| Objective:Our purpose is to investigate the comparison of Huanglian Ejiao decoction combined with meridian oxygen therapy and simple Huanglian Ejiao Decoction for treating yin deficiency and fire Wang type insomnia clinical effect and syndrome syndrome improvement, analysis of the different characteristics of the two methods and of Huanglian Ejiao Decoction with meridian oxygen therapy Yin law treatment of hyperactivity of fire due to deficiency type insomnia for preliminary discussion and research, provide a new therapy and new ideas for the clinical treatment of insomnia.Methods:Selecting more than 60 patients in July 2015-2016 year in January in Shanxi Province Chinese medicine hospital outpatient department of encephalopathy of yinxuhuowang type insomnia as the research object. In accordance with the standard of patients according to the order of visits has numbered, according to randomly divided into huanglianejiao Decoction with meridian oxygen therapy group(experimental group) and Huanglian Ejiao Decoction group(control group). Two groups of qualified cases of all 30 cases(except off), the course of treatment was 30 days. Before and after treatment were observed in two groups of patients with Pittsburgh Sleep Quality Scale(PSQI) and insomnia in TCM symptom scale product changes. The comparison of the experimental design adopt self control and groups, all data were analyzed by statistical software SPSS17.0.Results:After 30 days of treatment results are as follows: 1. According to the evaluation criteria of clinical curative effect: in the control group, 6 cases were cured, 6 cases markedly effective, effective in 12 cases, invalid in 6 cases, the cure rate was 20%. The total effective rate was 80.0%. The experimental group, 15 cases were cured, markedly effective in 7 cases, effective in 6 cases, invalid in 2 cases, the cure rate was 50%, the total effective rate is 93.33%. Before and after treatment clinical curative effect between group compared two groups of clinical cure rate and total effective rate were different and the experimental group was significantly better than the control group. The Pittsburgh sleep quality index score changes: the difference between before and after treatment in two groups of patients with PSQI score and each component accord with the normal distribution, using the paired t test. After the test, both the test group and the control group before and after the total score of PSQI and P components namely less than 0.05, the difference was statistically significant, which indicated that two groups can effectively improve insomnia. Compared with the two groups before and after treatment, the total score of PSQI and the integral of the completely randomized design for two samples t test. After the test, namely less than 0.01, P=0.001 has very significant difference, which E components, G components are P namely less than 0.05, there is a significant difference, A component. B, C, D of P were significantly namely less than 0.01, statistically significant difference in the experimental group showed improvement in sleep quality, sleep time, sleep time, sleep efficiency, the effect was better than the control group. Never sleep syndrome scale comparison: the difference between before and after treatment in two groups of patients with insomnia score and symptom scores were consistent with normal distribution, using the paired t test. After the test, two groups of insomnia scores and the symptom scores P were less than 0.05, there are significant differences, indicating that two groups of good Yin Huo Wang insomnia change obviously. Two groups of insomnia syndrome scale difference after treatment with normal distribution, using a completely randomized design for two samples t test. After the test, two groups of insomnia syndrome scale score t=5.792. P=0.001, namely less than 0.01, with significant difference. The difference between the two groups of symptoms after t test, tinnitus, dry mouth and throat, sweating, hot feeling, Yaoxisuanruan, irregular menstruation or spermatorrhea symptom scores P were above 0.05, no significant difference, indicating the test group and the control group in improving tinnitus, dry mouth and throat, sweating, hot feeling, Yaoxisuanruan irregular menstruation, nocturnal emission or a considerable effect. Upset, dizziness, easy to wake up, palpitations, fatigue, memory loss, dream and other aspects of the symptom score had significant statistical difference namely P less than 0.05, the experimental group in improving patients upset, dizziness, easy to wake up, palpitations, fatigue, memory loss, dream effect is better than the control group. The dizziness, easy to wake up, memory loss,fatigue, decline dream, namely the above symptom scores P were less than0.01, there were significant statistical differences between the experimental group in improving patients with dizziness, easy to wake up, memory loss, fatigue, the effect of dreaming was better than the control group.Conclusion:The clinical efficacy of the experimental group was significantly better than the control group, the clinical symptoms of insomnia patients with Yin deficiency and fire hyperactivity could be improved more comprehensively, so that insomnia patients could get a better quality of sleep, and it is worth clinical promotion. |
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