培元养心法电针联合艾灸治疗心肾不交型失眠的临床观察  

Clinical Observation of Peiyuan Yangxin Electro-acupuncture Method Combined with Moxibustion in the Treatment of Insomnia of Incoordination Between Heart-Kidney Type

作　　者：赵娥 老锦雄[2] ZHAO E;LAO Jin-Xiong(The Eighth Clinical Medical School,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Foshan Hospital of Traditional Chinese Medicine,Foshan 528099 Guangdong,China)

机构地区：[1]广州中医药大学第八临床医学院,广东广州510006 [2]佛山市中医院,广东佛山528099

出　　处：《广州中医药大学学报》2023年第5期1154-1160,共7页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(编号:20181253)。

摘　　要：【目的】观察培元养心法电针联合艾灸治疗心肾不交型失眠的临床疗效。【方法】将60例心肾不交型失眠患者随机分为观察组和对照组,每组各30例,观察组给予培元养心法电针联合艾灸治疗,对照组给予艾司唑仑片口服治疗。2组均连续治疗4周。治疗1个月之后,评价2组临床疗效。观察2组患者治疗前后匹兹堡睡眠质量指数量表(PSQI)评分的变化情况,比较2组患者治疗前后汉密尔顿焦虑量表(HAMA)及抑郁自评量表(SDS)评分的变化情况,评价2组的安全性及不良反应的发生情况。【结果】(1)治疗后,2组患者的PSQI评分包括睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍及总分均明显改善(P<0.05),且观察组在改善入睡时间、睡眠障碍、日间功能障碍及总分方面明显优于对照组,差异均有统计学意义(P<0.05)。(2)治疗后,2组患者的精神性焦虑评分、躯体性焦虑评分及HAMA总分均明显改善(P<0.05),且观察组在改善精神性焦虑评分、躯体性焦虑评分及HAMA总分方面明显优于对照组,差异均有统计学意义(P<0.05)。(3)治疗后,2组患者的SDS评分明显改善(P<0.05),且观察组在改善SDS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(4)观察组总有效率为96.67%(29/30),对照组为90.00%(27/30)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(5)观察组不良反应发生率为3.33%(1/30),对照组为16.67%(5/30)。观察组的不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。【结论】培元养心法电针联合艾灸治疗心肾不交型失眠,能明显缓解焦虑、抑郁情绪,提高患者生活质量,且不良反应少,临床疗效显著。Objective To observe the clinical efficacy of Peiyuan Yangxin electro-acupuncture method combined with moxibustion in treating insomnia of incoordination between heart and kidney type.Methods Sixty patients with incoordination between heart and kidney syndrome type of insomnia were randomly divided into the observation group and the control group,with 30 patients in each group.The observation group was given Peiyuan Yangxin electro-acupuncture combined with moxibustion,while the control group was given oral use of Estazolam Tablets.After one month of treatment,the clinical efficacy of the two groups was evaluated and the changes in the Pittsburgh Sleep Quality Index(PSQI)scores were observed in the two groups before and after treatment.The changes in the Hamilton Anxiety Scale(HAMA)and Self-Rating Depression Scale(SDS)scores were compared between the two groups before and after treatment.The safety and the occurrence of adverse effects in the two groups were evaluated.Results(1)After treatment,the PSQI scores including sleep quality,time to fall asleep,sleep duration,sleep efficiency,sleep disturbance,daytime dysfunction and total score of patients in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving time to fall asleep,sleep disturbance,daytime dysfunction and total score,and the differences were statistically significant(P<0.05).(2)After treatment,the mental anxiety scores,somatic anxiety scores and total HAMA scores of the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving mental anxiety scores,somatic anxiety scores and total HAMA scores,and the difference was statistically significant(P<0.05).(3)After treatment,the SDS scores of the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the SDS scores,and the difference was statistically significant(P<0.05).(4)Th

关 键 词：培元养心法 电针 艾灸 心肾不交 失眠 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]