仁熟散对心虚胆怯型不寐的临床观察

发布时间：2018-04-16 04:06

本文选题：不寐 + 心虚胆怯　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:通过临床观察及实验统计研究,评价仁熟散对心虚胆怯型不寐的临床疗效,探讨心虚胆怯型不寐的发病机理及仁熟散对其治疗的作用机制,为临床治疗心虚胆怯型不寐提供有益参佐。方法:本研究将符合纳入标准的42例患者(脱落5例)进行证候评分及PSQI评分,给予仁熟散进行治疗,并根据临床症状适当加减,日一剂水煎服,共服四周,治疗期间禁止患者使用能影响本研究结果的药物,并采取评分前后自身对照及使用SPSS16.0进行统计分析的方法,观察治疗前后症状体征及睡眠指标。结果:1.本研究中心虚胆怯型不寐患者女性发病人数多于男性,发病平均年龄为46.35±1.06岁,患者的发病年龄多集中在40岁以上,其中40～49岁期间的患者为多。2.37例患者中,证候前后总积分经非参数检验有显著差异(P0.01),其中6例痊愈,17例显效,11例有效,3例无效,总有效率91.9%。3.治疗前后匹兹堡睡眠质量指数量表评分变化明显,治疗前后评分差值为10.57 ± 4.17,差异显著,总有效率为94.59%。结论:1.仁熟散治疗心虚胆怯型不寐的临床疗效确切;2.因本病女性发病率较男性高,且随着年龄的增高发病率也呈现上升趋势,故治疗时需要兼顾女性之生理特点;3.生活习惯及精神因素是本病发病不可忽视之因素,故治疗时应强调医患调摄相宜,方可获取良效。
[Abstract]:Objective: through clinical observation and experimental study of statistics, evaluation of clinical efficacy of San Shou Ren guilty timid insomnia, pathogenesis of insomnia and guilty timid Ren cooked powder on the therapeutic mechanism, to provide useful reference for clinical treatment with guilty timid insomnia. Methods: This study will meet the inclusion criteria of 42 cases patients (5 cases lost) syndrome score and PSQI score, give Ren cooked loose treatment, and according to the clinical symptoms of the appropriate addition and subtraction, an agent of water decoction, serving a total ban around patients using drugs can affect the results of the treatment period, and take the score before and after their own control and the use of SPSS16.0 method statistical analysis of symptoms were observed before and after treatment and sleep index. Results: 1. the number of virtual research center of the timid type insomnia patients with the incidence of women than men, the average age was 46.35 + 1.06 years old, the patients with years Age is more concentrated in over 40 years, including 40~49 years old during the patients were.2.37 patients, syndrome before and after total score by nonparametric test has significant difference (P0.01), of which 6 cases were cured, 17 cases were cured, 11 cases effective, 3 cases ineffective, the total efficiency of 91.9%.3. before and after treatment of Pittsburgh sleep quality index the scale score changes significantly, before and after treatment score was 10.57 + 4.17, significantly, the total effective rate was 94.59%. conclusion: 1. Ren cooked powder in the treatment of fearfully type insomnia clinical curative effect; 2. for the incidence rate of female is higher than male, and with the increase of age incidence showed a rising trend, so the treatment of when you need to take into account the physiological characteristics of women; 3. living habits and mental factors of this disease can not be ignored, so the treatment should be emphasized for transfer can obtain patient, good effect.

【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R256.23

【参考文献】