92±2.05)points,which were lower than(49.39±1.46)and(50.53±1.87)points of the control group,and the differences were statistically significant(P<0.05).Conclusion Self-made Shuyu Jianpi Decoction in treating insomnia of liver stagnation and spleen deficiency type can improve the sleep quality with high safety,and it contains high value of clinical application.
作者
李太荣
LI Tai-rong(CITIC Huizhou Hospital,Huizhou 516000,China)
出处
《中国实用医药》
2021年第34期161-164,共4页
China Practical Medicine
关键词
肝郁脾虚型失眠
舒郁健脾汤
常规西药
睡眠质量
Insomnia of liver stagnation and spleen deficiency type
Shuyu Jianpi Decoction
Conventional western medicine
Sleep quality
