中医综合干预治疗不寐病的临床研究(1)
摘 要 目的：探討中医综合干预治疗不寐病的临床疗效。方法：选取2019年1月—2019年12月上海市浦东新区航头鹤沙社区卫生服务中心收治的不寐病患者120例，随机分成治疗组和对照组各60例。治疗组采用口服中药汤药或耳穴、艾灸、体针等中医综合干预治疗；对照组口服艾司唑仑片，1粒/次，1次/d；两组均每日1次，连续治疗4周。采用失眠症临床观察调查(SPIEGEL)量表、中医证候评分量表、匹兹堡睡眠质量指数(PSQI)量表进行评分，观察治疗有效率。结果：治疗组SPIEGEL量表总有效率为91.43%，高于对照组的54.29%(P<0.01)。治疗组PSQI量表总有效率为71.67%，优于对照组的31.67%(P<0.05)。两组治疗后中医证候评分、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍及日间功能评分比较差异均有统计学意义(P均<0.05)，且治疗组在改善睡眠质量、睡眠障碍及日间功能上疗效更好。结论：中医综合干预治疗不寐病能有效降低SPIEGEL、PSQI评分及中医证候积分，效果显著。
关键词 不寐病；中医；综合干预
中图分类号：R256.23 文献标志码：A 文章编号：1006-1533(2020)24-0033-04
*基金资助：上海市浦东新区“国家中医药发展综合改革试验区”建设项目-不寐病中医临床特色优势品牌培育项目(PDZY-2018-0219)
Clinical research of comprehensive intervention of traditional Chinese medicine in treatment of insomnia
SHEN Tie1， XU Qi2， WANG Xiaolong3(1. Traditional Chinese Medicine Department of Hangtouhesha Community Health Service Center of Pudong New District， Shanghai 201317， China； 2. Hangtouhesha Community Health Service Center of Pudong New District， Shanghai 201317， China； 3. Internal MedicineCardiovascular Department of Shuguang Hospital affiliated to Shanghai University of Traditional Chinese Medicine， Shanghai 201203， China)
ABSTRACT Objective： To explore the clinical effect of traditional Chinese medicine(TCM) comprehensive intervention in the treatment of insomnia. Methods： From January to December 2019， 120 patients with insomnia were enrolled in the Department of Traditional Chinese Medicine of Hangtouhesha Community Health Service Center in Pudong New District of Shanghai， and randomly divided into a treatment group and a control group with 60 cases in each group. The treatment group was treated with oral Chinese medicine decoction or auricular point， moxibustion， body acupuncture and other comprehensive intervention treatment； and the control group was treated with estazolam tablets， 1 tablet / time， once a day； the two groups were treated once a day for 4 weeks as a course of treatment. Insomnia clinical observation questionnaire(SPIEGEL scale)， TCM syndrome score scale， Pittsburgh sleep quality index(PSQI) were used to assess and observe the treatment efficiency. Results： After 4 weeks of treatment， the total effective rate of the SPIEGEL scale in the treatment group was 91.43%， which was higher than 54.29% in the control group(P<0.01). The total effective rate of the PSQI scale in the treatment group was 71.67%， which was better than 31.67% in the control group(P<0.05). There were statistically significant differences in the TCM syndrome scores，sleep quality， time to fall asleep， sleep time， sleep efficiency， sleep disturbance and daytime function scores between the two groups after treatment(all P<0.05)， and the treatment group had better effects in improving sleep quality， sleep disturbance and daytime function. Conclusion： The comprehensive intervention of TCM in the treatment of insomnia can effectively reduce the scores of SPIEGEL， PSQI and TCM syndromes， and the effect is significant., http://www.100md.com(沈铁 徐奇 王肖龙)
关键词 不寐病；中医；综合干预
中图分类号：R256.23 文献标志码：A 文章编号：1006-1533(2020)24-0033-04
*基金资助：上海市浦东新区“国家中医药发展综合改革试验区”建设项目-不寐病中医临床特色优势品牌培育项目(PDZY-2018-0219)
Clinical research of comprehensive intervention of traditional Chinese medicine in treatment of insomnia
SHEN Tie1， XU Qi2， WANG Xiaolong3(1. Traditional Chinese Medicine Department of Hangtouhesha Community Health Service Center of Pudong New District， Shanghai 201317， China； 2. Hangtouhesha Community Health Service Center of Pudong New District， Shanghai 201317， China； 3. Internal MedicineCardiovascular Department of Shuguang Hospital affiliated to Shanghai University of Traditional Chinese Medicine， Shanghai 201203， China)
ABSTRACT Objective： To explore the clinical effect of traditional Chinese medicine(TCM) comprehensive intervention in the treatment of insomnia. Methods： From January to December 2019， 120 patients with insomnia were enrolled in the Department of Traditional Chinese Medicine of Hangtouhesha Community Health Service Center in Pudong New District of Shanghai， and randomly divided into a treatment group and a control group with 60 cases in each group. The treatment group was treated with oral Chinese medicine decoction or auricular point， moxibustion， body acupuncture and other comprehensive intervention treatment； and the control group was treated with estazolam tablets， 1 tablet / time， once a day； the two groups were treated once a day for 4 weeks as a course of treatment. Insomnia clinical observation questionnaire(SPIEGEL scale)， TCM syndrome score scale， Pittsburgh sleep quality index(PSQI) were used to assess and observe the treatment efficiency. Results： After 4 weeks of treatment， the total effective rate of the SPIEGEL scale in the treatment group was 91.43%， which was higher than 54.29% in the control group(P<0.01). The total effective rate of the PSQI scale in the treatment group was 71.67%， which was better than 31.67% in the control group(P<0.05). There were statistically significant differences in the TCM syndrome scores，sleep quality， time to fall asleep， sleep time， sleep efficiency， sleep disturbance and daytime function scores between the two groups after treatment(all P<0.05)， and the treatment group had better effects in improving sleep quality， sleep disturbance and daytime function. Conclusion： The comprehensive intervention of TCM in the treatment of insomnia can effectively reduce the scores of SPIEGEL， PSQI and TCM syndromes， and the effect is significant., http://www.100md.com(沈铁 徐奇 王肖龙)