能量平衡灸治疗不寐临床观察  

Clinical Observation on Energy Balance Moxibustion in the Treatment of Insomnia

作　　者：熊淑玲[1] 肖丹[1] 张春霞[1] 黄思敏 XIONG Shuling;XIAO Dan;ZHANG Chunxia;HUANG Simin(Department of Traditional Chinese Medicine,The Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]南昌大学第二附属医院中医科,江西南昌330006

出　　处：《中国中医药现代远程教育》2023年第10期69-72,共4页Chinese Medicine Modern Distance Education of China

基　　金：江西省中医药科研课题【No.2019A095】。

摘　　要：目的探讨能量平衡灸联合中药特色护理与单纯中药治疗对不寐患者临床效果差异,以肯定其干预该病证的优效性、可行性护理方案。方法选择2018年3月—2021年3月南昌大学第二附属医院收治的100例不寐患者,随机分成对照组及试验组,各50例。对照组患者采用中药内服治疗,试验组患者采用中药内服联合能量平衡灸治疗。对比2组患者匹兹堡睡眠质量指数量表(PSQI)评分及临床疗效改善情况。结果2组患者治疗前PSQI评分差异无统计学意义(P>0.05),治疗后试验组PSQI评分低于对照组(P<0.01),其中PSQI条目中的睡眠时间及睡眠效率差异明显。2组治疗前后差异均有显著统计学意义(P<0.0001),试验组总有效率为92%(46/50),高于对照组的总有效率84%(42/50),差异有统计学意义(P<0.05)。结论能量平衡灸能起到补虚泻实之效果,在改善失眠患者不同证候分型的临床症状有明确的疗效,是临床药物治疗所不能替代的,充分体现护理的优势,值得在临床工作中推广。Objective To explore the difference of energy balance moxibustion,traditional Chinese medicine nursing and simple Chinese medicine to determine the efficacy and feasible nursing plan of the disease.Methods A total of 100 patients with insomnia admitted to The Second Affiliated Hospital of Nanchang University from March 2018 to March 2021 were randomly divided into control group and experimental group,with 50 cases in each group.The control group was treated with traditional Chinese medicine,and the experimental group was treated with traditional Chinese medicine combined with energy score balance moxibustion.Pittsburgh Sleep Quality Index(PSQI)score and clinical efficacy improvement were compared between the two groups.Results There was no significant difference in PSQI between the two groups before treatment(P>0.05).After treatment,the PSQI score of the experimental group was lower than that of the control group(P<0.01),and the sleep time and sleep efficiency of PSQI items were significantly different.The difference between the two groups before and after treatment was statistically significant(P<0.0001).The total effective rate of the experimental group was 92%(46/50),which was higher than that of the control group(84%,42/50),and the difference was statistically significant(P<0.05).Conclusion Energy balance moxibustion can play the effect of replenishing deficiency and diarrhea,and has a clear effect in improving the clinical symptoms of different syndrome scores in insomnia patients,which cannot be replaced by clinical drug treatment,which fully reflects the advantages of nursing and is worth promoting in clinical work.

关 键 词：能量平衡灸 中医药疗法 不寐 

分 类 号：R246.6[医药卫生—针灸推拿学]