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1、中西医结合治疗失眠的临床疗效观察[]目的?"察中西医结合治疗失眠的临床疗效。方法选取2015年1月〜2016年1月于我院治疗的失眠患者,共138例,通过随机数字法分为观察组和对照组,每组各69例,对照组予以丙药治疗,观察组联合中药治疗,西药3周为1个疗程,中药4周为1个疗程。治疗3个月后观察其临床疗效。采用匹兹堡睡眠质量指数(PSQI)观察患者的睡眠改善状况。PSQI由18个自评条目组成,包括睡眠质景、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍7个方面。结果观察组患者治疗后的临床总有效率为91.30%,对照组为73.91%,观察
2、组的临床总有效率显著高于对照组,组间比较差异具有显著性(P〈0.05),治疗前,观察组与对照组患者的睡眠质量、入睡时问、睡眠时问、睡眠效率、睡眠障碍、催眠药物、日问功能障碍各项评分组间比较,差异不显著。但治疗后,观察组与对照组患者的PSQI各项评分分别较治疗前明显改善,且观察组患者治疗后的PSQI各项评分较对照组改善更显著,组间比较差异具有显著性(P〈0.05)。结论中西医结合治疗失眠临床疗效确切,可以显著改善患者的睡眠质景,提高睡眠效率,值得临床推广和应用。如有不愿意被转载的情况,[关键词]失眠;中药;匹兹堡睡眠质量指数;睡眠质量[]R740[]
3、B[]1673-9701(2017)17-0082-03[Abstract]ObjectiveToobservetheclinicalefficacyofintegratedtraditionalChineseandwesternmedicineinthetreatmentofinsomnia.MethodsAtotalof138patientswithinsomniawhoweretreatedinourhospitalfromJanuary2015toJanuary2016wereselected.Accordingtotherandomnum
4、bermethod,thepatientsweredividedintotheobservationgroupandthecontrolgroup,with69patientsineachgroup.Thecontrolgroupwasgivenwesternmedicine,andtheobservationgroupwascombinedwithtraditionalChinesemedicine.Westernmedicinewas3weeksasacourseoftreatment,andChinesemedicinewas4weeksas
5、acourseoftreatment.Theclinicalefficacywasobserved3monthsafterthetreatment.ThesleepimprovementconditionwasobservedbyPittsburghSleepQualityIndex(PSQI).PSQIconsistedof18self-assessmentitems,includingsevenaspectsofsleepquality,timeoffallingintosleep,sleepduration,sleepefficiency,s
6、leepdisorders,hypnoticdrugs,anddaytimedysfunction.ResultsThetotalclinicaleffectiveratewas91.30%intheobservationgroupand73.91%inthecontrolgroupafterthetreatment.Thetotalclinicaleffectiverateintheobservationgroupwassignificantlyhigherthanthatinthecontrolgroup,andthedifferencebet
7、weenthetwogroupswassignificant(P<0.05).Beforethetreatment,thescoresofsleepquality,timeoffallingintosleep,sleepduration,sleepefficiency,sleepdisorders,hypnoticdrugs,anddaytimedysfunctionwerenotsignificantlydifferentbetweentheobservationgroupandthecontrolgroup.However,thescoreso
8、fPSQIafterthetreatmentweresignificantlyimprovedintheobservati