[1]张晓乐,王 翠△,李小波,等.基于“五神脏”理论指导五心宁心汤从“心神”论治入睡困难型不寐临床研究*[J].陕西中医,2020,(5):615-617.[doi:DOI:10.3969/j.issn.10007369.2020.05.017]
 ZHANG Xiaole,WANG Cui,LI Xiaobo,et al.On the basis of the theory of “five gods and viscera” guidance of Wuxin Ningxin decoction from the “mind” of difficult sleep insomnia[J].,2020,(5):615-617.[doi:DOI:10.3969/j.issn.10007369.2020.05.017]
点击复制

基于“五神脏”理论指导五心宁心汤从“心神”论治入睡困难型不寐临床研究*
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年5期
页码:
615-617
栏目:
临床研究
出版日期:
2020-05-05

文章信息/Info

Title:
On the basis of the theory of “five gods and viscera” guidance of Wuxin Ningxin decoction from the “mind” of difficult sleep insomnia
作者:
张晓乐1王 翠1△李小波2雷思敏3韩祖成1杨海侠1
1.陕西省中医医院(西安 710003); 2.西北大学附属西安市第三医院(西安 710018); 3.陕西中医药大学(咸阳 712046)
Author(s):
ZHANG XiaoleWANG CuiLI Xiaoboet al.
Shaanxi Provincial Hospital of Traditional Chinese medicine(Xi'an 710032)
关键词:
五神脏理论 五心宁心汤 失眠 入睡困难 睡眠呼吸监测结果 匹兹堡睡眠质量指数评分
Keywords:
Theory of five gods and viscera Wuxin Ningxin decoction Insomnia Difficulty in falling asleep PSG PSQI
分类号:
R256.23
DOI:
DOI:10.3969/j.issn.10007369.2020.05.017
文献标志码:
A
摘要:
目的:以五神脏理论为基础,指导和评价五心宁心汤治疗入睡困难型不寐病的临床疗效。方法:选取以入睡困难为主症的失眠障碍患者92例,将其随机分为对照组与治疗组各46例,两组患者均予音乐疗法配合穴位按摩治疗,及经颅磁刺激(TMS)治疗; 治疗组在对照组治疗的基础上给予五心宁心汤口服,治疗7 d后根据两组患者的临床有效率、睡眠呼吸监测(PSG)结果、匹兹堡睡眠质量指数(PSQI)评分评价其临床疗效。结果:经治疗后两组临床有效率比较,治疗组、对照组总有效率分别为95.65%、84.78%,治疗组优于对照组,差异具有统计学意义(P<0.05); 两组患者PSG监测的入睡时间、睡眠效率,PSQI量表评分比较,治疗组优于对照组,差异有统计学意义(P<0.05)。结论:五神脏理论指导下五心宁心汤治疗入睡困难型不寐病具有较好的效果。
Abstract:
Objective:Based on the theory of five gods and viscera,the clinical effect of Wuxin Ningxin decoction on insomnia was evaluated.Methods:Ninety-two patients with insomnia were randomly divided into control group(n=46)and treatment group(n=46).Both groups were treated with music therapy plus acupoint massage,transcranial magnetic stimulation(TMS),and the treatment group was treated with Wuxin Ningxin decoction after 7 days of treatment,the clinical efficacy,the result of PSG and PSQI score were observed to evaluate the clinical efficacy.Results:After treatment,the total effective rates of the two groups were 95.65% and 84.78% respectively,and the treatment group was superior to the control group(P<0.05).PSQI scale score comparison,the treatment group was superior to the control group,the difference was statistically significant(P<0.05).Conclusion:Wuxin Ningxin decoction under the guidance of the theory of five-shen-zang has certain effect on insomnia with difficulty in falling asleep.

参考文献/References:

[1] 叶增杰,梁木子,胡 蕖,等.失眠障碍的国内外研究进展[J].医学与哲学,2017,38(537):60-63.
[2] 刘 强,王秀娟,赵 颖,等.基于有序数据Meta分析模型评价针灸疗效研究:原发性失眠症[J].辽宁中医杂志,2017,44(1):134-137.
[3] 张金霞,张永华.张永华治疗不寐临证思路与方法[J].浙江中西医结合杂志,2019,29(12):961-962.
[4] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,2011:19-24.
[5] 闫永钇.失眠颗粒联合经颅磁刺激治疗缺血性卒中后不寐疗效观察[J].陕西中医,2016,37(8):993-994.
[6] 柳 清.足底反射区按摩配合灸术治疗失眠症88例疗效观察[J].中医临床研究,2011,3(3):6-7.
[7] 胡怀强,周永红.王新陆教授论治失眠经验纂要[J].天津中医药,2010,27(3):182.
[8] 樊 旭,宋海英,刘诗若,等.多导睡眠监测仪监测不同养生功法干预心脾两虚型抑郁症睡眠障碍患者的临床研究[J].中华中医药学刊,2015,33(3):1404-1407.
[9] 赵世苗,蒋海潮,黄 磊.抑郁性失眠与原发性失眠患者多导睡眠图特征比较的研究[J].中国现代医生,2016,54(35):25-27.
[10] 王 翠,吴鹏亮,王 苗,等.百郁解郁方治疗郁病临床研究[J].陕西中医,2019,40(8):1088-1090.
[11] Walsh JK,Coulouvrat C,Hajak G,et al.Night time in-somnia symptoms and perceived health in the America insomnia survey(AIS)[J].Sleep,2016,34(8):997-1011.
[12] 杨海侠,张晓乐,李小波,等.补阴泻阳穴位按摩治疗失眠证疗效研究[J].陕西中医,2019,40(9):1291-1293.
[13] 张晓乐,狄 灵.韩祖成,等.中医综合疗法治疗卒中后失眠 35 例临床观察[J].湖南中医杂志,2017,34(1):15-17.
[14] 谭 涛,王金贵,孙 庆.“津沽推拿”之通脉调神手法对心脾两虚型心理生理性失眠患者多导睡眠图总睡眠时间、各期睡眠百分比的影响[J].辽宁中医杂志,2014,41(9):1811-1814.
[15] 高 和,殷光中.美国睡眠医学会睡眠及其相关事件判读手册、规则、术语和技术规范[M].北京:人民卫生出版社,2017:101-110.
[16] 古继红,冯淑兰,马 立.论《内经》营卫失调与睡眠障碍[J].辽宁中医学院学报,2005,7(5):428-429.

备注/Memo

备注/Memo:
*陕西省重点研发计划项目(2017SF-358);西安市中医药管理局项目(SZL201908);陕西省中医医院院内项目(2018-17)
更新日期/Last Update: 2020-05-14