LIU Dan, SUN Jianping, PANG Mengjiao, CHEN Wenyun. Effect of Yangxin Anshen Decoction on sleep in patients with schizophrenia complicating with sleep disturbance[J]. Journal of Clinical Medicine in Practice, 2021, 25(7): 67-70. DOI: 10.7619/jcmp.20201815
Citation: LIU Dan, SUN Jianping, PANG Mengjiao, CHEN Wenyun. Effect of Yangxin Anshen Decoction on sleep in patients with schizophrenia complicating with sleep disturbance[J]. Journal of Clinical Medicine in Practice, 2021, 25(7): 67-70. DOI: 10.7619/jcmp.20201815

Effect of Yangxin Anshen Decoction on sleep in patients with schizophrenia complicating with sleep disturbance

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  • Received Date: December 27, 2020
  • Available Online: April 20, 2021
  • Published Date: March 31, 2021
  •   Objective  To investigate the effect of Yangxin Anshen Decoction on sleep structure and sleep quality in patients with schizophrenia with sleep disturbance.
      Methods  Eighty-six patients with schizophrenia with sleep disorder were randomly divided into control group and observation group, with 43 cases in each group. The control group was treated with conventional western medicine, and the observation group was treated with Yangxin Anshen Decoction on the basis of the control group. Clinical efficacy, TCM syndrome score, sleep quality, sleep structure and incidence of adverse reactions were compared between the two groups.
      Results  The total effective rate of the observation group was 88.37%, which was significantly higher than 69.77% of the control group (P < 0.05). After treatment, the scores of primary syndrome, secondary syndrome and Pittsburgh Sleep Quality Index (PSQI) in the two groups were significantly lower than those before treatment, and were significantly lower in the observation group than the control group (P < 0.05); the time of stage 1 (S1) and stage 2 (S2) of non-rapid eye movement sleep in the two groups were significantly shorter than those before treatment, and were significantly shorter in the observation group than the control group (P < 0.05); the time of the third (S3) and fourth (S4) stages of non-rapid eye movement sleep as well as the time of rapid eye movement in the two groups were significantly longer than those in the control group, and were significantly longer in the observation group than the control group (P < 0.05). There was no statistical significance in the incidence of adverse reactions between the two groups (P>0.05).
      Conclusion  Yangxin Anshen Decoction combined with conventional western medicine can effectively improve the clinical efficacy of in patients with schizophrenia with sleep disturbance, improve their sleep structure and sleep quality, and has higher safety.
  • [1]
    CHUNG K F, POON Y P Y, NG T K, et al. Subjective-objective sleep discrepancy in schizophrenia[J]. Behav Sleep Med, 2020, 18(5):653-667. doi: 10.1080/15402002.2019.1656077
    [2]
    STUMMER L, MARKOVIC M, MARONEY M. Pharmacologic treatment options for insomnia in patients with schizophrenia[J]. Medicines, 2018, 5(3):88-88. doi: 10.3390/medicines5030088
    [3]
    CHEN Y L, SHEN L J, GAU S S F. The Mandarin version of the Kiddie-Schedule for Affective Disorders and Schizophrenia-Epidemiological version for DSM-5-A psychometric study[J]. J Formos Med Assoc, 2017, 116(9):671-678. doi: 10.1016/j.jfma.2017.06.013
    [4]
    中华医学会精神病学分会.中国精神障碍分类与诊断标准第三版(精神障碍分类)[J].中华精神科杂志, 2001, 34(3):184-188. doi: 10.3760/j:issn:1006-7884.2001.03.028
    [5]
    RAE K, BRITT H, ORCHARD J, et al. Classifying sports medicine diagnoses:a comparison of the International classification of diseases 10-Australian modification (ICD-10-AM) and the Orchard sports injury classification system (OSICS-8)[J]. Br J Sports Med, 2005, 39(12):907-911. doi: 10.1136/bjsm.2004.017517
    [6]
    白小林.现代中医内科学[M].长春:吉林科学技术出版社, 2012:102-104.
    [7]
    舒良.精神分裂症防治指南[M].北京:北京大学医学出版社, 2007:103-106.
    [8]
    郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社, 2002:110-113.
    [9]
    路桃影.匹兹堡睡眠量表的测量特性及其最小重要差值的研究[D].广州: 广州中医药大学, 2012.
    [10]
    张晓钢, 贾竑晓.中西医结合治疗精神疾病伴发睡眠障碍述评[J].河南中医, 2018, 38(9):1445-1449. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZY201809043.htm
    [11]
    刘爱红, 钱玉莹.中西医结合治疗在精神分裂症伴睡眠障碍中的应用价值[J].临床研究, 2020, 28(7):11-13. https://www.cnki.com.cn/Article/CJFDTOTAL-LCYN202007006.htm
    [12]
    王轶虎, 崔力军, 潘鑫, 等.乌灵胶囊联合奥氮平对精神分裂症患者睡眠质量的影响[J].中华中医药学刊, 2018, 36(1):245-247. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS201801063.htm
    [13]
    魏淑, 樊茜茜, 平延培, 等.失眠类型、中医证候与病程相关性的临床观察[J].长春中医药大学学报, 2020, 36(2):301-304. https://www.cnki.com.cn/Article/CJFDTOTAL-CZXX202002029.htm
    [14]
    孙君阳, 王媛媛, 姚洋, 等.赵和平从肝辨治失眠验案举隅[J].环球中医药, 2018, 11(9):1470-1472. doi: 10.3969/j.issn.1674-1749.2018.09.042
    [15]
    蒋达平, 赵晓川, 孙丽媛, 等.基于多导睡眠监测的精神分裂症患者的睡眠特点和临床意义[J].中国医师杂志, 2020, 22(6):923-925. doi: 10.3760/cma.j.cn431274-20190912-01059
    [16]
    王秀峰, 曾雪爱, 张瑜, 等.养心安神药和重镇安神药对失眠大鼠神经递质的影响[J].中医学, 2018, 7(6):357-363.
    [17]
    SCHILLING C, SCHLIPF M, SPIETZACK S, et al. Fast sleep spindle reduction in schizophrenia and healthy first-degree relatives:association with impaired cognitive function and potential intermediate phenotype[J]. Eur Arch Psychiatry Clin Neurosci, 2017, 267(3):213-224. doi: 10.1007/s00406-016-0725-2

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