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目的:观察中医药治疗抑郁性失眠症的疗效。方法:将确诊为抑郁性失眠的54名女性患者随机分为治疗组和对照组,两组均服用刺五加和谷维素,治疗组同时加服四物汤合归脾汤加减。结果:治疗2周时,治疗组的有效例数为20例(70·47%),对照组的有效例数为7例(25·93%)治疗组的有效率高于对照组(χ2=19·2,P<0·01);8周后,治疗组和对照组的有效例数分别22例(81·48%)和11例(40·74%),其差异有统计学意义(χ2=9·429,P<0·05)。结论:四物汤合归脾汤治疗抑郁性失眠(心脾两虚,肝肾不足之证)效果好,起效快,治愈率高,不良反应少。
Objective: To observe the efficacy of traditional Chinese medicine in the treatment of depressive insomnia. Methods: Fifty-four female patients diagnosed as depressive insomnia were randomly divided into treatment group and control group. Both groups were given acanthopanax and oryzanol, while the treatment group plus Siwutang with Guipi Decoction. Results: The effective rate of the treatment group was 20 cases (70.47%) at 2 weeks and that of the control group was 7 cases (25.93%). The effective rate of the treatment group was higher than that of the control group (χ2 = 19.2, P <0.01). After 8 weeks, the effective number of treatment group and control group were 22 cases (81.48%) and 11 cases (40.74%) respectively, the difference was statistically significant ( χ2 = 9 · 429, P <0 · 05). Conclusion: Si Wu Tang Gui Gui Tang decoction for the treatment of depression (heart and spleen deficiency, syndrome of liver and kidney deficiency) effect is good, rapid onset, high cure rate, fewer adverse reactions.