摘要
[目的]观察注射用益气复脉联合穴位贴敷治疗老年不寐(气阴两虚)疗效。[方法]使用随机平行对照方法,将60例住院患者随机分为两组。对照组30例桂利嗪,2粒/次,睡前服用。治疗组30例注射用益气复脉1. 3 g+5%葡萄糖(或0. 9%生理盐水) 250 m L,静滴,1次/d。穴位贴敷,茯神、五味子、酸枣仁、龙齿按等份制成粉,用温水制成膏,睡前贴敷于安眠穴、神门穴、涌泉穴、三阴交穴、神阙穴,1次/d。连续治疗14 d为1疗程。观测临床表现、匹兹堡睡眠质量指数、症状积分、不良反应。治疗1疗程(14 d),判定疗效。[结果]治疗组痊愈1例,显效13例,有效12例,无效3例,总有效率90. 00%;对照组痊愈0例,显效11例,有效9例,无效10例,总有效率66. 67%;治疗组疗效优于对照组(P <0. 05)。匹兹堡睡眠质量指数、症状积分两组均有改善(P <0. 01),治疗组改善优于对照组(P <0. 05,P <0. 01)。[结论]注射用益气复脉联合穴位贴敷治疗老年不寐(气阴两虚),疗效满意,无严重不良反应,值得推广。
[Objective]To observe the effect of Yiqi Fumai Injection combined with acupoint application on senile insomnia(deficiency of both Qi and Yin).[Method]Sixty inpatients were randomly divided into two groups by randomized parallel control method.In the control group,30 cases were given cinnarizine 2 capsules per time before bedtime.In the treatment group,30 patients were given Yiqi Fumai Injenction 1.3 g+5%glucose injection(or 0.9%saline)250 m L intravenously once a day.Acupoint application used Poria,Schisandra chinensis,Zizyphus jujuba seed and Apatite were made into powder to make cream with warm water.Before sleeping,the cream was applied on Shenmen(HT7),Yongquan(KI1),Sanyinjiao(SP6)and Shenque(RN8),once a day.Continuous treatment for 14 days was a course of treatment.Clinical manifestations,Pittsburgh sleep quality index,symptom score and adverse reactions were observed.One course of treatment(14 days)was used to determine the curative effect.[Result]In the treatment group,1 case was cured,13 cases were markedly effective,12 cases were effective,3 cases were ineffective,and the total effective rate was 90.00%.In the control group,0 case was cured,11 cases were markedly effective,9 cases were effective,10 cases were ineffective,and the total effective rate was66.67%.The curative effect of the treatment group was better than that of the control group(P<0.05).PSQI and symptom score were improved in both groups(P<0.01),and the improvement in the treatment group was better than that in the control group(P<0.05,P<0.01).[Conclusion]Yiqi Fumai Injection combined with acupoint application is effective in treating senile insomnia(deficiency of both Qi and Yin).It has no serious adverse reactions and is worthy of promotion.
作者
卢艳梅
曾志
LU Yanmei;ZENG Zhi(Peace Branch of Shaoguan Hospital of Traditional Chinese Medicine,Shaoguan 512026,Guangdong,China)
出处
《实用中医内科杂志》
2019年第8期46-48,共3页
Journal of Practical Traditional Chinese Internal Medicine
基金
广东省中医药局科研项目(20172128)~~
关键词
失眠
老年
不寐
气阴两虚
穴位贴敷
注射用益气复脉
insomnia
elderly
difficulty to sleep
deficiency of both Qi and Yin
acupoint application
Yiqi Fumai Injection
