| BackgroudInsomnia is a common clinical neurological disease,secondary in neurology out-patient in newly diagnosed patients accounted for,it`s also accompanied by many symptoms of a disease.Insomnia often show difficult to fall asleep,festless sleep,festless sleep at midnight,early morning awakening,and nightmare,with the next morning drowsiness,inattention and so on.Damage in patients with insomnia frequently attack the next day's mental and emotional state,amd the ability to work,which distressed patients most.Chinese medicine in the treatment of insomnia have a good effect,but before and after treatment of insomnia in the psychological state of less than observed.ObjectiveObservation of the Sini Decoction Plus Sini Powder Plus Cassia Twig and Dragon Bone Combination in the treatment of insomnia with Yang Deficiency in the course of the changes in psychological state and the factor of sleep quality.MethodsThis study is an observational study of cases wihout control group.We collected the 40 samples that meet the inclusion criteria since November 2008 to April 2009,in professor Yang Zhimin`s outpatient clinic,where located in Guangdong Provincial TCM Hospital.And carried out a survey before and after treatment.In Pittsburg Sleep Quality Index(PSQI),Overall sleep quality has been improved significantly(P＜0.01),but overall score 11.03±2.42 failed to meet the normal level.Sleep latency,habitual sleep efficiency,sleep disturbance and daytime dysfunction scores have significantly improved scores(P＜0.01). It Can be seen that there is some improvement in hypnagogic state and festless sleep in this patients,and mainly after the treatment of mild,In Self-rating Depression Scale(SDS),Compared with the normal level,the patients appeared the degree from mild to moderate mainly,in pre-treatment. Before and after treatment difference was significant(P＜0.01).In Self-rating Anxiety Scale(SAS),Compared with the normal level,the patients appeared the degree from mild to moderate mainly,in pre-treatment Before and after treatment difference was significant(P＜0.01).The extent of the two emotional state after treatment were mainly mildIn the Symptom Checklist90(SCL-90),compared with normal sub-factor, factor score which including forced,anxiety,hostility,other that appeared higher,which indicating their body as a subjective feeling of discomfort Lord and with obvious anxiety depression,obsessive-compulsive symptoms at the same time in this observation with patients with insomnia.It suggesting that their symptoms of patients with high degrees of concern,and obvious discomfort.After treatment,the total score,the total mean score,The total number of positive items and the Average score has decreased significantly (P＜0.05),the depression factor score has improved significantly(P＜0.01), in the "other" there are obvious improvement(P＜0.05).The remaining factor scores also decreased but no statistical significance.However,compulsion, somatization,hostility and other factors is still higher than normal.In the pre-medication,in patients with major symptoms are:fatigue,chills, tired,afraid of the wind,dizziness,dry mouth,heart palpitations.After treatment,symptoms weak,tired,chills,fear of wind,tastelessness,dry mouth improvement is the most obvious symptoms.At the same time,night sweats, pain,palpitation and heart palpitations and other symptoms also improved.ConclusionAn increase in sleep quality can be observed After the he Sini Decoction Plus Sini Powder Plus Cassia Twig and Dragon Bone Combination served in patients with insomnia with Yang Deficiency,Among them,a more continuous sleep significantly improved,The state of depression and anxiety eased,meanwhile,Somatic symptoms that belone to Yang Deficiency at the same time improve the Yang.We consider that the combination can warm and repair the entrails,and peace the spirit,so the the physical symptoms and psychological status could be alleviated.But we failed to found out that was the alleviation of Somatic symptoms that make the restoration of function during the day,or the a direct drug effects which make the sleep better at night.However,through the SCL-90 can be seen,both before and after the treatment,patients have a higher body condition of concern,perhaps it`s the way that the patients of thinking in the face of such social groups arising from stress coping style,so insomnia Doctors still need treatment for patients with cognitive rehabilitation,in order to better the situation to ease sleep...
|
PDF Full Text Request