扶阳罐温推温灸技术治疗失眠脾胃不和证的疗效观察  

Observation on the Therapeutic Effect of Fuyang Cupping Warm Pushing Moxibustion on Insomnia with Spleen Stomach Disharmony Syndrome

作　　者：陈美仁[1] 郭翔[1] 陈慧敏 陈秘密 康永清 CHEN Meiren;GUO Xiang;CHEN Huimin;CHEN Mimi;KANG Yongqing(Hunan Traditional Chinese Medical College,Zhuzhou Hunan 412012,China;Tianxin Distict,Zhuzhou Central Hospital,Zhuzhou Hunan 412001,China)

机构地区：[1]湖南中医药高等专科学校,湖南株洲412012 [2]株洲市中心医院田心院区,湖南株洲412001

出　　处：《中医药导报》2022年第10期68-70,84,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：湖南省中医药管理局基金资助项目(201475)。

摘　　要：目的:观察扶阳罐治疗失眠脾胃不和证的疗效。方法:将117例失眠患者随机分为扶阳罐温推温灸组(A组)、灸法组(B组)与针刺组(C组),分别为40例、39例与38例。扶阳罐组采用扶阳罐温推温灸技术治疗,灸法组采用普通灸法治疗,针刺组采用常规针刺治疗,比较各组患者治疗前后失眠中医证候量表评分及匹兹堡睡眠质量指数(PSQI)评分,并比较临床疗效。结果:治疗3、5个疗程后,3组患者PSQI评分均较治疗前降低(P<0.01);治疗3个疗程后,A、B两组患者PSQI评分均低于C组(P<0.01);治疗5个疗程后,A组患者PSQI评分低于B、C两组(P<0.01),B、C两组患者PSQI评分比较,差异无统计学意义(P>0.05)。治疗3个疗程后,A、B两组患者中医证候评分均低于C组(P<0.01),A、B两组患者间中医证候评分比较,差异无统计学意义(P>0.05);治疗5个疗程后,A组患者中医证候评分低于B、C两组(P<0.01),B、C两组患者间中医证候评分比较,差异无统计学意义(P>0.05)。治疗后,A组总有效率为92.50%(37/40),B组为82.05%(32/39),C组为78.95%(32/38),A组总有效率优于B、C两组(P<0.05)。结论:3种干预方法治疗失眠均有疗效,且无不良反应。扶阳罐温推温灸技术在改善睡眠质量、PSQI睡眠因子评分及中医证候方面更具优势。Objective:To observe the effect of Fuyang cupping group on insomnia with spleen stomach disharmony syndrome.Methods:Totally 117 patients with insomnia were randomly divided into Fuyang cupping group(group A),moxibustion group(group B)and acupuncture group(group C),with 40,39 and 38 cases respectively.Fuyang cupping group applied Fuyang cupping warm moxibustion technique,and conventional moxibustion was used in moxibustion group.Routine acupuncture was used in acupuncture group.The score of insomnia TCM syndrome scale and Pittsburge Sleep Quility Index(PSQI)score were compared among the three groups.And the clinical efficacy was statistically analyzed.Results:PSQI total score decreased in three groups in 3 and 5 courses of treatments(P<0.01).Group A and group B showed lower PSQI total score than group C in 3 courses of treatments(P<0.01),and Group A showed lower PSQI total score than group B and group C in 5 courses of treatments(P<0.01).There was no statistically significant difference in PSQI total score between group B and groups C in 5 courses of treatments(P>0.05).Group A and group B showed lower TCM syndrome score than group C in 3 courses of treatments(P<0.01),while there was no statistically significant difference in TCM syndrome between group A and groups B(P>0.05).Group A showed lower TCM syndrome score than group B and group C in 5 courses of treatments(P<0.01),and there was no statistically significant difference in TCM syndrome between group B and groups C(P>0.05).After treatment,the total effective rate was 92.50%(37/40)in group A,82.05%(32/39)in group B and 78.95%(30/38)in group C.Group A showed higher total effective rate than group B and group C(P<0.05).Conclusion:The three intervention methods for insomnia are effective in varying degrees,and there are no adverse reactions.Fuyang cupping warm moxibustion technology shows more advantages in the treatment of sleep quality,PSQI sleep factor score and TCM syndrome.

关 键 词：失眠 脾胃不和 扶阳罐 温推温灸 灸法 针刺 临床研究 

分 类 号：R246.6[医药卫生—针灸推拿学]