健脾养心针刺法治疗心脾两虚型失眠症的临床观察

发布时间：2018-06-01 06:43

本文选题：失眠 + 焦虑　；参考：《中华中医药杂志》2017年09期

【摘要】：目的:比较健脾养心针刺法与口服右佐匹克隆(文飞)治疗失眠伴焦虑抑郁障碍患者的疗效差异。方法:选取心脾两虚型失眠伴轻度焦虑抑郁障碍患者64例,随机分为针刺组(30例)和西药组(29例)。针刺组予健脾养心常规针刺治疗(脾俞、心俞、三阴交、足三里、神门、内关),每天1次,共治疗4周;西药组服用右佐匹克隆(文飞),每天1次,共服4周。治疗前后选择睡眠质量指数评定量表(PSQI)、自评焦虑量表(SAS)和自评抑郁量表(SDS)对两组患者临床疗效进行评价。结果:针刺组患者临床疗效显著优于西药组(Z=-2.766,P0.01);两组患者治疗后PSQI总分及各项评分、SAS评分、SDS评分均较治疗前显著降低(P0.01),并且针刺组在睡眠质量改善方面显著优于西药组(P0.05)。结论:健脾养心针刺法治疗失眠疗效显著,能明显改善睡眠质量,且优于口服右佐匹克隆,不良反应较小。
[Abstract]:Objective: to compare the curative effect of reinforcing spleen and nourishing heart acupuncture method and oral right zopicone (Wenfei) on insomnia patients with anxiety and depression disorder. Methods: 64 cases of insomnia with mild anxiety and depression were randomly divided into acupuncture group (n = 30) and western medicine group (n = 29). The acupuncture group was treated with routine acupuncture therapy (Pi Yu, Xin Yu, Sanyinjiao, Zusanli, Shenmen, Neiguan Wu, once a day for 4 weeks), while the western medicine group was treated with right zopicone (Wenfei Wu, once a day, for 4 weeks). Before and after treatment, sleep quality index rating scale (PSQI), self rating anxiety scale (SAS) and self rating depression scale (SDS) were selected to evaluate the clinical efficacy of the two groups. Results: the clinical efficacy of the acupuncture group was significantly better than that of the western medicine group, the total score of PSQI and the scores of each score of the two groups were significantly lower than that before treatment, and the improvement of sleep quality in the acupuncture group was significantly better than that in the western medicine group. Conclusion: the acupuncture of invigorating spleen and nourishing heart has a significant effect on insomnia and can improve sleep quality obviously, and it is superior to right zopicron in oral administration, and the adverse reaction is small.
【作者单位】：中国医科大学附属第一医院中医科·全国综合医院中医药示范单位·辽宁省中西医结合风湿病重点专科;
【基金】：辽宁省科学技术厅自然科学基金项目(No.201202262) 辽宁省名老中医药专家传承工作室建设项目(No.2015-2018)~~
【分类号】：R246.6

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