首页|乌灵胶囊对心血亏虚、肾精不足型失眠症血清SP、NPY水平及睡眠质量的影响

乌灵胶囊对心血亏虚、肾精不足型失眠症血清SP、NPY水平及睡眠质量的影响

Effects of Wuling Capsule(乌灵胶囊)on Serum Levels of SP and NPY and Sleep Quality in Insomnia of Heart Blood Deficiency and Kidney Essence Deficiency Type

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目的 探讨乌灵胶囊对心血亏虚、肾精不足型失眠症血清SP、NPY水平及睡眠质量的影响.方法 选取医院收治的心血亏虚、肾精不足型失眠症患者80例,将纳入患者随机分为两组,每组各40例.对照组使用常规西药治疗,观察组在对照组基础上联合乌灵胶囊治疗,疗程为4周,对比两组患者临床治疗效果、血清P物质(substance P,SP)、神经肽类物质神经肽Y(neuropeptide Y,NPY)水平及睡眠质量情况.结果 在治疗过程中,对照组表现出了明显低于观察组的临床治疗效果,对照组的有效率为70.00%,观察组总有效率92.50%,两组比较差异有统计学意义(P<0.05);治疗后,两组的SP水平显著降低(P<0.05),而观察组的SP水平则显著低于对照组(P<0.05).与此同时,两组的NPY水平显著增加(P<0.05),观察组的NPY水平也显著高于对照组(P<0.05);此外,治疗前后,两组的阿森斯失眠量表(Athens insomnia scale,AIS)、匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)以及汉密尔顿焦虑量表(Hamilton anxiety rating scale,HAM A)评分都呈现出显著降低的趋势(P<0.05),而观察组在这些评分指标上的表现也明显低于对照组(P<0.05);两组患者入睡艰难、易醒、多梦、疲乏、腰酸症状明显改善(P<0.05),观察组显著低于对照组(P<0.05).结论 乌灵胶囊对心血亏虚、肾精不足型失眠症患者具有良好的治疗效果,可提高患者睡眠质量,改善患者临床症状,安全性高,值得临床应用.
Objective To investigate the effects of Wuling Capsule(乌灵胶囊)on the serum levels of substance P(SP)and neuropeptide Y(NPY)and sleep quality in insomnia of the heart blood deficiency and kidney essence deficiency type.Methods Eighty patients with insomnia of the heart blood deficiency and kidney essence deficiency type admitted to the hospital were se-lected and randomly divided into two groups,with 40 cases in each group.The control group was treated with conventional western medicine,while the observation group was treated with Wuling Capsule on the basis of the control group for 4 weeks.The clinical treatment effects,serum levels of SP and NPY and sleep quality of the two groups were compared.Results During the treatment,the control group showed significantly lower clinical treatment effect than the observation group.The effective rate of the control group was 70.00%,which was significantly lower compared with that(92.50%)of the observation group(P<0.05).After the treatment,the SP levels of both groups were significantly lower(P<0.05),while the SP level of the observation group was signifi-cantly lower than that of the control group(P<0.05).In addition,the Athens Insomnia Scale(AIS),the Pittsburgh Sleep Quality Index(PSQI),the Hanover Sleep Quality Index(HQI)and Hamilton Anxiety Rating Scale(HAMA)scores showed a significant decrease in the two groups after treatment(P<0.05),and the performance of the observation group on these scores was signifi-cantly lower than that of the control group(P<0.05).The symptoms of difficulty in falling asleep,easy waking,dreaminess,fa-tigue and back pain were significantly improved in both groups(P<0.05).The symptoms of difficulty in sleeping,easy waking,dreaminess,fatigue and lumbago were significantly improved in both groups(P<0.05),and the symptom scores of the observation group were significantly lower than those of the control group(P<0.05).Conclusion Wuling Capsule has good therapeutic effects on patients with insomnia of heart blood deficiency and kidney essence deficiency type,and can improve patients'sleep quality and clinical symptoms with high safety.It is worthy of clinical application.

Wuling Capsule(乌灵胶囊)insomniadeficiency of heart blooddeficiency of kidney essencesleep quality

李东彩、刘继洪、陈诗慧、杨焱

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佛山市中医院治未病中心,广东佛山 528000

乌灵胶囊 失眠症 心血亏虚 肾精不足 睡眠质量

2025

辽宁中医杂志
辽宁中医药大学,辽宁省中医药学会

辽宁中医杂志

北大核心
影响因子:0.815
ISSN:1000-1719
年,卷(期):2025.52(1)