岭南传统天灸2号方治疗失眠的临床探索  

Curative effect observation on treating insomnia with No.2 formula of crude herb moxibustion in south of the fine ridges

作　　者：刘雅洁[1] 徐书君[1,2] 赵蒨琦 许菲[2] 袁映梅[2] 符文彬[2] 

机构地区：[1]广州中医药大学,广州510405 [2]广东省中医院针灸科,广州510120

出　　处：《中华中医药杂志》2015年第1期302-304,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81173348);广州市文化广电新闻出版局非物质文化遗产项目~~

摘　　要：目的:调研岭南传统天灸2号方治疗失眠的临床疗效。方法:根据9条目患者抑郁自评工具(PHQ-9)量表将患者分为抑郁性失眠和非抑郁性失眠两个亚组进行天灸治疗4周,每周2次,穴位分别用膈俞、肝俞、胆俞、中脘、关元、涌泉和心俞、脾俞、中脘、关元、内关、三阴交,以匹茨堡睡眠质量指数量表(PSQI)为主要疗效评价指标。结果:抑郁性失眠亚组的PSQI总分及七因子、PHQ-9分值治疗后较前下降,差异具有统计学意义(P<0.01);非抑郁性失眠亚组患者治疗后仅睡眠质量因子和入睡时间因子分值的降低有统计学意义(P<0.01,P<0.05)。入睡困难项分值较前下降,变化较夜间易醒或早醒项明显(P<0.01)。结论:岭南传统天灸2号方治疗失眠可全面提高睡眠状况,缓解抑郁状况,对入睡困难的改善较易醒或早醒效果好。Objective： To observe the treatment effect of No.2 formula of crude herb moxibustion in south of the fine ridges. Methods： 67 insomnia patients were divided into two sub-groups as depression insomnia group and non-depression insomnia group according to PHQ-9, and treated with crude herb moxibustion for 4 weeks, twice a week. The points were as follows： Geshu （B17; BL17）, Ganshu （B18; BL18）, Danshu （B19; BL19）, Zhongwan （CV12; RN12）, Guanyuan （CV4; RN4）, Yongquan （K1; KI1）, Xinshu （B15; BL15）, Pishu （B20; BL20）, Zhongwan （CV12; RN12）, Neiguan （P6; PC6） and Sanyinjiao （SP6）, and pittsburgh sleep quality index scale （PSQI） was the main curative effect evaluation index. Results： Compared with treatment before, the total score of PSQI, factor VH and score of PHQ-9 of patients in depression insomnia group were decreased significantly after treatment （P〈0.01）. Compared with treatment before, the score of sleep quality factor and time to fall sleep factor of patients in non-depression insomnia group were decreased significantly after treatment （P〈0.01, P〈0.05）. The scores of difficulty falling asleep changed more rapidly than early awakening （P〈0.01）. Conclusion： No.2 formula of crude herb moxibustion in south of the fine ridges can improve sleep quality and ease depression status, but the effect on improving early wake and easy wake is not obvious.

关 键 词：天灸 失眠 中医药 睡眠障碍 穴位贴敷 

分 类 号：R256.23[医药卫生—中医内科学]