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针刺联合耳尖放血治疗肝郁化火型失眠的临床观察 被引量:2

Clinical observation on treating insomnia of liver depression and fire by acupuncture plus ear-tip bloodletting
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摘要 目的:观察针刺联合耳尖放血治疗肝郁化火型失眠的临床疗效。方法:将60例患者随机分为治疗组和对照组,治疗组给予普通针刺配合耳尖放血,对照组给予艾司唑仑片1~2 mg每晚临睡前口服,两组均治疗4个疗程,共4周。治疗前后对匹兹堡睡眠质量自评量表(Pittsburgh Sleep Quality Index,PSQI)评分、抑郁自评量表(Self-rating Depression Scale,SDS)评分、焦虑自评量表(Self-rating Anxiety Scale,SAS)评分及治疗的总有效率进行分析。结果:治疗组总有效率96.67%,对照组为76.67%,两组比较差异有统计学意义,P<0.05。两组治疗前PSQI评分比较差异无统计学意义,P>0.05,治疗后两组患者的PSQI总分均较治疗前降低(P<0.05),且治疗组治疗后的PSQI总分低于对照组(P<0.05)。结论:针刺联合耳尖放血治疗肝郁化火型失眠患者,疗效优于对照组,该方法安全高效,操作简单,值得临床推广。 Objective: To observe the clinical efficacy of acupuncture plus ear-tip bloodletting on liver depression and fire type insomnia. Methods: 60 patients were randomly divided into the treatment group and the control group. The treatment group was given ordinary acupuncture plus ear-tip bloodletting, and the control group was given estazolam tablets 1~2 mg orally every night before bed.Both groups were treated for 4 courses, a total of 4 weeks. PSQI, SDS, SAS scale scores and total effective rate were analyzed before and after treatment. Results: The total effective rate in the treatment group was 96.67%, and that in the control group was 76.67%, the difference was statistically significant, P<0.05. The total PSQI scores in the two groups after treatment were lower than those before treatment(P<0.05), and the total PSQI scores in the treatment group were lower than those in the control group after treatment(P<0.05). Conclusion:Acupuncture combined with eartip bloodletting is better than the control group in the treatment of insomnia patients with liver depression and fire type. This method is safe, efficient and simple to operate, and is worthy of clinical promotion.
作者 杨艳娥 魏清琳 王涛 杨镒名 万广能 YANG Yane;WEI Qinglin;WANG Tao;YANG Yiming;WAN Guangneng
出处 《中医临床研究》 2021年第33期66-68,71,共4页 Clinical Journal Of Chinese Medicine
关键词 失眠 针刺 耳尖放血 Insomnia Acupuncture Bloodletting of the tip of the ear
作者简介 杨艳娥(1995-),女,在读硕士研究生,研究方向为针灸治疗疼痛性疾病的临床研究。
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