CAJ | 학술논문

[目的]观察加味黄连温胆汤治疗痰热内扰证失眠的临床疗效。[方法]收集门诊痰热内扰证失眠患者208例，随机分为中药治疗组112例和西药对照组96例，治疗组给予加味黄连温胆汤治疗，对照组给予舒乐安定治疗。30d为1个疗程，1个疗程结束后观察两组临床疗效，包括总有效率、匹兹堡睡眠指数量表、中医证候评分及不良反应等。[结果]治疗组加味黄连温胆汤治疗痰热内扰证失眠患者的总有效率为91.96％，对照组的总有效率为77.08％，差异有统计学意义（P<0.05）。匹兹堡睡眠指数量表评分、中医证候评分及不良反应也均有显著统计学意义（P<0.05），提示治疗组优于对照组。[结论]加味黄连温胆汤治疗痰热内扰证失眠疗效肯定，不良反应小。
[목적]관찰가미황련온담탕치료담열내우증실면적림상료효。[방법]수집문진담열내우증실면환자208례，수궤분위중약치료조112례화서약대조조96례，치료조급여가미황련온담탕치료，대조조급여서악안정치료。30d위1개료정，1개료정결속후관찰량조림상료효，포괄총유효솔、필자보수면지수량표、중의증후평분급불량반응등。[결과]치료조가미황련온담탕치료담열내우증실면환자적총유효솔위91.96％，대조조적총유효솔위77.08％，차이유통계학의의（P<0.05）。필자보수면지수량표평분、중의증후평분급불량반응야균유현저통계학의의（P<0.05），제시치료조우우대조조。[결론]가미황련온담탕치료담열내우증실면료효긍정，불량반응소。
[Objective]Observe the clinical curative effect of phlegm-fire syndrome insomnia treated by Modified Huanglian Wendan Decoction.[Method] Col ect 208 cases phlegm-fire syndrome insomnia patients in the clinic which were randomly divided into two groups. 112 cases in the treating group were treated by Modified Huanglian Wendan Decoction, and 96 patients in the control group were given lmg estazolam.30d as a course, and observe the clinical curative effect after the course, including total effective rate, PSQI,TCM syndrome score and side-effect, etc. [Results]The total effective rate of phlegm-fire syndrome insomnia patients treated by Modified Huanglian Wendan Decoction was 91.96%, and the control group was 77.08%, there was significant difference between two groups. There were significant differences between two groups in PSQI ,TCM syndrome score and adverse reaction, too, it suggests that the treatment group is better than the control group.[Conclusion]The Modified Huanglian Wendan Decoction has a definite curative effect on phlegm-fire syndrome insomnia, and with little adverse reaction.