穴位敷贴治疗肝郁脾虚型慢性失眠症临床研究  

The clinical effect of acupoint application for the patients with the chronic insomnia with liver-stagnation and Spleen-deficiency syndrome

作　　者：赵娜[1] 杨文佳[1] 谢晨[2] 付聪[1] 于心同[1] 陈云飞[1] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院检验科,200437 [2]上海市针灸经络研究所,200030

出　　处：《国际中医中药杂志》2017年第9期798-802,共5页International Journal of Traditional Chinese Medicine

基　　金：上海市卫计委（201540375,20144Y0197）,上海市卫生局三年行动计划（ZY3.JSFC.2-2020）,上海市科委（1640931800）

摘　　要：目的 评价穴位敷贴治疗肝郁脾虚型慢性失眠症患者的临床疗效.方法 将符合入选标准的68例患者采用随机双盲方法分为2组,每组34例,治疗过程中,治疗组剔除1例完成33例,对照组剔除2例完成32例.治疗组每晚睡前半小时给予安眠贴,对照组在相应位置贴敷安慰贴.2组均治疗40 d,随访6个月.观察2组患者治疗前后及随访期间匹兹堡睡眠质量指数量表（Pittsburgh Sleep Quality Index,PSQI）、失眠严重指数量表（Insomnia Severity Index,ISI）、中医证候量表评分变化,评价临床疗效.结果 治疗组总有效率为72.7%（24/33）,对照组为9.4%（3/32）,2组比较差异有统计学意义（χ2=46.977,P〈0.01）.治疗组PSQI总分治疗后[（7.55±1.52）分比（13.90±2.44）分,t=148.165]及随访1个月[（8.97±2.51）分比（13.17±2.79）分,t=37.926]、ISI量表总分治疗后[（7.03±3.37）分比（20.89±4.40）分,t=73.75]及随访1个月[（9.81±3.16）分比（19.41±3.66）分,t=40.79]均低于对照组（P〈0.01）,治疗组中医证候量表总分治疗后[（2.05±1.09）分比（6.98±1.23）分,t=17.116]及随访1个月[（4.06±1.59）分比（6.83±0.91）分,t=68.055]、随访6个月[（5.12±1.84）分比（7.19±1.07）分,t=27.716]均低于对照组（P〈0.01）.结论 穴位敷贴可明显改善肝郁脾虚型慢性失眠症患者的睡眠状况,提高临床疗效.Objective To observe the clinical effect on sleep improvement about acupoint application in treating the chronic insomnia of Liver-stagnation and Spleen-deficiency Syndrome.Methods A total of 68 patients with chronic insomnia with Liver-stagnation and Spleen-deficiency Syndrome were randomly and blindly divided into treatment group and control group by registration order. In the treatment process, 1 was eliminated and 33 were completed in the treatment group, 2 were eliminated and 32 were completed in the control group. The treatment group underwent＆quot;An Mian Tie＆quot;therapy half an hour before bed and the control group underwent placebo therapy in the same way of treatment group. Two groups were treated for 40 days and followed-up visit six months. The change of Pittsburgh Sleep Quality （PSQI）, Index Insomnia Severity Index （ISI） and TCM Syndromes Scale were detected.Results The clinical total effective rate of treatment group was 72.7% and the control group was 9.4%, and the difference was statistically significant （χ2=46.977,P〈0.01）. The PSQI scores after treatment （7.55 ± 1.52vs. 13.90 ± 2.44,t=148.165）, and follow up 1 month （8.97 ± 2.51vs. 13.17 ± 2.79,t=37.926） in the treatment group were significantly lower than those in the control group （P〈0.01）. The ISI scores after treatment （7.03 ± 3.37vs. 20.89 ± 4.40,t=73.75）, and follow up 1 month （9.81 ± 3.16vs. 19.41 ± 3.66,t=40.79） in the observation group were significantly lower than those in the control group （P〈0.01）. The TCM Syndromes Scale scores after treatment （2.05 ± 1.09vs. 6.98 ± 1.23,t=17.116）, and follow up 1 month （4.06 ± 1.59vs. 6.83 ± 0.91,t=68.055） and follow up 6 month （5.12 ± 1.84vs. 7.19 ± 1.07,t=27.716） in the observation group were significantly lower than those in the control group （P〈0.01）.Conclusions Acupoint application could obviously change the sleep quality and Chinese medicine symptom in chronic insomnia of Liver-stagnation and Spleen-deficiency Synd

关 键 词：失眠症 肝郁脾虚 穴位贴敷法 临床研究 

分 类 号：R246.6[医药卫生—针灸推拿学]