摘要
目的:观察肝郁化火型失眠采用柴胡加龙骨牡蛎汤加减治疗的临床效果,同时分析该治疗方式的有效率。方法:选取2020年7月至2022年7月福建省安溪县湖上卫生院收治的肝郁化火型失眠症患者76例作为研究对象,按照单双号法分成对照组和观察组,每组38例。对照组治疗方式为口服舒乐安定,观察组治疗方式为柴胡加龙骨牡蛎汤加减,对2组患者临床效果、睡眠质量、心理状况、药物不良反应、生命质量等进行比较。结果:观察组治疗总有效率明显高于对照组,差异有统计学意义(P<0.05);2组治疗前SAS评分、SDS评分进行比较,差异无统计学意义(P>0.05);治疗后,观察组SAS评分、SDS评分优于对照组,差异有统计学意义(P<0.05);观察组睡眠时间、日间功能、睡眠效率、入睡时间等睡眠质量评分优于对照组,观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05);观察组附加关注、社会、功能、生理、情感等生命质量评分与总分明显高于对照组,差异有统计学意义(P<0.05)。结论:柴胡加龙骨牡蛎汤加减治疗方式对肝郁化火型失眠患者睡眠质量、生命质量、心理状况的改善具有良好的促进作用,且整体治疗效果确切,安全性高,值得临床推广。
Objective:To observe the clinical effect of insomnia and analyze the effective rate of this treatment.Methods:A total of 76 patients with liver and fire insomnia admitted to Hushang Health Center in Anxi County,Fujian Province from July 2020 to July 2022,were selected as research subjects and divided into control group and observation group according to the odd and even number method,with 38 cases in each group.The treatment method of the control group was oral sulletin,and the treatment method of the observation group was added and decreased.The clinical effect,sleep quality,psychological status,adverse drug reactions and quality of life of the two groups were compared.Results:The total response rate of the observation group was significantly higher than that of the control group,The difference was statistically significant(P<0.05);2 groups compared the pre-treatment SAS scores,SDS scores,There was no significant difference(P>0.05);post-treatment,The SAS score and SDS scores in the observation group were better than the control group,The difference was statistically significant(P<0.05);the sleep quality scores,such as sleep duration,daytime function,sleep efficiency and sleep time,were better than the control group,The incidence of adverse reactions in the observation group was lower than that in the control group,The difference was statistically significant(P<0.05);the quality of life scores of additional concern,social,function,physiology,and emotional scores of the observation group were significantly higher than that of the control group,The difference was statistically significant(P<0.05).Conclusion:The treatment of Chaihu plus keel oyster soup has a good promoting effect on improving the sleep quality,life quality and psychological condition of patients with liver stasis and fire insomnia,and the overall treatment effect is accurate and high safety,which is worthy of clinical promotion.
作者
黄文泽
HUANG Wenze(Hushang Health Center,Anxi County,Fujian Province,Anxi 362400,China)
出处
《世界睡眠医学杂志》
2024年第1期71-74,共4页
World Journal of Sleep Medicine
