摘要
目的:观察腹针联合梅花针叩刺治疗心脾两虚型失眠症的临床疗效。方法:将66例心脾两虚型失眠症患者随机分为治疗组和对照组,各33例,治疗组采用腹针联合梅花针叩刺,对照组采用常规体针治疗,两组均每周治疗3次,连续治疗6周。比较两组治疗前、后匹兹堡睡眠质量指数量表(PSQI)及中医证候自评量表评分,并进行临床疗效评价。结果:治疗组治疗后PQSI各项评分与治疗前比较,差异具有统计学意义(P<0.05);对照组治疗后睡眠质量、入睡时间、睡眠时间、睡眠效率、日间功能障碍及PSQI总分与治疗前相比,差异具有统计学意义(P<0.05),睡眠障碍、催眠药物无统计学意义(P>0.05);治疗组治疗后日间功能障碍与对照组比较,差异具有统计学意义(P<0.05)。两组治疗后中医证候总分以及主症、次症评分与治疗前比较,差异具有统计学意义(P<0.05);治疗组治疗后中医证候总分以及主症、次症评分与对照组比较,差异具有统计学意义(P<0.05)。治疗组治疗后总有效率93.94%,对照组总有效率90.32%,两组比较差异具有统计学意义(P<0.05)。结论:腹针联合梅花针叩刺是一种治疗心脾两虚型失眠症的有效方法,与常规体针比较在改善心脾两虚型失眠症患者的日间功能障碍方面疗效突出,为今后临床治疗失眠症提供了新的思路。
Objective： To observe the clinical curative effect of abdominal acupuncture combined with plum-blossom needle tapping on insomnia due to deficiency of both the Heart and the Spleen. Methods： 66 insomnia patients with deficiency of both the Heart and the Spleen were randomized into the treatment group（ n = 33） and the control group（ n = 33）. The treatment group was treated with abdominal acupuncture combined with plum-blossom needle tapping; whereas,the control group was treated with conventional body acupuncture. The treatment was three times per week for continuous six weeks. Scores of Pittsburgh sleep quality index scale（ PSQI）and TCM syndrome were compared before and after the intervention in the two groups to evaluate the clinical curative effect. Results： In terms of PSQI scores,there were statistical differences before and after the treatment in the treatment group（ P〈0. 05）. Sleep quality,sleep latency,sleep time,sleep efficiency,daytime dysfunction and PSQI total scores were significantly changed after the intervention in the control group（ P〈0. 05）,but it had no significant effect on sleep disturbance and hypnotic drugs use（ P〈0. 05）. In terms of daytime dysfunction,there was significant difference between the two groups after the treatment（ P〈0. 05）. In terms of TCM syndrome scores,main symptom scores,and subordinate symptom scores,there were significant differences before and after the intervention in the two groups（ P〈0. 05）; of which the treatment group improved more than the control group（ P〈0. 05）. The total effective rate of the treatment group was 93. 94%,which was significantly higher than 90. 32% of the control group（ P〈0. 05）. Conclusion： The therapy of abdominal acupuncture combined with plum-blossom needle tapping had obvious clinical curative effect on treating insomnia due to deficiency of both the Heart and the Spleen. It is superior to the conventional body acupuncture in terms of improving daytime dysfunction,which provides a new idea for the clinical treatment for insomnia.
作者
黑伊凡
王丽平
HEI Yifan;WANG Liping(The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;Huguosi TCM Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 100035,China)
出处
《针灸临床杂志》
2018年第7期22-27,共6页
Journal of Clinical Acupuncture and Moxibustion
关键词
腹针
梅花针叩刺
失眠症
心脾两虚
Abdominal acupuncture
Plum - blossom needle tapping
Insomnia
Deficiency of both the Heartand the Spleen
作者简介
黑伊凡（1991-），女，住院医师，主要从事针灸临床工作。;通讯作者：王丽平（1954-），女，主任医师，教授，主要从事针灸临床工作。
