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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
