本文選題：心腎不交 + 不寐　； 參考：《長(zhǎng)春中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:觀察清心安神顆粒治療原發(fā)性失眠(心腎不交型)臨床療效。方法:研究選取于長(zhǎng)春中醫(yī)藥大學(xué)附屬醫(yī)院腦病門診及療區(qū)就診的心腎不交型不寐證患者72例,隨機(jī)分為治療組38例、對(duì)照組34例,實(shí)驗(yàn)觀察過程中治療組脫落8例,對(duì)照組脫落4例。治療組予以清心安神顆粒治療,對(duì)照組給予百樂眠膠囊口服治療,進(jìn)行為期8周的臨床療效觀察。觀察治療前后兩組患者的匹茲堡睡眠質(zhì)量指數(shù)、中醫(yī)癥候積分、中醫(yī)癥狀評(píng)分及中醫(yī)臨床療效評(píng)分、多導(dǎo)睡眠圖(部分)。結(jié)果:經(jīng)臨床療效觀察,治療組能夠有效降低匹茲堡睡眠指數(shù)、中醫(yī)證候積分,治療組治療效果優(yōu)于對(duì)照組(P0.05),中醫(yī)臨床癥狀改善方面治療組優(yōu)于對(duì)照組,治療組總有效率為90.00%,對(duì)照組總有效率為63.33%,治療組與對(duì)照組比較具有極顯著的差異(P0.01)。通過多導(dǎo)睡眠圖觀察治療效果顯示,清心安神顆粒能明顯改善睡眠結(jié)構(gòu)、延長(zhǎng)深睡眠時(shí)間,差異具有顯著性(P0.05)。結(jié)論:清心安神顆粒治療心腎不交型不寐證療效顯著,尤其對(duì)深睡眠期結(jié)構(gòu)的改善優(yōu)勢(shì)明顯,從根本上解決患者的失眠困擾,臨床上值得推廣。
[Abstract]:Objective: to observe the clinical effect of Qingxin Anshen granule on primary insomnia. Methods: a total of 72 patients with heart and kidney disjoint insomnia were randomly divided into treatment group (n = 38), control group (n = 34) and treatment group (n = 8). In the control group, 4 cases were lost. The treatment group was treated with Qingxin Anshen granule and the control group was treated with Baile Mian capsule orally for 8 weeks. The Pittsburgh Sleep quality Index (PQI), TCM symptom score, TCM symptom score, TCM Clinical efficacy score and polysomnography were observed before and after treatment. Results: after clinical observation, the treatment group can effectively reduce Pittsburgh sleep index, TCM syndrome score, the treatment group is better than the control group P0.05, the treatment group is better than the control group in improving clinical symptoms. The total effective rate of the treatment group was 90.00g and the total effective rate of the control group was 63.33. There was a significant difference between the treatment group and the control group (P 0.01). The results of polysomnography showed that Qingxin Anshen granule could obviously improve the sleep structure and prolong the time of deep sleep, and the difference was significant (P 0.05). Conclusion: Qingxin Anshen granule has obvious curative effect on the syndrome of heart and kidney disjoint insomnia, especially on the improvement of the structure of deep sleep. It is worth popularizing in clinic.
【學(xué)位授予單位】：長(zhǎng)春中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R256.23

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 楊新國(guó);張志全;王慶云;陳濤;;安神交泰膠囊輔助治療屬心腎不交證的苯二氮類藥物依賴性失眠的臨床觀察[J];中國(guó)藥物與臨床;2015年10期

2 李正祥;李秀彬;王立新;袁繪;李思斌;陳筱;王敏;;“三才”推拿法治療心腎不交型失眠癥的臨床觀察[J];中國(guó)中醫(yī)藥科技;2015年05期

3 周光濤;楊翊;;穴位埋線聯(lián)合心理療法治療更年期心腎不交型失眠癥43例[J];上海針灸雜志;2015年08期

4 覃川;晏怡;李柏成;張正保;鄧偉;胡建剛;楊秀江;;額葉損傷后睡眠障礙的多導(dǎo)睡眠腦電圖研究[J];重慶醫(yī)學(xué);2015年12期

5 郜見亮;張麗;孫艷;謝成娟;王晨;姚文瑞;杜遠(yuǎn);孔曉明;;老年期抑郁癥患者睡眠結(jié)構(gòu)的性別差異[J];安徽衛(wèi)生職業(yè)技術(shù)學(xué)院學(xué)報(bào);2015年01期

6 朱莉偉;;自擬安睡湯治療心腎不交型失眠80例臨床研究[J];河北醫(yī)學(xué);2014年12期

7 蔡石勇;;烏靈膠囊配合趙氏雷火灸治療心腎不交型失眠的療效觀察[J];上海醫(yī)藥;2014年24期

8 張躍福;;中藥足浴配合足底穴位按摩治療心腎不交之不寐的臨床護(hù)理干預(yù)[J];內(nèi)蒙古中醫(yī)藥;2014年30期

9 張蓉;鄒夢(mèng)穎;楊云霜;楊金亮;李延暉;;電針“遠(yuǎn)心”穴治療心腎不交型失眠療效觀察[J];云南中醫(yī)學(xué)院學(xué)報(bào);2014年04期

10 潘博希;陳維;林亞明;;滋腎安神湯合復(fù)方棗仁膠囊治療心腎不交型失眠臨床研究[J];中國(guó)中醫(yī)藥信息雜志;2014年06期

，

本文編號(hào)：1792612