安神汤加减治疗肝郁气滞型失眠的临床效果观察
[摘要]目的 观察安神汤加减治疗肝郁气滞型失眠的临床效果。方法 选取我院2015年1月～2017年1月收治的97例肝郁气滞型失眠者，将其按随机排列表法分为两组，其中对照组48例（采用劳拉西泮片），观察组49例（加用安神汤）。比较两组患者治疗前后的睡眠质量、中医症候评分，评估治疗效果。结果 观察组的总有效率为95.9%，高于对照组的85.4%（P<0.05）。观察组患者治疗后的睡眠质量各项评分明显低于对照组（P<0.05）。观察组患者治疗后的中医症候评分明显低于对照组（P<0.05）。结论 安神汤加减治疗肝郁气滞型失眠的临床效果较好，可明显提高患者的睡眠质量，可在临床推广应用。
[关键词]肝郁气滞；疗效；失眠；安神汤
[中图分类号] R256.23 [文献标识码] A [文章编号] 1674-4721（2018）2（b）-0148-04
Clinical effect observation of modified Anshen Decoction in the treatment of insomnia of type liver depression and qi stagnation
LIN Du-feng
Department of Traditional Chinese Medicine，Shijie Hospital of Dongguan City，Guangdong Province，Dongguan 523290，China
[Abstract]Objective To observe the clinical effect of modified Anshen Decoction in the treatment of insomnia of liver depression and qi stagnation type.Methods From January 2015 to January 2017，97 insomnia patients with type liver depression and qi stagnation treated in our hospital were selected.They were divided into the two groups according to the random permutation table method.In the control group （n=48），Lorazepam Tablets was used，while in the observation group，Anshen Decoction was added.The sleeping quality before and after treatment was compared in order to evaluate the therapeutic effect.The quality of sleep and TCM syndrome score of the two groups were compared before and after treatment，and the therapeutic effect was evaluated.Results The total effective rate of the observation group was 95.9%，which was higher than that of the control group （85.4%） （P<0.05）.The various score of sleep quality of the patients in the observation group after treatment was significantly lower than that of the control group reapectively （P<0.05）.The score of TCM syndrome in patients of the observation group after treatment was significantly lower than that of the control group （P<0.05）.Conclusion The clinical effect of modified Anshen Decoction in the treatment of insomnia of liver depression and qi stagnation type is better，and can obviously improve the quality of sleep for patients and can be promoted and applied in clinic.
[Key words]Liver depression and qi stagnation；Curative effect；Insomnia；Anshen Decoction
失眠早期在中老年群體中发病率较高，其中老年者由于身体老迈、脏器功能降低，易出现失眠症状，但近几年生活、工作压力增加导致失眠者年龄呈年轻化，其不仅影响患者的睡眠质量，还会给患者的日常生活、工作、学习等均造成困扰[1]。西医认为失眠是人体脑部皮质兴奋、抑制失调有关，故临床西药治疗多选择镇静类药物治疗，劳拉西泮为苯二氮■类药物，具有良好的镇静效果，其短期使用对患者的失眠症状有一定的改善作用[2]。但临床发现此药长时间使用不仅造成患者易对药物产生依赖性，同时长期用药会造成患者出现头晕、乏力以及肝肾功能损害等不良反应，导致治疗效果降低[3]。近几年，中药因药效温和、不良反应少、疗效良好，被广泛用于临床疾病治疗，故有学者提出治疗时行中医辨证治疗使用安神汤剂加减，以有效提高治疗效效果，改善患者的睡眠质量。本文观察49例肝郁气滞型失眠者以安神汤加减治疗的有效性，见如下报道。