穴位埋线法治疗心脾两虚型失眠症的临床疗效研究  

A study on clinical effect of acupoint catgut embedding in treatment of insomnia of heart and spleen insufficiency

作　　者：李伟鸿 陈杰东[1] 赵茜[1] 郭鹏琪 LI Weihong;CHEN Jiedong;ZHAO Qian;GUO Pengqi(Department of Encephalopathy,Quanzhou Hospital of Traditional Chinese Medicine,Quanzhou 362000,China)

机构地区：[1]福建省泉州市中医院脑病科,泉州362000

出　　处：《右江医学》2018年第6期671-675,共5页Chinese Youjiang Medical Journal

摘　　要：目的观察穴位埋线治疗心脾两虚型失眠症的临床疗效。方法将72例心脾两虚型失眠症患者随机分为三组,穴位埋线组24例,给予穴位埋线治疗;普通针刺组24例,给予一般针刺穴位治疗;药物对照组24例,给予口服复方枣仁胶囊治疗。疗程均为30天。对比观察三组患者治疗前后匹兹堡睡眠质量指数(PSQI)评分、睡眠时间及临床疗效。结果治疗前三组PSQI评分比较差异无统计学意义(P>0.05),治疗后各组PSQI评分较治疗前均明显下降(P<0.05);治疗后三组的PSQI评分比较差异有统计学意义(P<0.001),穴位埋线组PSQI评分更低(P<0.01)。治疗前三组睡眠时间比较差异无统计学意义(P>0.05),治疗后各组睡眠时间均较治疗前延长(P<0.05);治疗后三组睡眠时间比较差异有统计学意义(P<0.001),穴位埋线组睡眠时间更长(P<0.05或0.01)。三组疗效比较差异有统计学意义(P<0. 05),但两两比较差异无统计学意义(P>0.05)。结论穴位埋线法治疗心脾两虚型失眠症效果优于普通针刺与口服复方枣仁胶囊,可以降低匹兹堡睡眠质量指数,改善睡眠质量,延长夜间睡眠时间。Objective To observe the clinical effect of acupoint catgut embedding in the treatment of insomnia of heart and spleen insufficiency.Methods 72 patients with insomnia of both heart and spleen insufficiency were randomly divided into 3 groups.24 patients in acupoint catgut embedding group were given acupoint catgut embedding,24 patients in general acupuncture group were given general acupuncture point therapy,and 24 patients in drug control group were treated by oral compound zaoren capsules.The course of treatment was 30 days.And then,Pittsburgh sleep quality index(PSQI)score,sleep time and clinical efficacy before and after treatment were compared and observed between the three groups.Results Before treatment,difference of PSQI scores between the three groups was not statistically significant(P>0.05),and the PSQI scores in each group after treatment were significantly lower than those before treatment(P<0.05).After treatment,difference of PSQI scores between the three groups was statistically significant(P<0.001),and that of the acupoint catgut embedding group was lower(P<0.01).Before treatment,difference of sleep time between the three groups was not statistically significant(P>0.05),and the sleep time of each group after treatment was longer than that before treatment(P<0.05).After treatment,difference of the sleep time of the three groups was statistically significant(P<0.001),and that of the acupoint catgut embedding group was longer(P<0.05 or 0.01).There was statistically significant difference in curative effects among the three groups(P<0.05),but there was no statistically significant difference in pairwise contrast(P>0.05).Conclusion Acupoint catgut embedding therapy is superior to ordinary acupuncture and oral compound zaoren capsule in treating insomnia of heart and spleen insufficiency.It can reduce Pittsburgh sleep quality index,improve sleep quality and prolong night sleep time.

关 键 词：穴位埋线疗法 失眠症 心脾两虚证 针刺疗法 

分 类 号：R246[医药卫生—针灸推拿学]