摘要
目的对比丹栀逍遥散合六味地黄汤加减与单纯使用丹栀逍遥散加减治疗失眠的疗效差异。方法选取80例失眠患者,分成单一组和联合组,每组40例。单一组采用丹栀逍遥散加减治疗,联合组采用丹栀逍遥散合六味地黄汤加减治疗。对比两组匹兹堡睡眠质量指数量表(PSQI)评分、临床疗效及中医证候积分。结果治疗后,单一组PSQI评分是(15.32±1.04)分,联合组是(13.12±1.52)分,联合组PSQI评分明显低于单一组,差异具有统计学意义(P<0.05)。联合组治疗总有效率达到92.50%,优于单一组的72.50%,差异具有统计学意义(P<0.05)。治疗后,联合组中医证候积分(7.54±2.11)分明显低于单一组的(11.28±3.28)分,差异具有统计学意义(P<0.05)。结论丹栀逍遥散与六味地黄汤巧妙加减配伍于失眠治疗中成效斐然,能切实改善患者睡眠质量,值得在临床大力推广应用。
Objective To compare the efficacy difference of modified Danzhi Xiaoyao San plus Liuwei Dihuang Decoction and modified Danzhi Xiaoyao San alone in treating insomnia.Methods 80 patients with insomnia were divided into a single group and a combined group,40 cases per group.The single group was treated with modified Danzhi Xiaoyao San,and the combined group was treated with modified Danzhi Xiaoyao San plus Liuwei Dihuang Decoction.The Pittsburgh Sleep Quality Index(PSQI)scores,clinical efficacy and traditional Chinese medicine syndrome scores of the two groups were compared.Results After treatment,the PSQI score of the single group was(15.32±1.04)points,and that of the combined group was(13.12±1.52)points;the PSQI score of the combined group was significantly lower than that of the single group,and the difference was statistically significant(P<0.05).The total effective rate of the combined group reached 92.50%,which was better than 72.50%of the single group,and the difference was statistically significant(P<0.05).After treatment,the traditional Chinese medicine syndrome score(7.54±2.11)points of the combined group was significantly lower than(11.28±3.28)points of the single group,and the difference was statistically significant(P<0.05).Conclusion The combination of modified Danzhi Xiaoyao San plus Liuwei Dihuang Decoction has remarkable effects in the treatment of insomnia and can significantly improve sleep quality of patients.It worth promoting and applying in the clinic.
作者
岳海莲
YUE Hai-lian(Qinyuan County Traditional Chinese Medicine Hospital,Changzhi 046500,China)
出处
《中国实用医药》
2025年第21期133-136,共4页
China Practical Medicine
关键词
丹栀逍遥散
六味地黄汤
失眠
中医证候积分
临床疗效
Danzhi Xiaoyao San
Liuwei Dihuang Decoction
Insomnia
Traditional Chinese medicine score
Clinical efficacy
