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Clinical efficacy study of traditional Chinese medicine courage training to treat insomnia patients based on gallbladder governs decision
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DOI   10.11656/j.issn.1672-1519.2022.05.07
Key Words   insomnia;traditional Chinese medicine courage training;gallbladder governs decision;qi deficiency of heart and gallbladder;clinical research
Author NameAffiliationE-mail
LI Guixia Department of Psychology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China  
YANG Yang Department of Psychology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China beautifullifeyy@163.com 
Abstract
    [Objective] To verify the clinical efficacy of traditional Chinese medicine courage training in treating insomnia disorder of heart and gallbladder qi deficiency type,and to provide reliable psychological treatment methods for the clinical treatment of insomnia disorder.[Methods] The 80 patients with insomnia due to deficiency of heart and gallbladder qi were randomly divided into psychological group and western medicine group,with 40 cases in each group. The psychological group was intervened by courage training of traditional Chinese medicine,while the Western medicine group was intervened by zopiclone. Comparing the difference of effective rate between the two groups after treatment and the changes of subjective and objective sleep data before and after treatment,Pittsburgh Sleep Quality Index (PSQI) was used for subjective insomnia symptom assessment,and polysomnography (PSG) was used for objective sleep assessment, and the observation time was 8 weeks.[Results] 1) The effective rate of courage training group was 88%,and that of zopiclone group was 43%,which was higher than that of zopiclone group (P<0.05). 2) Comparison within PSQI group:courage training group can increase sleep time,reduce sleep time,improve sleep quality,improve sleep efficiency,treat sleep disorder,improve daytime function and improve sleep as a whole (P<0.05);Comparison between PSQI groups:the improvement effect of sleep quality,sleep efficiency and daytime function in courage training group was better than that in zopiclone group(P<0.05).3) Comparison within PSG group:courage training group can increase the total sleep time,improve sleep efficiency,reduce awakening times and optimize sleep structure (P<0.05). Comparison between PSG groups:compared with zopiclone group,the courage training group had fewer awakening times,less shallow sleep ratio,and the REM sleep ratio was closer to that of normal people (P<0.05).[Conclusion] Courage training of traditional Chinese medicine is more effective than zopiclone in treating insomnia of heart and gallbladder qi deficiency type,and can improve subjective and objective insomnia data of patients,which is worthy of further research and popularization.

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