针灸结合艾司唑仑片治疗慢性失眠患者的效果分析  

Effect Analysis of Acupuncture Combined with Estazolam Tablets in the Treatment of Patients with Chronic Insomnia

作　　者：张杉杉 宫军[1] ZHANG Shanshan;GONG Jun(Department of Rehabilitation Medicine,Tianjin Academy of Traditional Chinese Medicine Afiliated Hospital,Tianjin 300120,China)

机构地区：[1]天津市中医药研究院附属医院康复医学科,天津300120

出　　处：《中国药物滥用防治杂志》2022年第10期1387-1391,共5页Chinese Journal of Drug Abuse Prevention and Treatment

摘　　要：目的:探讨针灸结合艾司唑仑片治疗慢性失眠患者的疗效及对睡眠质量的影响。方法:选取2019年10月—2021年12月天津市中医药研究院附属医院康复医学科诊治的慢性失眠患者140例作为研究对象,根据1∶1简单分配原则分为针灸组与艾司唑仑组,各70例。艾司唑仑组给予艾司唑仑治疗,针灸组在艾司唑仑组治疗基础上给予针灸治疗,比较两组临床疗效、PSQI评分、BBS评分、Barthel指数及血流速度。结果:针灸组总有效率为98.6%,高于艾司唑仑组的88.6%(P<0.05);两组治疗后PSQI入睡时间与睡眠质量评分低于治疗前,且针灸组低于艾司唑仑组(P<0.05);两组治疗后BBS评分与Barthel指数高于治疗前,且针灸组高于艾司唑仑组(P<0.05);针灸组治疗后大脑左椎动脉、右椎动脉血流速度高于治疗前、艾司唑仑组(P<0.05);艾司唑仑组治疗前后大脑左椎动脉、右椎动脉血流速度比较,差异无统计学意义(P>0.05)。结论:针灸结合艾司唑仑片治疗慢性失眠患者的效果确切,可提高患者的平衡功能与日常生活能力,改善患者的大脑动脉血流速度及睡眠质量。Objective: To investigate the efficacy of acupuncture combined with esazolam tablets in the treatment of chronic insomnia and its influence on sleep quality. Methods: A total of 140 patients with chronic insomnia who were diagnosed and treated in the Department of Rehabilitation Medicine of the Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine from October 2019 to December 2021 were selected as the research subjects. According to the simple allocation principle of 1 ∶ 1, they were divided into acupuncture group and estazolam group. 70 cases each. The estazolam group was given estazolam treatment, and the acupuncture group was given acupuncture treatment based on the treatment of estazolam group. The clinical efficacy, PSQI score, BBS score, Barthel index and blood flow velocity were compared between the two groups. Results: The total effective rate in the acupuncture group was 98.6%, higher than 88.6% in the estazolam group(P<0.05). The PSQI sleep-onset time and sleep quality scores in the two groups after treatment were lower than those before treatment, and the acupuncture group was lower than that in the estazolam group. group(P<0.05). The BBS score and Barthel index of the two groups after treatment were higher than those before treatment, and the acupuncture group was higher than the estazolam group(P<0.05). The flow velocity was higher than that before treatment and the estazolam group(P<0.05).There was no significant difference in the blood flow velocity of the left vertebral artery and the right vertebral artery in the estazolam group before and after treatment(P>0.05). Conclusion: Acupuncture combined with estazolam tablets is effective in treating patients with chronic insomnia, which can improve the patient’s balance function and daily living ability, and improve the blood flow rate of the cerebral artery and sleep quality of the patient.

关 键 词：针灸 艾司唑仑 慢性失眠 睡眠质量 

分 类 号：R740[医药卫生—神经病学与精神病学]