针刺联合加味温胆汤治疗痰热扰心型失眠的临床研究

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Abstract Objective To observe the clinical effect of acupuncture combined with Modified Wendan Decoction in the treatment of insomnia with syndrome of phlegm-heat attacking heart. Methods According to the random number table method, 64 cases of insomnia patients with syndrome of phlegm-heat attacking heart admitted to Department of Psychiatry, Hubei Hospital of Traditional Chinese Medicine from January 2016 to June 2017 were randomly divided into observation group and control group, with 32 cases in each group. The control group was treated with Estazolam Tablets orally. Based on control group, the observation group was treated with acupuncture combined with Modified Wendan Decoction. After 3 weeks of treatment, the changes of main sleep parameters (sleep latency, sleep efficiency, total sleep time), Pittsburgh sleep quality index scale (PSQI) (sleep efficiency, fall-sleep time, sleep time, sleep disorder, daytime function) of the two groups before and after treatment were observed, and the clinical effect of the two groups was compared. Results After treatment, the total effective rate of the observation group was significantly higher than that of the control group, the difference was statistically significant (P ＜ 0.05). Compared with those before treatment, the sleep latency of the two groups was significantly decreased (P ＜ 0.05), the sleep efficiency and total sleep time were significantly increased, the differences were statistically significant (P ＜ 0.05), and the improvement of the above sleep indexes in the observation group were all significantly better than those of the control group (P ＜ 0.05). The scores of fall-sleep time, sleep time, sleep efficiency, sleep disorder, and daytime function in the two groups after treatment were significantly lower than those before treatment, the differences were statistically significant (P ＜ 0.05), and the scores of PSQI indexes above in the observation group were significantly lower than those of the control group, the differences were statistically significant (P ＜ 0.05). Conclusion Acupuncture combined with Modified Wendan Decoction can improve the sleep quality of insomnia patients with syndrome of phlegm-heat attacking heart, and relieve clinical symptoms.

Key words： Insomnia Syndrome of phlegm-heat attacking heart Modified Wendan Decoction Acupuncture Quality of sleep

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LI Jing. Clinical study of acupuncture combined with Modified Wendan Decoction in the treatment of insomnia with syndrome of phlegm-heat attacking heart[J]. 中国医药导报, 2018, 15(24): 141-144.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I24/141

[1] 徐思文.温胆安眠汤联合型针刺治疗痰热扰心失眠随机平行对照研究[J].实用中医内科杂志，2015，29（5）：156-157.
[2] 陈小丽，岳增辉，刘丽，等.针灸治疗失眠的研究进展[J].针灸临床杂志，2015，31（7）：96-99.
[3] 朱尧，夏伟，刘溦溦，等.中医论治失眠研究进展[J].吉林中医药，2016，36（3）：320-324.
[4] 中华医学会精神科分会.中国精神障碍分类与诊断标准第3版（CCMD-3）[M].济南：山东科学技术出版社，2001：83-84.
[5] 郑筱萸.中药新药临床研究指导原则[S].北京：国家中医药管理局，2002：5.
[6] Soldatos CR，Allaert FA，Ohta T，et al. How do individuals sleep around the world? Results from a single-day survey in ten countries [J]. Sleep Med，2005，6（1）：5-13.
[7] 叶守姣，常柏.黄连温胆汤加减与舒乐安定治疗失眠的临床观察[J].天津中医药大学学报，2015，34（4）：211-214.
[8] 陈贵海.失眠的研究进展[J].中国临床医生杂志，2017，45（8）：1-6.
[9] 李爱剑，王璟.失眠症发病机理及与体质关系研究概况[J].实用中医药杂志，2011，27（5）：349-350.
[10] 程国良，钱彦方，李静，等.失眠机制研究进展[J].世界睡眠医学杂志，2016，3（3）：174-179.
[11] 陈德瑶，何思陈，周道友.中药治疗失眠的系统评价[J].中华中医药学刊，2016，34（1）：105-110.
[12] 施国善，王有鹏.温胆汤源流及方名探析[J].辽宁中医杂志，2016，43（8）：1635-1637.
[13] 肖琦，阳文武，张德伟，等.半夏总生物碱含量影响因素及药理作用研究进展[J].中国药业，2016，25（3）：123-126.
[14] 耿欣，李廷利.酸枣仁主要化学成分及药理作用研究进展[J].中医药学报，2016，44（5）：84-86.
[15] 罗欢，卞海，韩燕全,等.陈皮提取物多种药效作用的谱效关系研究[J].山西中医学院学报，2016，17（5）：22-25.
[16] 林杜峰.安神汤加减治疗肝郁气滞型失眠的临床效果观察[J].中国当代医药，2018，25（5）：148-150，153.
[17] 游昕，熊大国，郭志斌，等.茯苓多种化学成分及药理作用的研究进展[J].安徽农业科学，2015，43（2）：106-109.
[18] 金颖，陈凤娜，江秋丹，等.五行音乐配合耳穴贴压王不留行籽治疗失眠37例临床疗效观察[J].中国现代医生，2017，55（32）：124-127.
[19] 姬红英，张艳.针灸配合舒乐安定片及心理疏导治疗失眠38例[J].陕西中医，2013，34（10）：1386-1387.
[20] 周海云.自拟安神汤联合针灸治疗失眠40例疗效观察[J].中国民族民间医药，2014，23（5）：43.
[21] 梁惠琼，庄纯，朱妙芬，等.吴茱萸穴位贴敷联合耳穴压豆治疗失眠的效果观察[J].中国当代医药，2017，24（18）：97-99，105.
[22] 胡林玲，夏朝云.中西医结合治疗失眠的临床疗效观察[J].中国现代医生，2017，55（17）：82-84.
[23] 陈小丽，岳增辉，刘丽，等.足三里穴的古今应用与研究[J].针灸临床杂志，2016，32（7）：80-83.
[24] 莫玉婷，李铁，王富春.针刺神门穴治疗失眠症研究概况[J].上海针灸杂志，2016，35（6）：639-641.