| 张蕾,张永华,胡霖霖,张金霞.张永华从气、痰、火论治轻、中度青少年失眠障碍的临床疗效观察[J].浙江中西医结合杂志,2023,33(1): |
| 张永华从气、痰、火论治轻、中度青少年失眠障碍的临床疗效观察 |
| Clinical observation on Zhang Yonghua TCM expert in the treatment of mild and moderate insomnia in adolescent from qi, phlegm and fire theory |
| 投稿时间：2022-06-12 修订日期：2022-08-13 |
| DOI： |
| 中文关键词: 失眠障碍 气痰火 青少年 张永华 |
| 英文关键词:insomnia disorder Qi-phlegm-fire adolescent Yonghua Zhang |
| 基金项目:浙江省中医药科技计划(项目编号:2020ZB176)；浙江省基础公益计划（项目编号:LGF20H270012） |
|
| 摘要点击次数: 665 |
| 全文下载次数: 11 |
| 中文摘要: |
| 目的：观察张永华名中医从气、痰、火论治轻、中青少年失眠障碍的临床疗效。方法：选取就诊于张永华名中医工作室门诊的青少年失眠障碍患者共120例，随机分为研究组和对照组各60例，研究组采用中医辨证施治联合失眠认知行为疗法（CBT-I），对照组仅采用CBT-I进行干预，在治疗前、治疗4周末、8周末分别进行匹兹堡睡眠质量指数（PSQI）以及中医症候积分测试，评估患者的睡眠改善情况。结果：两组患者经过4周、8周治疗后的PSQI得分和中医症候积分均显著降低（P＜0.01），研究组的PSQI得分显著低于对照组（P＜0.01）；治疗8周后，根据PSQI总减分率和中医症候积分减分率分别判定疗效，研究组的总有效率均显著高于对照组。结论：张永华名中医运用气、痰、火辨治理论可有效改善青少年失眠障碍，丰富了中医治疗失眠障碍的理论与方法，值得进一步的推广与应用。 |
| 英文摘要: |
| Objective: To observe the clinical efficacy of the famous TCM doctor Yonghua Zhang in treating mild to moderate insomnia disorder in adolescent based on the qi, phlegm and fire.
Methods: A total of 120 adolescent patients with insomnia who were treated in the outpatient department of TCM doctor Yonghua Zhang’s Studio were randomly divided into study group (n = 60) and control group (n = 60). The study group was treated with TCM syndrome differentiation combined with cognitive behavioral therapy for insomnia (CBT-I), while the control group was treated with CBT-I only. Pittsburgh Sleep Quality Index (PSQI) and TCM symptom score test were performed before treatment, 4 weeks and 8 weeks after treatment respectively, to evaluate the sleep improvement of patients.
Results: After 4 weeks and 8 weeks of treatment, the SCORES of PSQI and TCM syndrome in 2 groups were significantly decreased (P < 0.01), and the SCORES of PSQI in study group were significantly lower than those in control group (P < 0.01). After 8 weeks of treatment, the total effective rate of the study group was significantly higher than that of the control group.
Conclusion: TCM Yonghua Zhang using the theory of qi, phlegm and fire treatment can improve adolescent insomnia disorder effectively, enrich the theory and method of TCM treatment of insomnia disorder, worthy of further promotion and application. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
