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[1]邢佳,王嘉麟,王椿野,等.疏肝泻火养血安神法干预失眠症的临床研究[J].环球中医药,2013,6(07):500-0.
　XING Jia,WANG Jia lin,WANG Chun ye,et al.Shugan Xiehuo Yangxue Anshen of Clinical efficacy of the treatment of insomnia[J].,2013,6(07):500-0.
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疏肝泻火养血安神法干预失眠症的临床研究()
     
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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第6卷
期数:
2013年07期
页码:
500-0
栏目:
论著
出版日期:
2013-07-06

文章信息/Info

Title:
Shugan Xiehuo Yangxue Anshen of Clinical efficacy of the treatment of insomnia
作者:
邢佳;王嘉麟;王椿野;郭蓉娟;
Author(s):
XING Jia; WANG Jialin; WANG Chunye; et al.
Department of Encephalopathy，Dongfang Hospital，Affiliated to Beijing University of Chinese Medicine,Beijing 100078，China
关键词:
失眠症; 肝郁化火; 疏肝泻火养血安神法; 神经心理; 脑电非线性分析
Keywords:
Insomnia; Liver Depression of the fire; Shugan Xiehuo Yangxue Anshen; Neuropsychological; Nonlinear EEG analysis
分类号:
R25623
DOI:
-
文献标志码:
A
摘要:
目的探索疏肝泻火养血安神法治疗失眠症的临床疗。方法选取门诊失眠患者30例,采用前后对照法,以疏肝泻火养血安神法干预1个月,采用配对t检验方法对干预前后的匹兹堡睡眠质量指数(PSQI)、汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)、临床记忆测查、威斯康星卡片分类(WCST)和中医肝火量表的分值进行统计评定。结果疏肝泻火养血安神法治疗肝郁化火型失眠症有效率93.33%;该法干预前后匹兹堡睡眠质量指数、汉密顿焦虑量表、汉密顿抑郁量表分值下降;记忆商低于正常的失眠症患者的记忆商、联想学习及人物特点回忆三方面均有提高;威斯康星卡片分类分值前后无明显差异;中医症状在总分、急躁易怒、胸闷和胁痛等症状分值上有下降;非线性脑电图分析发现在记忆任务下左额叶、左中央、左枕叶、左中颞和左后颞5个导联干预前后有差异有统计学意义。结论疏肝泻火养血安神法治疗肝郁化火型失眠症有效;该法对睡眠质量、情绪状况和中医肝郁化火主要症状改善明显;对记忆损害有一定程度的改善;对左侧优势半球尤其是颞叶的神经细胞功能的复杂度有提高。
Abstract:
ObjectiveTo explore Shugan Xiehuo Yangxue Anshen of the clinical effect of treatment of insomnia. Methods30 cases of patients with insomnia clinic, a law Shugan Xiehuo Yangxue Anshen treatment, a course of treatment, the selection of the Pittsburgh Sleep Quality Index (PSQI), Hamilton Anxiety Scale (HAMA), the Hamilton Depression Rating Scale (HAMD ), the memory of Investigation, the Wisconsin Card Sorting (WCST) and the Chinese hepatitis Scale respectively, a comprehensive evaluation of its efficacy. ResultsThe effective rate of Shugan Xiehuo Yangxue Anshen treatment of Ganyu huahuoxing insomnia 9333%; this method before and after the intervention, the Pittsburgh sleep quality index, Hamilton Anxiety Scale, Hamilton Depression Scale scores decreased; memory quotient was lower than normal in patients with insomnia, memory quotient association characteristics of learning and memory in three aspects are improved; and the Wisconsin Card Sorting no significant differences in scores of TCM symptoms decreased; in the total score, irritability, chest and hypochondrium pain and other symptoms scores; nonlinear EEG analysis found in memory tasks in left frontal lobe, the left central, left occipital lobe, left Zhongnie and left posterior temporal before and after the 5 lead intervention had significant difference. ConclusionShugan Xiehuo Yangxue Anshen treatment of Ganyu huahuoxing insomnia effectively; the law of the main symptoms of sleep quality, mood status and TCM liver depression of the fire was improved obviously; there is a certain degree of improvement of memory impairment; on the left dominant hemisphere especially nerve cell function temporal complexity increase.

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金（81072717）
作者单位：100078 北京中医药大学东方医院脑病二科［邢佳、王嘉麟、王椿野(博士研究生)、郭蓉娟］
作者简介：邢佳（1983- ），女，硕士，主治医师。研究方向：中医脑病。Email：dfyyxingjia@163.com
通讯作者：郭蓉娟（1964- ），女，主任医师，教授，博士生导师。研究方向：中医脑病。Email：dfyygrj@yahoo.com.cn
更新日期/Last Update: 1900-01-01