郑懿 曹利民

【摘 要】目的：探讨曹利民名中医治疗抑郁对睡眠质量的影响。方法：选择在本院诊治的抑郁患者88例，根据随机抽签1：1原则分为两组各44例。对照组给予西药氟西汀治疗，中医组又添加曹利民名中医组方治疗。结果：中医组的治疗总有效率为97.7%，高于对照组的86.4%（P<0.05）。两组治疗后的PSQI评分低于治疗前，中医组低于对照组（P<0.05）。结论：曹利民名中医治疗抑郁可改善患者的睡眠质量，提高治疗效果，有很好的应用价值。

【关键词】曹利民名中医；抑郁；睡眠质量

Effect of Cao Limins famous traditional Chinese medicine on sleep quality in the treatment of depression

Zheng Yi， Cao Limin

Yulin Hospital of traditional Chinese Medicine， Yulin Shaanxi 719000，China

【Abstract】Objective：To explore the effect of Cao Limins famous traditional Chinese medicine on sleep quality. Methods： 88 patients with depression treated in our hospital were randomly divided into two groups with 44 cases in each group. The control group was treated with western medicine fluoxetine， and the traditional Chinese medicine group was treated with Cao Limins traditional Chinese medicine formula. Results： The total effective rate of TCM group was 97.7%， higher than 86.4% of the control group（P<0.05）. The PSQI score of the two groups after treatment was lower than that before treatment， and that of the traditional Chinese medicine group was lower than that of the control group（P<0.05）. Conclusions： Cao Limins famous traditional Chinese medicine in the treatment of depression can improve the sleep quality of patients and improve the treatment effect， which has good application value.

【Key？Words】Cao Limin is a famous traditional Chinese medicine； Depression； sleep quality

抑郁是臨床上常见的精神疾病，也是广泛性发育障碍的一种，该病在临床上主要表现为兴趣减退、情绪低落等，能显著降低患者的生活质量，由其导致的伤残占精神疾病的1/3左右，且患者的自杀风险很高[1]。中医认为抑郁是一种典型的社会、生物、心理等多种因素作用而致的疾病，可引起人体多层次、多系统的病理反应，在治疗上需要疏肝解郁、活血行气。曹利民名中医治疗抑郁强调“辨证”、“整体”观察，既涵盖了对郁证的“共性”的治疗，又注重治疗的“个体”[2]。现代研究表明抑郁患者长期的情绪困扰和症状不适严重影响着患者的睡眠，且患者的抑郁情绪和睡眠质量交互影响[3]。本文探讨了曹利民名中医治疗抑郁对睡眠质量的影响。

1 资料与方法

1.1 一般资料

2019年2月至2021年2月选择在本院诊治的抑郁患者88例，纳入标准：年龄20岁～80岁；符合肝气郁结型抑郁的诊断标准；入院前4内未服用其它抗抑郁药物者；中医辨证属肝气郁结者；所有患者知情同意本研究。排除标准：哺乳期、妊娠期妇女；严重自杀倾向者；合并恶性肿瘤的患者；对中药过敏者；合并其他严重躯体疾病者。……