柴胡疏肝散与针刺联合认知行为疗法治疗亚健康失眠临床研究
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R256.23

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2016年度温州市公益性社会发展(医疗卫生) 科技项目(Y20160201)


Clinical Study on Chaihu Shugan Powder and Acupuncture Combined with Cognitive Behavioral Therapy for Sub-Health Insomnia
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    摘要:

    目的:观察在认知行为疗法基础上加用柴胡疏肝散加减联合针刺治疗肝郁气滞型亚健康失眠的效果。方法:将70 例肝郁气滞型亚健康失眠患者随机分为对照组及试验组各35 例,2 组均采用认知行为疗法治疗,试验组加用柴胡疏肝散加减联合针刺疗法治疗,2 组疗程均为4 周。治疗前、治疗4 周后应用匹兹堡睡眠质量指数(PSQI) 量表评价2 组患者的睡眠质量,用世界卫生组织生存质量测定量表简表(WHOQOL-BREF) 评价生活质量,评估中医证候积分,比较2 组的临床疗效。结果:治疗4 周,试验组临床疗效优于对照组(P<0.05)。2 组PSQI 评分均较治疗前减少,WHOQOL-BREF 评分均较治疗前增加,差异均有统计学意义(P<0.05)。试验组PSQI 评分低于对照组,WHOQOL-BREF 评分高于对照组,差异均有统计学意义(P<0.05)。2 组WHOQOL-BREF 生理、心理、社会、环境4 个领域的评分均较治疗前增加(P<0.05),试验组生理领域、心理领域评分均高于对照组(P<0.05)。2 组中医证候积分均较治疗前减少(P<0.05),试验组中医证候积分低于对照组(P<0.05)。结论:在认知行为疗法基础上加用柴胡疏肝散加减联合针刺疗法能有效改善肝郁气滞型亚健康失眠患者的生活质量,缓解临床症状,提高睡眠质量,疗效显著。

    Abstract:

    Abstract: Objective: To observe the effect of modified ChaihuShugan powder combined with acupuncture based on cognitive behavioral therapy,for sub-health insomnia of liver depression and qi stagnation type. Methods:A total of 70 cases of patients with sub-health insomnia of liver depression and qi stagnation type were randomly divided into the control group and the experiment group, 35 cases in each group. Both groups were treated with cognitive behavioral therapy; the experiment group was additionally treated with modified ChaihuShugan powder combined with acupuncture; both groups were treated for four weeks. Before and after four weeks treatment,Sleep quality was evaluated by Pittsburgh Sleep Quality Index(PSQI),and life quality was evaluated by the World Health Organization Quality of Life Brief Version(WHOQOL-BREF). Chinese medicine syndrome score was evaluated,and the clinical effect was compared between the two groups. Results: After four-week treatment,the clinical effect in the experiment group was better than that in the control group(P<0.05). The PSQI scores in the two groups were decreased when compared with those before treatment,and the scores of WHOQOLBREF were increased,differences being significant(P<0.05). The PSQI score in the experiment group was lower than that in the control group,and the WHOQOL-BREF score was higher than that in the control group,differences being significant(P< 0.05). When compared scores of physical health,psychological health,social relationships,and environment in WHOQOLBREF in the two groups were increased when compared with those before treatment(P<0.05),and the scores of physical and psychological domains in the experiment group were higher than those in the control group(P<0.05). Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment(P<0.05),and the score in the experiment group was lower than that in the control group(P<0.05).Conclusion:Based on cognitive behavioral therapy, the therapy of modified ChaihuShugan powder combined with acupuncture can effectively improve quality of life, relieve clinical symptoms of Chinese medicine and sleep quality of patients with sub- health insomnia of liver depression and qi stagnation type,with significant curative effec

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黎斌,陈凌,孙慧静,陈克龙.柴胡疏肝散与针刺联合认知行为疗法治疗亚健康失眠临床研究[J].新中医,2021,53(11):44-48

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  • 在线发布日期: 2021-06-10
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