疏肝解郁胶囊对精神分裂症合并长期失眠患者的睡眠指数和精神状态的影响分析

Impact analysis of Shuganjieyu Capsules in treatment of patients with schizophrenia with chronic insomnia of index sleep and mental state

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(6)
作者
作者单位

广西壮族自治区脑科医院精神科 ;

摘要
摘要:目的:探讨疏肝解郁胶囊对精神分裂症合并长期失眠患者的睡眠指数和精神状态的影响分析。方法:回顾性分析2014年4月-2016年5月本院收治精神分裂症合并长期失眠患者100例,按照给药方式不同,将其分为疏肝解郁组和常规组,各50例。常规组患者给予物阿立派唑(15mg/次,1次/d)和阿普唑仑片(0.8mg/次,1次/d)治疗,疏肝解郁组患者在给予阿立派唑(15mg/次,1次/d)和疏肝解郁胶囊(1次/d,2粒/次 ,1个疗程为6周),采用匹斯堡睡眠质量指数(Pittsbuigh sleep quality index,PSQI)对患者睡眠质量进行评估,采用简明精神病量表(BPRS)对患者精神状态进行评估,对比分析两组患者临床疗效、治疗前后PSQI评分、治疗前后PSQI评分和不良反应发生情况。结果:疏肝解郁组患者总有效率高于常规组,差异有统计学意义(P<0.05);两组患者治疗后PSQI每项评分及总分较治疗前均降低,疏肝解郁组患者降低程度明显高于常规组,差异均有统计学意义(P<0.05);疏肝解郁组患者治疗后BPRS评分低于治疗前,差异有统计学意义(P<0.05),疏肝解郁组治疗后BPRS每项评分及总分明显低于常规组,差异有统计学意义(P<0.05);疏肝解郁组患者治疗不良反应发生率与常规组无明显差异(P>0.05)。结论:疏肝解郁胶囊能有效改善精神分裂症合并长期失眠患者临床疗效,提高睡眠质量,改善精神状态,以及安全性高,值得临床进一步推广应用。
Abstract
Abstract: Objective: To observe the impact analysis of Shuganjieyu Capsules in treatment of patients with schizophrenia with chronic insomnia of index sleep and mental state. Methods: 100 patients with schizophrenia with chronic insomnia were retrospectively analyzed from April 2014 - May2016 from in hospital, according to the dosing methods ,all patients were divided into experimental group (n=50) and control group(n=50). The control group was given O set sent azole(15mg/time,1time/d)and alprazolam tablets(0.8mg/time,1time/d). Experimental group was given O set sent azole(15mg/time,1time/d)and was gived Shuganjieyu capsules(2 grain /time,1time/d),two groups of treatment of 6 weeks.The Pittsburgh sleep quality index (Pittsbuigh sleep quality index, PSQI) to evaluate patients sleep quality.The brief psychiatric scale (BPRS) to evaluate patients mental state.Compared two groups of patients clinical curative effect, PSQI scores before and after the treatment, PSQI scores before and after the treatment, and adverse reactions occur.Results: Total effective rate of of experimental group was higher than the control group after treatment with statistical significance.PSQI per item score and total score of experimental group were lower than the control group after treatment with statistical significance.BPRS per item score and total score of experimental group were lower than the control group after treatment with statistical significance.During treatment , two groups of adverse reactions were no statistical significance. Conclusion: Shuganjieyu capsules can effectively improve clinical curative effect in patients with schizophrenia with long-term insomnia that improve sleep quality, improve the mental state, and high safety, which is worth further clinical application.
关键词
关键词:疏肝解郁胶囊;精神分裂症;长期失眠;睡眠指数;睡眠指数
KeyWord
Keywords: Shuganjieyu Capsules;schizophrenia ; chronic insomnia;Sleep index;mental state
基金项目
页码 1038-1040
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陈嘉*,黄海燕,周伟东,刘秋杰. 疏肝解郁胶囊对精神分裂症合并长期失眠患者的睡眠指数和精神状态的影响分析 [J]. 国际精神病学杂志. 2017; 44; (6). 1038 - 1040.

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