膏方益智安神膏治疗女性失眠症的临床研究.docVIP

精品论文 参考文献 膏方益智安神膏治疗女性失眠症的临床研究 张 希 　　长沙市中医医院（长沙市第八医院）湖南长沙 410002 　　摘要：目的 探讨膏方益智安神膏对女性失眠症肝郁血虚型患者的临床疗效。 方法 女性患者92例，中医辨证为肝郁血虚型，随机分为膏方组及西药组，膏方组予益智安神膏加味，连服4周，西药组每晚睡前服艾司唑仑1mg，连服4周。两组于治疗前及治疗4周末、停药2周末采用匹兹堡睡眠质量指数进行疗效评定。计量资料采用t检验，计数资料采用chi;2检验。 结果 膏方组较西药组在治疗4周末的临床治愈率、显效率和总有效率显著增高，无效率显著减少（P＜0.05），膏方组睡眠质量显著好转（P＜0.05），且停药2周末仍维持较低的PSQI评分（P＜0.05）。结论 益智安神膏对女性失眠症属肝郁血虚型疗效优于西药治疗，值得临床推广应用。 　　关键词：膏方；益智安神膏；失眠症；肝郁血虚 　　【abstract】 objective To explore the clinical effects of Puzzle Soothe the Nerves Paste treated women with insomnia included to Syndrome of Stagnation of Liver Qi and Blood Deficiency.Methods 92 patients were randomly divided into 2 groups with 46 cases each other.The control group was treated with Estazolam but the observation group was treated with Puzzle Soothe the Nerves Paste for 4 weeks.after 4 weeks or subsequent 2 week，The curative effects were evaluated and compared each other with Pittsburgh sleep quality index.Measurement data were compared by t test and Count data and sample rates were compared by chi;2 test.Results The cure rate，significant efficiency，total effective rate of the observation group were higher than the control group significantly but the invalid rate was converse（Ｐ＜0.05）.The sleep quality in the observation group was significantly improved and maintained in the subsequent 2 week compared to the control group（Ｐ＜0.05）.Conclutions The efficacy of Puzzle Soothe the Nerves Paste on treating women with insomnia included to Syndrome of Stagnation of Liver Qi and Blood Deficiency was better than western medicine. 　　【Key words】 Cream Party Puzzle Soothe the Nerves Paste Insomnia Stagnation of Liver Qi and Blood Deficiency 　　失眠症，通常指患者对睡眠时间和（或）质量不满足并影响白天社会功能的一种主观体验［1］，主要表现在睡眠时间、深度的不足以及不能消除疲劳、恢复体力与精力，轻者入睡困难，或睡而不酣，时睡时醒，或醒后不能再睡，重则彻夜不眠。失眠发生率高，且长时间的失眠会影响人正常的生活、工作、学习与社会交往。中医学将失眠称之为“不寐”、“不得眠”、“目不瞑”。 中医辨证论治对失眠症的疗效良好。笔者在长期中医临证实践中发现，患失眠症的女性的中医证型以肝郁血虚最为多见，故以疏肝解郁，养血安神为法，方以膏方益智安神膏，对患者在冬春季进行施治，取得较满意的疗效，现报道如下。 　　1 临床资料 　　1.1一般资料 选择本院神经内科和普通内科2012年3月至2015年3月的门诊及住院患者92例，