[1]石翎雁,石彦霞.黄连阿胶汤加味治疗阴虚火旺型妊娠期失眠51例临床观察[J].甘肃中医药大学学报,2017,34(05):31-34.[doi:10.16841/j.issn1003-8450.2017.05.10]
 SHI Lingyan,SHI Yanxia.Clinical observation on 51 cases insomnious pregnant with syndrome of hyperactivity of fire due to yin deficiency treated by modified Huanglian Ejiao Tang[J].Journal of Gansu University of Chinese Medicine,2017,34(05):31-34.[doi:10.16841/j.issn1003-8450.2017.05.10]
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黄连阿胶汤加味治疗阴虚火旺型妊娠期失眠51例临床观察()
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
34卷
期数:
2017年05期
页码:
31-34
栏目:
临床研究与报道
出版日期:
2017-10-25

文章信息/Info

Title:
Clinical observation on 51 cases insomnious pregnant with syndrome of hyperactivity of fire due to yin deficiency treated by modified Huanglian Ejiao Tang
作者:
石翎雁 石彦霞
民勤县妇幼保健计划生育服务中心妇产科, 甘肃 民勤 733399
Author(s):
SHI Lingyan SHI Yanxia
Gnecology and Obstetrics Department, Minqin Maternity and Family Planning Service Center, Minqin, Gansu, 733399, China
关键词:
失眠妊娠期阴虚火旺型黄连阿胶汤临床观察
Keywords:
insomniagestationsyndrome of hyperactivity of fire due to yin deficiencyHuanglian Ejiao Tangclinical observation
分类号:
R271.43
DOI:
10.16841/j.issn1003-8450.2017.05.10
摘要:
目的 观察黄连阿胶汤加味治疗阴虚火旺型妊娠期失眠的临床疗效。方法 将101例妊娠期阴虚火旺型失眠患者随机分为2组,对照组50例给予心理干预,治疗组51例在对照组治疗方法的基础上给予黄连阿胶汤加味治疗。7 d为1个疗程,1个疗程后统计2组的临床疗效及不良反应发生情况,并于治疗前及治疗后第8,30天评定匹兹堡睡眠质量指数(PSQI)总分。结果 治疗组总有效率为90.20%,对照组为64.00%,2组比较差异有统计学意义(P<0.01)。与同组治疗前比较,对照组治疗后第8天睡眠质量、日间功能障碍评分及PSQI总分均显著下降,差异有统计学意义(P<0.05或P<0.01);治疗组治疗后第8,30天入睡时间、睡眠质量、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍评分及PSQI总分均显著下降,差异有统计学意义(P<0.05或P<0.01),且治疗组各项评分较同期对照组下降更加明显(P<0.05或P<0.01)。2组治疗过程中均无不良反应、流产、早产病例发生,随访生命体征、血常规、尿常规、生化全项及胎心、胎动、胎儿生长发育均未见异常。结论 黄连阿胶汤加味治疗阴虚火旺型妊娠期失眠疗效显著,可提高PSQI各项评分,且无不良反应,值得临床推广。
Abstract:
Objective To observe the efficiency of modified Huanglian Ejiao Tang in treating insomnious pregnant patients with syndrome of hyperactivity of fire due to yin deficiency. Methods 101 insomnious patients in gestation period were randomized into control group (50 cases) and treatment group (51 cases). The control group was given psychological intervention; based on that,the treatment group was given modified Huanglian Ejiao Tang additionally,7 days as one course. Clinical efficiency and adverse effect were inspected and the total score of PSQR of two groups were assessed before and on 8th,30th day after treatment. Results The total effective rate of treatment was 90.20%,while that of control group was 64.00%. The difference was significant (P<0.01). On 8th day after treatment,sleep quality,score of daytime dysfunction and the total score of PSQI of control group decreased obviously,there was a significant difference (P<0.05 or P<0.01); on 8th,30th day,sleep latency,sleep quality,sleep time,sleep efficiency,sleep disorder,score of daytime dysfunction and the total score of PSQI decreased clearly,the differences were significant (P<0.05 or P<0.01),while all scores of treatment group decreased more than that of control group compared to the same time (P<0.05 or P<0.01). There was no any adverse effect,abortion,premature birth in two groups during the course of treatment. Follow-up vital signs,blood and urine routine,bio-chemical indexes,fetal heart,fetal movement,fetal growth were all in normal condition. Conclusion Modified Huanglian Ejiao Tang is effective in treating insomnious pregnant women with improvement of all indexes as well as without any adverse reaction. It is worth popularizing and applying in clinic.

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备注/Memo

备注/Memo:
收稿日期:2016-08-07。
作者简介:石翎雁(1969-),女,副主任医师,医学学士。研究方向:中西医结合妇产科临床及保健。
通信作者:石彦霞(1976-),女,主治医师,医学学士,主要从事孕产期保健工作。E-mail:mqxfybjy@163.com
更新日期/Last Update: 1900-01-01