腕踝针在肝郁脾虚型慢性乙型肝炎失眠患者中的应用  

Application of wrist ankle acupuncture in insomnia patients with chronic hepatitis B of liver depression and spleen deficiency type

作　　者：王勇芳[1] 卓晓英[1] 赵晶[1] 罗小亮[1] 韩志毅[1] WANG Yongfang;ZHUO Xiaoying;ZHAO Jing;LUO Xiaoliang;HAN Zhiyi(Department of Hepatology,Shenzhen Hospital of Traditional Chinese Medicine,Guangdong Province,Shenzhen518000,China)

机构地区：[1]深圳市中医院肝病科,广东深圳518000

出　　处：《中国当代医药》2022年第9期95-98,共4页China Modern Medicine

基　　金：广东省深圳市科技计划项目(JCYJ20180302173542393)。

摘　　要：目的探讨腕踝针在肝郁脾虚型慢性乙型肝炎失眠患者中的临床效果。方法选取2020年4月10日至2021年1月3日在深圳市中医院肝病科住院部治疗的100例肝郁脾虚型慢性乙型肝炎失眠患者作为研究对象,采用抛硬币法将其分为治疗组和对照组,每组各50例。治疗组患者采用保肝降酶和腕踝针治疗,对照组患者采用保肝降酶治疗。治疗2周后比较两组患者的疗效、失眠严重程度指数(ISI)量表评分、丙氨酸转氨酶(ALT)、天门冬氨酸转氨酶(AST)、总胆红素(TBil)水平。结果治疗组患者的总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后,治疗组患者ISI评分低于对照组,差异有统计学意义(P<0.05)。治疗后,治疗组患者的ALT、AST低于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者的TBil比较,差异无统计学意义(P>0.05)。结论腕踝针应用在肝郁脾虚型慢性乙型肝炎失眠患者可有效改善失眠状况,改善肝功能,促进疾病康复,且操作简单方便,可在临床推广应用。Objective To investigate the clinical effect of wrist ankle acupuncture on insomnia patients with chronic hepatitis B of liver depression and spleen deficiency type.Methods From April 10,2020 to January 3,2021,100 patients who admitted to Shenzhen Hospital of Traditional Chinese Medicine with chronic hepatitis B insomnia of liver depression and spleen deficiency type were selected as the research objects.They were divided into treatment group and control group by coin tossing method,with 50 cases in each group.The treatment group was treated with liver protecting and enzyme reducing therapy and wrist ankle acupuncture,while the control group was treated with liver protecting and enzyme reducing therapy.Two weeks later,the efficacy,insomnia severity index(ISI)scale score,alanine aminotransferase(ALT),aspartate aminotransferase(AST)and total bilirubin(TBil)levels in the two groups were compared.Results The total effective rate in treatment group was higher than that in control group,and the difference was statistically significant(P<0.05).After treatment,ISI score in the treatment group was lower than that in the control group,the difference was statistically significant(P<0.05).After treatment,ALT and AST in the treatment group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,there was no statistically significant difference in TBil between the two groups(P>0.05).Conclusion Wrist and ankle needle application in chronic hepatitis B insomnia patients with liver depression and spleen deficiency can effectively improve insomnia,improve liver function,promote disease recovery,and the operation is simple and convenient,can be popularized in clinical application.

关 键 词：腕踝针 肝郁脾虚 慢性乙型肝炎 失眠 

分 类 号：R246.6[医药卫生—针灸推拿学]