疏肝养心方联合耳穴压豆治疗孕期失眠临床观察  

Observation on the Therapeutic Effect of Dispersing Stagnated Liver Qi for Nourishing Heart Recipe Combined with Auricular Point Pressing on Insomnia During Pregnancy and Its Influence on Serum FPG Levels

作　　者：刘妍妍 毕秀霞[1] 成亚亚 耿丹丹 贾小杰[1] LIU Yanyan;BI Xiuxia;CHENG Yaya;GENG Dandan;JIA Xiaojie(Department of Traditional Chinese Medicine,Shijiazhuang Fourth Hospital,Hebei Province,Shijiazhuang 050000,China)

机构地区：[1]石家庄市第四医院中医科,河北石家庄050000

出　　处：《光明中医》2022年第24期4415-4418,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：河北省中医药管理局科研计划项目(No.2020281)。

摘　　要：目的探究疏肝养心方联合耳穴压豆对孕期失眠疗效及血清FPG水平的影响。方法将收治的84例孕期失眠患者随机分为对照组42例,予疏肝养心方辨证加减治疗;观察组42例,予疏肝养心方联合耳穴压豆辨证治疗,比较2组患者临床治疗效果、匹兹堡睡眠质量指数(PSQI)评分、中医证候评分、血清FPG水平。结果观察组总有效率90.45%(38/42),高于对照组总有效率78.57%(33/42)(P<0.05);2组PSQI各项得分及总分治疗后均较治疗前下降(P<0.05),差异有统计学意义;组间比较,观察组治疗后在睡眠质量、睡眠障碍、总分方面比对照组下降明显(P<0.05),差异有统计学意义;2组各项中医证候治疗后均较治疗前下降(P<0.05),差异有统计学意义;观察组在入睡困难、多梦易醒、心悸健忘、情绪低落方面下降更明显,(P<0.05);血清FPG水平2组治疗后均较前降低(P<0.05),2组治疗后比较,差异无统计学意义(P>0.05);2组治疗过程中均未出现不良反应。结论疏肝养心方联合耳穴压豆对改善孕期失眠疗效肯定,同时有调节患者血清FPG水平。Objective To explore the effect of dispersing stagnated liver qi for nourishing heart recipe combined with auricular point pressing on insomnia during pregnancy and the level of serum FPG.Methods 84 patients with insomnia during pregnancy were randomly divided into in the control group of 42 cases were treated with dispersing stagnated liver qi for nourishing heart recipe,and observation group of 42 cases were treated with dispersing stagnated liver qi for nourishing heart recipe combined with auricular point pressing.The clinical therapeutic effects,Pittsburgh sleep quality index(PSQI)score,traditional Chinese medicine(TCM)syndrome(difficulty in falling asleep,dreaminess and easy to wake up,palpitation and forgetfulness,mental fatigue,dizziness and depression)score and serum FPG level were compared between the two groups.Results The total effective rate in the observation group was 90.45%(38/42),which was higher than 78.57%(33/42)in the control group(P<0.05).The PSQI scores and total scores of the two groups decreased after treatment(P<0.05).Compared with the control group,the sleep quality,sleep disorder and total score of the observation group decreased significantly after treatment(P<0.05).After treatment,all TCM symptoms in the two groups decreased compared with those before treatment(P<0.05).The difference was statistically significant.The observation group decreased more significantly in difficulty in falling asleep,dreaminess and easy to wake up,palpitation and forgetfulness,and depression(P<0.05).The level of serum FPG in the two groups decreased after treatment(P<0.05).There was no significant difference between the two groups after treatment(P>0.05).There were no adverse reactions in both groups.Conclusion Dispersing stagnated liver qi for nourishing heart recipe combined with auricular point pressing has a positive effect on improving insomnia during pregnancy,and can reduce the level of serum FPG in patients with abnormal blood glucose.

关 键 词：疏肝养心方 耳穴压豆疗法 孕期失眠 

分 类 号：R256.23[医药卫生—中医内科学]