中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
21期
18-20
,共3页
归脾汤汤加减%抑郁相关性失眠%临床疗效与价值
歸脾湯湯加減%抑鬱相關性失眠%臨床療效與價值
귀비탕탕가감%억욱상관성실면%림상료효여개치
Ingredient-alteredGuipi decoction%Depression related insomnia%Clinical effect andvalue
目的:研究归脾汤加减用于治疗抑郁障碍相关性失眠的临床疗效与价值。方法:选取我院神经内科确诊的抑郁相关性失眠失眠患者共50例。随机分为A、B两组,各50例。其中A组患者使用归脾汤加减进行治疗,包括黄芪、远志、酸枣仁、党参、茯苓、白术、木香等;B组仅使用西药进行治疗。将两组患者治疗后总有效率,症状缓解时间等指标进行比较。结果:治疗后两组疗效评价显示使用归脾汤加减患者治疗有效率为96.0%(24)高于口服西药患者治疗有效率为72.0%(18)(P<0.05)。治疗后应用归脾汤各组各类症状缓解时间明显少于服用西药组患者(P<0.05)。结论:归脾汤加减用于治疗抑郁相关性失眠疗效显著。可有效改善患者晚间夜不能寐,白日困倦思睡等临床症状。归脾汤配伍其他药物能有效发挥其补益气血,健脾养心及宁心安神的作用。相较于西药来说具有药物疗效显著,远期治疗效果好且复发率低,药物治疗安全性高。可有效发挥安神助睡眠之功效,有效改善患者预后情况并提高生活质量。
目的:研究歸脾湯加減用于治療抑鬱障礙相關性失眠的臨床療效與價值。方法:選取我院神經內科確診的抑鬱相關性失眠失眠患者共50例。隨機分為A、B兩組,各50例。其中A組患者使用歸脾湯加減進行治療,包括黃芪、遠誌、痠棘仁、黨參、茯苓、白術、木香等;B組僅使用西藥進行治療。將兩組患者治療後總有效率,癥狀緩解時間等指標進行比較。結果:治療後兩組療效評價顯示使用歸脾湯加減患者治療有效率為96.0%(24)高于口服西藥患者治療有效率為72.0%(18)(P<0.05)。治療後應用歸脾湯各組各類癥狀緩解時間明顯少于服用西藥組患者(P<0.05)。結論:歸脾湯加減用于治療抑鬱相關性失眠療效顯著。可有效改善患者晚間夜不能寐,白日睏倦思睡等臨床癥狀。歸脾湯配伍其他藥物能有效髮揮其補益氣血,健脾養心及寧心安神的作用。相較于西藥來說具有藥物療效顯著,遠期治療效果好且複髮率低,藥物治療安全性高。可有效髮揮安神助睡眠之功效,有效改善患者預後情況併提高生活質量。
목적:연구귀비탕가감용우치료억욱장애상관성실면적림상료효여개치。방법:선취아원신경내과학진적억욱상관성실면실면환자공50례。수궤분위A、B량조,각50례。기중A조환자사용귀비탕가감진행치료,포괄황기、원지、산조인、당삼、복령、백술、목향등;B조부사용서약진행치료。장량조환자치료후총유효솔,증상완해시간등지표진행비교。결과:치료후량조료효평개현시사용귀비탕가감환자치료유효솔위96.0%(24)고우구복서약환자치료유효솔위72.0%(18)(P<0.05)。치료후응용귀비탕각조각류증상완해시간명현소우복용서약조환자(P<0.05)。결론:귀비탕가감용우치료억욱상관성실면료효현저。가유효개선환자만간야불능매,백일곤권사수등림상증상。귀비탕배오기타약물능유효발휘기보익기혈,건비양심급저심안신적작용。상교우서약래설구유약물료효현저,원기치료효과호차복발솔저,약물치료안전성고。가유효발휘안신조수면지공효,유효개선환자예후정황병제고생활질량。
To discuss the significance and clinical effect ofGuipi decoction in the treatment of depression related insomnia. Methods:Fiftypatients withdepression related insomnia diagnosed in neurology of our hospitalwereselectedand divided into two groups, Group A and Group B, 50 cases in each group.Patients in Group A were treated with ingredient-altered Guipi decoction including Huangqi, Yuanzhi, Suanzaoren, Dangsen, Fulin, Baizhu and Muxiang,while patients in Group Bwere treated with western medicine.Theoverall effective rateandperiod of time until subsidence of symptomswere compared between these two groups. Results:The overall effective rate of Group A was 96.0%(24)andGroup B was72.0%(18)(P<0.05).Theduration of subsidence of symptoms of Group A was much shorter than that of Group B(P<0.05). Conclusion:Ingredient-altered Guipi decoction can treat depression related insomnia. It can improve the symptoms of insomnia and sleepiness in the daytime. If combined with other medicine, Guipi decoction can have effects on tonifying Qi and blood, replenishing the spleen and heart and tranquilizing the mind.Compared towestern medicine, it has a significant effectin long-term therapywith low recurrence rate andhigh treatment safety,which can effectively improve the life quality of the insomnia patients.