| Objective:To observe the curative effect of the treatment of phlegm-heat rejection in patients with insomnia.Methods:The People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine inpatient and outpatient divided into groups by using random number table simple randomization.60 patients were divided into treatment group(rTMS+Wendan Decoction group)and control group(Wendan Decoction group)by half.The control group adopted Wendan Decoction treatment,1 pair per day,five days a week,and for a course of 4 weeks.Treatment group increased rTMS treatment on the basis of the control group:1Hz stimulation of the right dorsal lateral prefrontal cortex,five days a week,and for a course of 4 weeks.Before and after treatment,PSQI and TCM syndrome scores were recorded for efficacy evaluation.Results:1.PSQI total score in the 2 groups after treatment was significantly lower than that before treatment;and comparison before and after treatment in each group showed statistical significance(P<0.05).After treatment,PSQI total score in the experimental group was lower as compared with the control group,showing statistical significance(P<0.05).As for efficacy evaluated by PSQI score,4 patients were cured,22 cases were effective and 4 presented ineffectiveness in the experimental group(total effective rate,86.67%);1 was cured,20 cases were effective and 9 presented ineffectiveness in the control group(total effective rate,70.00%).After treatment,the change in PSQI score between the 2 groups presented statistical significance(P<0.05).2.Score of each factor in PSQI in the 2 groups after treatment was obviously lower than that before treatment;and comparison before and after treatment in each group presented statistical significance(P<0.05).After treatment,each score in the experimental group was lower as compared with the control group;comparison in sleep quality,sleep time,sleep efficiency,sleep disorder,hypnotic drugs,and daytime dysfunction between the 2 groups showed statistical significance(P<0.05),while comparison in sleep duration presented no statistical significance(P>0.05).3.After treatment,sleep time advanced,awakening times decreased and total sleep duration increased in the 2 groups as compared with those before treatment;comparison before and after treatment in each group presented statistical significance(P<0.05).Statistical significance was found in sleep time and awakening times between the 2 groups(P<0.05).Total sleep duration showed no statistical significance between the 2 groups(P>0.05).4.After treatment,score of traditional Chinese medicine(TCM)symptoms in the 2 groups was evidently lower than that before treatment;comparison before and after treatment in each group showed statistical significance(P<0.05).After treatment,the score was lower in the experimental group than the control group,with statistical significance(P<0.05).As for efficacy evaluated by score of TCM symptoms,5 patients were cured,21 cases were effective and 4 presented ineffectiveness in the experimental group(total effective rate,86.67%);2 was cured,20 cases were effective and 8 presented ineffectiveness in the control group(total effective rate,76.66%).After treatment,the change in score of TCM symptoms between the 2 groups presented statistical significance(P<0.05).3.Conclusion:1.The Repetitive transcranial magnetic stimulation can treat phlegm heat in one type of insomnia,improve the symptoms of wakefulness.The effect is definite.2.In the improvement of phlegm-and heat-induced insomnia,repetitive transcranial magnetic stimulation has a significant effect in improving patients' subjective sleep quality,sleep efficiency,sleep time,awakening times. |
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