基于“和”思想中医综合疗法治疗抑郁症相关性睡眠障碍临床研究
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R749.4+1;R256.23

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Clinical Study on Chinese Medicine Comprehensive Therapy Based on Thought of Harmony for Depression-Related Sleep Disorder
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    摘要:

    目的:观察基于“和”思想的中医综合疗法治疗抑郁症相关性睡眠障碍的临床疗效。方法:收集83 例辨证属痰火上扰型的抑郁症睡眠障碍患者,根据随机数字表法分为观察组45 例,对照组38 例。对照组服用黛力新;观察组在“和”思想指导下运用中医综合疗法(柴胡升降汤、针刺治疗联合耳穴磁珠贴压) 治疗。比较2 组治疗2 周后及治疗4 周后匹兹堡睡眠质量量表(PSQI)、汉密尔顿抑郁量表(HAMD) 评分,比较2 组治疗4 周后生活质量综合评定问卷(GQOLI-74) 评分。结果:治疗2 周后,观察组PSQI 评分下降较明显,差异均有统计学意义(P<0.05);治疗4 周后,2 组PSQI 评分均下降,且观察组下降更明显,与同期对照组比较,差异均有统计学意义(P<0.05)。治疗2 周后,2 组HAMD 评分分别与治疗前比较,差异均有统计学意义(P<0.05),且对照组HAMD 评分低于观察组,差异有统计学意义(P<0.05);治疗4 周后,2 组HAMD 评分分别与治疗前比较,差异均有统计学意义(P<0.05),但2 组间比较,差异无统计学意义(P>0.05)。治疗4 周后,2 组GQOLI-74 评分分别与治疗前比较,差异均有统计学意义(P<0.05),且2 组间比较,差异亦有统计学意义(P<0.05)。治疗4 周后,2 组均进行血、尿、大便常规以及肝功能、肾功能及电解质等检查,未发现有明显异常。结论:在“和”思想指导下的中医综合疗法治疗痰火上扰型抑郁症相关性睡眠障碍,可改善睡眠质量,提升生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Chinese medicine comprehensive therapy based on the thought of harmony on depression- related sleep disorder. Methods: A total of 83 patients with depression- related sleep disorder of phlegm- fire harassing the upper body type were collected and divided into the observation group and the control group according to random number table method,45 cases and 38 cases in each group respectively. The control group was treated with flupentixol meritracine tablets, and the observation group was treated with Chinese medicine comprehensive therapy based on the thought of harmony(Chaihu Shengjiang tang, acupuncture and pressing auricular points with magnetic bead). The scores of Pittsburgh Sleep Quality Index(PSQI) and Hamilton Depression Scale(HAMD) were compared between the two groups after two weeks and four weeks of treatment,and the scores of the Generic Quality of Life Inventory-74(GQOLI-74) were compared between the two groups after four weeks of treatment. Results:After two weeks of treatment,the PSQI scores in the observation group were decreased significantly, differences being significant(P<0.05). After four weeks of treatment,the PSQI scores in both groups were decreased,and the decrease was more obvious in the observation group; compared with that in the control group at the same period, differences were significant(P<0.01). After two weeks of treatment,the HAMD scores in the two groups were compared with those before treatment,differences being significant (P<0.05). The HAMD score in the control group was lower than that in the observation group,the difference being significant (P<0.05). After four weeks of treatment,the HAMD scores in the two groups were compared with those before treatment, the difference being significant(P<0.05),but there was no significant difference between the two groups(P>0.05). After four weeks of treatment, there were significant differences in GQOLI- 74 scores when compared with those before treatment respectively(P<0.05), and there were significant differences between the two groups(P<0.05). After four weeks of treatment, routine tests of blood, urine, stool, liver function, kidney function and electrolyte were performed in both groups, and no significant abnormalities were found. Conclusion: Chinese medicine comprehensive therapy based on the thought of harmony can improve the sleep quality and enhance the life quality of patients with depression- related sleep disorder of phlegm-fire harassing the upper body type.

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吴河山,陈军龙,王东雁,张丹,杜柏荣,付雪梅,尚晓莉.基于“和”思想中医综合疗法治疗抑郁症相关性睡眠障碍临床研究[J].新中医,2021,53(15):64-67

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  • 在线发布日期: 2021-08-10
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