邓宇宏 赵心怡 梁云龙

【摘要】目的：探討失眠障碍数据分析及失眠的中医诊治效果。方法：选择2019年1月至2020年6月期间失眠障碍患者92例作为对象，设为观察组；选择同期健康体检者61例，设为对照组。两组均完成完善有关检查，调查其基本信息，并对失眠障碍的相关危险因素进行分析。观察组患者随机数字表法分为A组（n=46例）和B组（n=46例）。A组采用中药汤剂+耳穴压豆治疗，B组采用中成药（百乐眠胶囊）+耳穴压豆治疗，患者治疗后于1、3个月进行随访，比较两组治疗效果。结果：单因素及多因素Logistic分析结果表明：失眠症发生率与年龄、文化程度、性格类型、基础疾病具有统计意义（P<0.05）；A组治疗后1个月、3个月HAMD、PSQI、HAMA、AIS、ISI评分均低于B组（P<0.05）。结论：失眠障碍患者发生率受到的影响因素较多，且不同因素能相互作用、相互影响，给予患者中药汤剂+耳穴压豆治疗有助于提高其睡眠质量，降低焦虑、抑郁情绪，值得推广应用。

【关键词】失眠障碍；数据分析；影响因素；中医诊治；睡眠质量；百乐眠胶囊；耳穴压豆

[中图分类号]R [文献标识码]A [文章编号]2096-5249（2021）11-0210-02

Data Analysis of Insomnia and Research on Diagnosis and Treatment of Insomnia

DENG Yu-hong， ZHAO Xin-yi， Liang Yun-long （Dongguan Houjie Town Community Health Service Center Chinese Medicine Department， Dongguan Guangdong 523960， China）

[Abstract] Objective： To explore the data analysis of insomnia and the effect of TCM diagnosis and treatment of insomnia. Methods： From January 2019 to June 2020， 92 patients with insomnia disorder were selected as the observation group； 61 patients with healthy physical examination during the same period were selected as the control group. Both groups completed related inspections， investigated their basic information， and analyzed related risk factors for insomnia. Patients in the observation group were divided into group A （n=46 cases） and group B （n=46 cases） by random number table. Group A was treated with Chinese medicine decoction + ear-point pressing beans， and group B was treated with Chinese patent medicine （Bailemian Capsule） + ear-point pressing beans. Patients were followed up at 1 and 3 months after treatment to compare the treatment effects of the two groups. Results： The results of single factor and multivariate logistic analysis showed that the incidence of insomnia was statistically significant with age， education level， personality type， and underlying diseases （P<0.05）； group A HAMD and PSQI at 1 month and 3 months after treatment The scores of， HAMA， AIS and ISI were lower than those of group B （P<0.05）. Conclusion： The incidence of insomnia patients is affected by many factors， and different factors can interact and influence each other. The treatment of traditional Chinese medicine decoction + ear acupoint pressing beans can improve their sleep quality and reduce anxiety and depression. It is worthy of promotion application.

[Key words] Insomnia； Data analysis； Influencing factors； Diagnosis and treatment of traditional Chinese medicine； Sleep quality； Bailemian capsules

失眠障碍是临床上发生率较高的睡眠障碍疾病，被认为是一种独立性疾病，且常与躯体疾病和其他疾病共病。根据失眠障碍最新定义，即使当躯体疾病与其他精神疾病得到缓解后，失眠症状仍独立存在[1]。国内学者研究表明[2]：生活应激事件、失业、精神障碍等因素均会增加失眠障碍发生率。同时，持续的失眠障碍将会增加高血压、糖尿病及抑郁症发生率，是诸多慢性内科疾病的独立危险因素。……