[目的]分别使用脑康II号和安定对脑动脉硬化失眠患者进行治疗,研究两者在改善患者睡眠质量方面的差异。[方法]将136例脑动脉硬化失眠症患者随机分为两组,治疗组给予脑康II号,对照组给予安定2.5 mg,共治疗6周。采用《匹兹堡睡眠质量指数量表》(PSQI)评定睡眠质量;《治疗副反应量表》(TESS)评定药物干预后出现的不良反应。[结果]安定组患者睡眠质量,入睡时间及PSQI总分均有显著改善。脑康II号组患者睡眠质量,入睡时间,睡眠效率,安眠药物,日间功能及总分均较治疗前有极显著改善。与安定组比较,脑康II号组患者睡眠质量,睡眠效率,安眠药物,日间功能及总分均有显著改善。治疗副反应方面,脑康II号组在行为毒性、植物神经系统、其他及总分方面显著优于安定组。[结论]中医药治疗重视脑动脉硬化患者具有肾气虚衰的特点,从根本上调整人体阴阳的盛衰,在改善脑动脉硬化失眠患者的睡眠质量方面具有更好的疗效。
[Objective]To research the difference in approving sleeping quality by diazepam and Naokang No.Ⅱ in patients with cerebral arteriosclerosis insomnia.[Methods]One hundred and six patients with cerebral arteriosclerosis were divided into two groups.One group was treated with diazepam,and the other with Naokang Ⅱ.Patients in both groups were treated for six weeks.The sleeping qualities were estimated by Pittsburgh Sleep Quality Index(PSQI);the side effects were estimated by treatment emergent symptoms scale(TESS).[Results]Diazepam could significantly improve patients'sleeping quality,time of falling asleep and total score.Naokang No.Ⅱ could significantly improve patients' sleeping quality,time of falling asleep,sleeping effectiveness,sleeping pill,day function and total score.Compared with diazepam,Naokang No.Ⅱ could significantly improve patients' sleeping quality,sleeping effectiveness,sleeping pill,day function and total score with fewer side effects.[Conclusion]Chinese medicine has paid much attention to that the patients with cerebral arteriosclerosis has a special physiological character of failure of kidney Qi.The thoroughly regulation of excess or deficiency of Yin and Yang of human body has better effect on improving the sleep quality in patients with cerebral arteriosclerosis insomnia.