本文關(guān)鍵詞： 失眠 心腎陽虛證 臨床研究　出處：《山東中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：應(yīng)用溫補(bǔ)心腎法,以導(dǎo)師經(jīng)驗(yàn)方加味桂甘龍牡湯治療失眠患者,觀察其臨床療效,以驗(yàn)證從心腎陽虛治療失眠的臨床可行性,探討心腎陽虛導(dǎo)致失眠的機(jī)理,發(fā)掘中醫(yī)藥治療失眠的方法。方法：選取符合標(biāo)準(zhǔn)的病例60例,隨機(jī)分為治療組和對照組各30例,治療組予加味桂甘龍牡湯,水煎服日一劑。對照組予阿昔唑侖口服,每晚1片。兩組均治療4周為1療程,治療4周后判定臨床療效及匹茨睡眠質(zhì)量指數(shù)評分、TDL生命質(zhì)量評分的變化。結(jié)果：臨床總有效率治療組86.67%,對照組60.00%,經(jīng)統(tǒng)計(jì)學(xué)處理表明,治療組優(yōu)于對照組(P=0.000.01)；同時(shí)治療組中醫(yī)證候積分、匹茨堡睡眠質(zhì)量指數(shù)評分、TDL生命質(zhì)量評分均明顯改善。結(jié)論：具有溫補(bǔ)心腎作用的加味桂甘龍牡湯能明顯改善患者的癥狀,并能顯著改善其生理心理狀態(tài),對其個(gè)人、家庭、社會(huì)大有裨益,從心腎陽虛治療失眠確有良好的臨床療效。
[Abstract]:Objective: to observe the clinical effect of Gui Gan long Mu decoction (GDG) in treating insomnia by warming the heart and reinforcing the heart and kidney, and to verify the clinical feasibility of treating insomnia with deficiency of heart and kidney yang. To explore the mechanism of insomnia caused by deficiency of heart and kidney yang and explore the treatment methods of insomnia with traditional Chinese medicine. Methods: 60 cases of insomnia were selected and randomly divided into treatment group and control group of 30 cases each. The treatment group was treated with modified Gui Gan long Mu Tang, one dose of water decoction, and the control group was given aloxazolam orally, one tablet per night. Both groups were treated for 4 weeks as a course of treatment. After 4 weeks of treatment, the clinical efficacy and the score of pitz sleep quality index were evaluated. Results: the total clinical effective rate was 86.67 in the treatment group and 60.00g in the control group, which was demonstrated by statistical analysis. The treatment group was superior to the control group (P < 0.01). At the same time, the TCM syndromes score, Pittsburgh sleep quality index score and TDL quality of life score were improved significantly in the treatment group. Conclusion: the modified Gui Gan long Mu decoction with the effect of warming heart and kidney can obviously improve the symptoms of the patients. It can significantly improve its physiological and psychological state, and is of great benefit to its individual, family and society. There is a good clinical effect in treating insomnia with deficiency of heart and kidney yang.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R256.23

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 孔紅英;張沁園;;淺析桂枝湯治療不寐[J];山東中醫(yī)雜志;2012年12期

2 祿穎;吳瑩;魯藝;徐雅;;《內(nèi)經(jīng)》“貴陽”思想與睡眠的關(guān)系[J];吉林中醫(yī)藥;2012年06期

3 歐陽波;白俊杰;李蔓荻;翟雙慶;;淺析《內(nèi)經(jīng)》營衛(wèi)運(yùn)行理論與失眠的關(guān)系[J];中國中醫(yī)基礎(chǔ)醫(yī)學(xué)雜志;2012年02期

4 張華;郭霞珍;;從中醫(yī)“心腎不交”理論論安神劑的選藥[J];世界中醫(yī)藥;2011年05期

5 李紹旦;楊明會(huì);;不寐之中醫(yī)“腦”、“胃”學(xué)說體系構(gòu)建的理論初探[J];中醫(yī)雜志;2010年S2期

6 蘇鳳哲;盧世秀;;路志正教授從五臟論治不寐經(jīng)驗(yàn)[J];世界中西醫(yī)結(jié)合雜志;2010年01期

7 祿穎;;營衛(wèi)晝夜運(yùn)行規(guī)律是睡眠活動(dòng)的機(jī)樞[J];中華中醫(yī)藥學(xué)刊;2010年01期

8 張雪;向瑞平;劉長河;;茯神的化學(xué)成分和藥理作用研究進(jìn)展[J];鄭州牧業(yè)工程高等�？茖W(xué)校學(xué)報(bào);2009年04期

9 陳春芳;;天麻素注射液配合氧療治療失眠癥39例[J];云南中醫(yī)中藥雜志;2008年06期

10 羅本華;;針刺失眠穴方治療失眠癥56例療效觀察[J];遼寧中醫(yī)雜志;2008年02期

相關(guān)碩士學(xué)位論文 前1條

1 李佩佩;參麥針穴位注射結(jié)合針刺治療肝腎陰虛型不寐的臨床研究[D];廣州中醫(yī)藥大學(xué);2014年

，

本文編號：1464350