安眠贴治疗肝郁脾虚型慢性失眠的临床价值研究

目的：探讨安眠贴治疗肝郁脾虚型慢性失眠的临床疗效。方法将我院2015年6月至2016年1月收治的80例肝郁脾虚型慢性失眠患者按照数字表法随机分为治疗组和对照组，每组40例，分别辅以安眠贴治疗和常规药物治疗，比较2组临床治疗效果。结果治疗组患者治疗后PSQI评分、睡眠率和生活质量评分分别为（8．1±2．6）分、（79．2±10．2）％、（62．5±5．2）分，对照组患者治疗后PSQI评分、睡眠率和生活质量评分分别为（9．7±2．4）分、（67．5±10．3）％、（51．2±4．7）分，2组比较差异均有统计学意义（P＜0．05）。治疗组治愈率（60．0％）和治疗总有效率（90．0％）均高于对照组（30．0％、77．5％），复发率（10．0％）低于对照组（22．5％），2组比较差异均有统计学意义（P＜0．05）。结论在常规药物治疗基础上辅以安眠贴治疗肝郁脾虚型慢性失眠，可进一步提高临床疗效，降低复发率，更好地改善患者睡眠质量和生活质量。

Clinical study on the treatment of chronic insomnia induced by liver stagnation and spleen deficiency with Anmian plaster

Objective To explore the clinical effects of Anmian plaster on chronic insomnia induced by liver stagnation and spleen deficiency.Methods Eighty cases of chronic insomnia induced by liver stagnation and spleen deficiency that were treated in our hospital from June, 2015 to January, 2016 were randomly divided into the treatment group and the control group, each consisting of 40 cases.The patients of the treatment group were treated with Anmian plaster in addition to routine drug treatment, while the patients of the control group were just given routine drug treatment.Then, therapeutic effects were compared between the 2 groups.Results Fol-lowing treatment, PSQI scores, sleep rate and life quality scores of the treatment group were respectively (8.1 ±2.6), (79.2 ± 10.2)%and (62.5 ±5.2), while those of the control group were respectively (9.7 ±2.4), (67.5 ±10.3)% and (51.2 ±4.7). Statistical significance could be seen, when comparisons were made between them(P<0.05).The cure rate(60.0%) and total effec-tive rate (90.0%) of the treatment group were all higher than those(30.0%、77.5%) of the control group, and the recurrent rate (10.0%)of the treatment group was lower than that(22.5%)of the control group.Statistical significance could also be noted, when comparisons were made between them(P<0.05).Conclusion Routine drug therapy supplemented with Anmian plaster in the treat-ment of chronic insomnia induced by liver stagnation and spleen deficiency could increase clinical efficacy, decrease rate of recurrence and further improve the sleep quality and life quality of the patients.