调和阴阳法针灸配合腹式深呼吸训练治疗顽固性失眠  

Acupuncture and Moxibustion of Harmonizing Yin and Yang Combined with Abdominal Deep Breathing Training for Intractable Insomnia

作　　者：梁廷营[1] 张鋆 LIANG Tingying;ZHANG Yun(Department of Musculoskeletal Pain and Rehabilitation,The Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou Henan China 450000)

机构地区：[1]郑州大学第五附属医院肌肉骨骼疼痛康复科,河南郑州450000

出　　处：《中医学报》2023年第8期1778-1782,共5页Acta Chinese Medicine

基　　金：河南省教育厅国家级大学生创新创业项目(202210459100)。

摘　　要：目的:探讨调和阴阳法针灸配合腹式深呼吸训练对顽固性失眠的治疗效果。方法:将82例顽固性失眠患者采取随机数字表法进行分组,每组各41例。对照组接受西药治疗,观察组接受调和阴阳法针灸治疗,两组治疗期间均配合进行腹式深呼吸训练。比较两组患者疗程结束后的治疗效果、治疗期间不良反应发生情况以及治疗前后匹兹堡睡眠质量指数(pittsburgh sleep quality index,PSQI)评分、失眠严重指数量表(insomnia severity inde,ISI)评分、嗜睡量表(epworth sleepiness scale ESS)评分、焦虑自评量表(self-rating anxiety scale SAS)评分、抑郁自评量表(self-rating depression scale,SDS)评分。结果:两组临床疗效比较,观察组显著优于对照组(P<0.05);观察组治疗后PSQI评分显著低于对照组,差异有统计学意义(P<0.05);观察组治疗后ISI评分、ESS评分、SAS评分、SDS评分均显著低于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率显著优于对照组,差异有统计学意义(P<0.05)。结论:调和阴阳法针灸配合腹式深呼吸训练对顽固性失眠有显著的治疗效果,能够有效改善患者的睡眠质量和心理状态,且安全性良好。Objective:To explore the therapeutic effect of harmonizing yin and yang acupuncture combined with abdominal deep breathing training on intractable insomnia.Methods:82 patients with intractable insomnia were divided into groups by random number table method,41 cases in each group.The control group received western medicine treatment,and the observation group received acupuncture and moxibustion for harmonizing yin and yang.During the treatment period,both groups received abdominal deep breathing training.The treatment effect after the course of treatment,the occurrence of adverse reactions during the treatment,the scores of the Pittsburgh Sleep Quality Index(PSQI),the Insomnia Severity Index(ISI)and the epworth sleepiness scale(ESS)before and after treatment were compared between the two groups.Self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score.Results:Comparing the clinical efficacy of the two groups,the effective rate of the observation group was significantly better than that of the control group(P<0.05);the PSQI score of the observation group was significantly lower than that of the control group after treatment,and the difference was statistically significant(P<0.05);ISI score,ESS score,SAS score,and SDS score in the observation group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05);the total incidence of adverse reactions in the observation group was significantly better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Acupuncture and moxibustion for harmonizing Yin and Yang combined with abdominal deep breathing training has a significant therapeutic effect on intractable insomnia,which is safe,can effectively improve the sleep quality and psychological state of patients.

关 键 词：顽固性失眠 调和阴阳法针灸 腹式深呼吸训练 睡眠质量 心理状态 

分 类 号：R256.23[医药卫生—中医内科学]