摘要
目的:研究调督安神针刺法联合安神香囊治疗心脾两虚型失眠的效果。方法:随机将72例心脾两虚失眠患者分成2组,安神香囊组(对照组)36例(2例脱落),睡觉前将安神香囊放于枕边。调督安神针刺法联合安神香囊组(治疗组)36例(1例脱落),除使用安神香囊外,每周3次调督安神针刺法治疗,两组均6周为1个疗程。使用匹兹堡睡眠质量指数评分(PSQI)、Epworth思睡指数评分(ESS)、阿森斯失眠量表评分(AIS)3个量表判定疗效。结果:①在治疗3周、6周后两组患者PSQI、ESS、AIS量表评分均较治疗前明显降低,在随访4周时治疗组各项指标仍低于治疗前(P<0.05,P<0.01)。②在治疗6周后、随访4周时治疗组患者PSQI、ESS、AIS评分较对照组明显降低,治疗组入睡时间、睡眠效率、日间功能障碍、催眠药物评分显著优于对照组,差异有统计学意义(P<0.05,P<0.01)。③随访4周时,治疗组的显愈率和有效率显著优于对照组(T=27.274,P<0.01)。结论:调督安神针刺法联合安神香囊治疗心脾两虚失眠疗效确切,且远期疗效较好。
Objective:To analyze clinical efficacy of acupuncture method of Tiaodu Anshen combined with traditional Chinese medicine tranquilizing sachet on insomnia patients with heart and spleen deficiency type.Methods:72 patients were randomized divided into 2 groups,36 cases in each group.Both groups were given tranquilizing sachet,and treatment group was additionally given acupuncture for Tiaodu Anshen,3 times a week and lasting for 6 weeks.The curative effects were estimated according to Pittsburgh Sleep Quality Index(PSQI),Epworth Sleepiness Scale(ESS)and Athens Insomnia Scale(AIS)before treatment,on the third and the sixth week of treatment,and the fourth week after the completion of treatment.Results:①The scores of PSQI,ESS and AIS were much lower than those of before treatment in 2 groups on the third and the sixth week of treatment,and the fourth week after treatment in the treatment group(P<0.05,P<0.01).②In the treatment group,the scores of PSQI,ESS and AIS were much lower than those of the control group on the sixth week of treatment and the fourth week after treatment.The scores of time of falling sleep,sleep efficiency,daytime dysfunction and hypnotic medications in treatment group were superior to those in control group(P<0.05,P<0.01).③The cure rate and effective rate of the treatment group were significantly better than those of the control group(T=27.274,P<0.01)4 weeks after treatment.Conclusion:The treatment group has definite curative effect on insomnia patients with heart and spleen deficiency type,and the long-term effect is better.
作者
陆文秀
潘臣鹰
王拯
项莲莲
Lu Wenxiu;Pan Chenying;Wang Zheng;Xiang Lianlian(Department of Traditional Chinese Medicine,Street Community Health Service Center in Zhenru Town of Putuo District in Shanghai City,Shanghai 200333)
出处
《山西中医药大学学报》
2022年第1期51-55,共5页
Journal of Shanxi University of Chinese Medicine
基金
上海市普陀区卫生健康系统科技创新项目(ptkwws201929)。
关键词
失眠
调督安神针刺法
安神香囊
心脾两虚
insomnia
acupuncture method for Tiaodu Anshen
tranquilizing sachet
heart and spleen deficiency type
