乌灵胶囊治疗脑卒中后心肾不交证失眠疗效观察及对神经内分泌功能的影响
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R743.3;R256.23

基金项目:


Curative Effect of Wuling Capsules on Post-stroke Insomnia with Non-interaction Between Heart and Kidney Syndrome and Its Effect on Neuroendocrine Function
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察乌灵胶囊治疗脑卒中后心肾不交证失眠的临床疗效及对神经内分泌功能的影响。方 法:选择脑卒中后心肾不交证失眠患者120 例,依照随机数字表法分为研究组和对照组各60 例。对照组给予 右佐匹克隆片口服,研究组给予乌灵胶囊口服。比较2 组临床疗效及不良反应发生情况,比较2 组治疗前后中 医证候评分、匹茨堡睡眠质量指数(PSQI)、血清神经递质[5-羟色胺(5-HT)、脑源性神经营养因 子(BDNF) 和γ-氨基丁酸(GABA)] 水平。结果:研究组总有效率为91.67%,对照组为73.33%,2 组比 较,差异有统计学意义(P<0.05)。治疗后,2 组心烦不寐、入睡困难、心悸多梦、头晕耳鸣、腰膝酸软、潮 热盗汗、五心烦热、咽干少津等中医证候评分均较治疗前降低(P<0.05),且研究组上述各项评分均低于对照 组(P<0.05)。治疗后,研究组PSQI 量表中睡眠质量、日间功能障碍、睡眠时间、睡眠障碍、睡眠潜伏期、 睡眠效率、催眠药物等评分均较治疗前及对照组降低(P<0.05);对照组睡眠质量、日间功能障碍、睡眠时 间、睡眠障碍、睡眠潜伏期等评分均较治疗前降低(P<0.05),睡眠效率、催眠药物评分在治疗前后差 异无统计学意义(P>0.05)。治疗后,2 组血清5-HT、BDNF、GABA 水平均较治疗前升高(P<0.05),且研 究组上述各项指标均高于对照组(P<0.05)。治疗期间,研究组不良反应发生率为8.33%,对照组为21.67%, 2 组比较,差异有统计学意义(P<0.05)。结论:乌灵胶囊治疗脑卒中后心肾不交证失眠疗效显著,可有效改 善患者睡眠质量,调节神经递质分泌,且药物安全性良好。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Wuling Capsules on insomnia with noninteraction between heart and kidney syndrome and its effect on neuroendocrine function. Methods:A total of 120 patients with insomnia with heart- kidney non- interaction syndrome were selected and divided into the study group and the control group according to the random number table method,with 60 cases in each group. The control group was given the oral administration of Dexzopiclone Tablets for treatment and the study group was treated with Wuling Capsules. The clinical effects,incidence of adverse reactions were compared,traditional Chinese medicine (TCM) syndrome score,Pittsburgh Sleep Quality Index (PSQI), and levels of serum neurotransmitters, including 5- hydroxytryptamine (5- HT), brain derived neurotrophic factor (BDNF) and gamma-aminobutyric acid (GABA) were compared between the two groups before and after treatment. Results: The total effective rate was 91.67% in the study group and 73.33% in the control group, the difference being significant (P<0.05). After treatment, the TCM syndrome scores of vexation and insomnia, difficulty in falling asleep, palpitation and dreaminess, dizziness and tinnitus,soreness and weakness of the waist and the knees,tidal fever and night sweating, vexing heat in the chest, palms and soles and dry throat and less fluids in both groups were decreased when compared with those before treatment (P<0.05), and the above scores in the study group were lower than those in the control group (P<0.05). After treatment, the scores of sleep quality, daytime dysfunction, sleep time, sleep disorder, sleep effeciency, sleep medicine and sleep latency in PSQI scale in the study group were significantly decreased when compared with those before treatment and in the control group (P<0.05);the scores of sleep quality,daytime dysfunction,sleep time,sleep disorder and sleep latency in PSQI scale in the control group were decreased when compared with those before treatment (P<0.05), and the changes of scores of sleep efficiency and sleep medicine before and after treatment were not significant (P>0.05). After treatment,the levels of serum 5-HT,BDNF and GABA in both groups were increased when compared with those before treatment (P<0.05), and the levels of above indexes in the study group were higher than those in the control group (P<0.05). During treatment, the incidence of adverse reactions was 8.33% in the study group and 21.67% in the control group, the difference being significant (P<0.05). Conclusion: Wuling Capsules has a significant curative effect on insomnia with non- interaction between heart and kidney syndrome, which can effectively improve the sleep quality of patients,and adjust the secretory function of neurotransmitters with good safety.

    参考文献
    相似文献
    引证文献
引用本文

周梅峰.乌灵胶囊治疗脑卒中后心肾不交证失眠疗效观察及对神经内分泌功能的影响[J].新中医,2023,55(22):44-48

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2023-11-28
  • 出版日期:
文章二维码