摘要
目的观察理气健脾法对亚健康状态失眠的干预效果,并探讨"治未病"思想的应用。方法将64例亚健康状态失眠患者随机分为2组,观察组32例应用中医辨证+理气健脾法治疗,对照组32例应用常规中医辨证治疗。疗程均为4周,比较2组临床疗效及治疗前后睡眠质量指数(PSQI)的变化。结果 2组治疗后均疗效显著,但观察组总有效率高于对照组,差异有统计学意义(P <0. 05)。治疗后2组PSQI总评分较治疗前均显著下降(P <0. 01),观察组较对照组下降更为显著,差异有统计学意义(P <0. 05)。结论基于"治未病"思想的理气健脾法应用于亚健康失眠的治疗中,临床疗效更显著,可更为有效改善睡眠质量,具有临床推广应用价值;"治未病"思想可作为治疗亚健康失眠的重要指导。
Objective To observe the effect of regulating qi and invigorating spleen on sub-healthy insomnia,and to explore the application of thought of prevention and treatment.Method 64 patients with sub-healthy insomnia were randomly divided into two groups.32 patients in the observation group were treated with TCM syndrome differentiation and regulating qi and invigorating spleen method,and 32 patients in the control group were treated with conventional TCM syndrome differentiation.The two groups were all treated for 4 weeks,and the clinical efficacy and sleep quality index before and after treatment were compared.Result The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant (P <0.05).Various and total PSQI scores of the two groups significantly decreased after chemotherapy compared with those before treatment (P <0.01).The decrease of the observation group was more significant than that of the control group,and the difference was statistically significant (P <0.05).Conclusion The regulating qi and invigorating spleen method based on the thought of prevention and treatment is applied to the treatment of sub-healthy insomnia,which has a more significant clinical effect,can improve the sleep quality more effectively,and has clinical promotion and application value.The thought of prevention and treatment should be used as an important guideline for the treatment of sub-health insomnia.
作者
赖长沙
李学麟
LAI Changsha;LI Xuelin(Department of Traditional Internal Medicine,People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou 350004,China)
出处
《光明中医》
2018年第22期3348-3350,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
治未病
亚健康失眠
理气健脾法
匹兹堡睡眠质量指数
Thought of prevention and treatment
Sub-healthy insomnia
Regulating qi and invigorating spleen method
Pittsburgh-sleep quality index
