中医治疗职业精神焦虑引起失眠的临床研究

目的:探讨中医辨证治疗方法在治疗职业精神焦虑引起的失眠方面的临床疗效。方法:随机将136例由于职业精神焦虑引起的失眠患者分成治疗组和对照组各68例,对照组采用常规西医方法治疗失眠,治疗组在对照组治疗的基础上采用中医辨证治疗措施。比较两组患者治疗前和治疗2周、4周后匹兹堡睡眠质量指数积分(PSQI)测定睡眠质量、综合医院焦虑抑郁量表(HAD)测定焦虑抑郁情绪的变化情况。结果:治疗前治疗组和对照组的PSQI评分分别为15.12±1.32、15.12±1.32,差异不具有统计学意义(P>0.05);治疗第2周、第4周两组分别与治疗前行组内比较,PSQI评分均显著降低且差异具有统计学意义(P<0.05),且在治疗第2周、第4周两组PSQI评分治疗组明显优于对照组差异具有统计学意义(P<0.05);治疗4周后,治疗组在入睡时间、睡眠质量、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍6项PSQI因子积分上改善情况均显著优于对照组且差异具有统计学意义(P<0.05);治疗前治疗组和对照组的HAD评分差异不具有统计学意义(P>0.05);治疗第2周、第4周两组分别与治疗前行组内比较,HAD评分均显著降低且差异具有统计学意义(P<0.05),且在治疗第2周、第4周两组HAD评分治疗组明显优于对照组差异具有统计学意义(P<0.05)。结论:中医辨证治疗方法在治疗职业精神焦虑引起的失眠方面具有比单用西医治疗手段更好的改善睡眠的效果,同时可以显著减轻患者的焦虑抑郁症状。

Insomnia Due to Occupation Anxiety Treated by TCM

Objective: To investigate the clinical effect of TCM treatment for insomnia caused by occupation anxiety. Methods:136 cases of insomnia caused by occupation mental anxiety patients were randomly divided into two groups with 68 cases in each group. The control group used conventional western medicine treatment of insomnia and the treatment group was treated by TCM measures based on the control group treatment. We compared two groups before treatment and 2 weeks,4 weeks after treatment.The Pittsburgh sleep quality index( PSQI) determination of comprehensive hospital sleep quality,anxiety and Depression Scale( HAD) were measured. Results: Before treatment,the treatment group and the control group's PSQI scores were 15. 12 ± 1. 32,15. 12 ± 1. 32 and the difference was not statistically significant( P > 0. 05). Treatment for 2 weeks,PSQI scores were significantly decreased and the difference was statistically significant( P < 0. 05),and the score of treatment group was significantly better than that of the control group and there were significant differences in the treatment of 2 and 4 weeks of PSQI( P < 0. 05). After4 weeks treatment,the treatment group in the sleep time,sleep quality,sleep time,sleep efficiency,sleep disorders,daytime dysfunction,6-factor PSQI integral improvement was significantly better than control group and the difference was statistically significant( P < 0. 05). Before treatment,HAD score between the treatment group and the control group was not statistically significant( P > 0. 05). Treatment for 2 weeks,HAD scores were significantly decreased and the difference was statistically significant( P <0. 05),and the score of treatment group was superior to that of the control group and the difference was statistically significant in2 and 4 weeks of HAD( P < 0. 05). Conclusion: Compared with the single western medicine treatment for insomnia caused by occupation anxiety,TCM syndrome differentiation and treatment method at the same time can significantly reduce the symptoms of anxiety and depression of patients.