安神养血汤联合刮痧、针刺治疗老年慢性失眠症  

Treating Senile Chronic Insomnia with Spirit-Calming and Blood-Nourishing Decoction Combined with Guasha(Scraping)and Acupuncture

作　　者：付慧雅 黄银凤 王珍 高希言 Huiya Fu;Yinfeng Huang;Zhen Wang;Xiyan Gao(School of Nursing,Philippine Women's University,Manila,Philippines;Internal Medicine,the Third Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou,Henan,China;Elderly Ward 1,the Third Affliated Hospital of Henan University of Chinese Medicine,Zhengzhou,Henan,China;Acupuncture and Moxibustion,the Third Affliated Hospital of Henan University of Chinese Medicine,Zhengzhou,Henan,China)

机构地区：[1]菲律宾女子大学,菲律宾马尼拉1004 [2]河南中医药大学第三附属医院,河南郑州450008 [3]Elderly Ward 1,the Third Affliated Hospital of Henan University of Chinese Medicine,Zhengzhou,Henan,China [4]Acupuncture and Moxibustion,the Third Affliated Hospital of Henan University of Chinese Medicine,Zhengzhou,Henan,China

出　　处：《Chinese Medicine and Natural Products》2023年第2期75-80,共6页中医学报（英文）

基　　金：funded by the Henan Province Traditional Chinese Medicine Science Research Special Project (2022ZY1097).

摘　　要：目的:观察安神养血汤联合刮痧、针刺治疗老年慢性失眠症的临床疗效。方法:70例老年慢性失眠症患者就诊的先后顺序进行编码,按照随机数字表法分为对照组和观察组,每组各35例。对照组给予安神养血汤,观察组在对照组治疗基础上给予刮痧、针刺疗法。两组患者均治疗4周。比较两组患者治疗后PSQI评分和临床疗效。结果:两组患者治疗后匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分均显著降低,与对照组比较,差异均有统计学意义(P<0.01);治疗后,观察组PSQI评分为(6.80±1.37)分,对照组PSQI评分为(10.83±2.51)分,观察组PSQI评分低于对照组(P<0.01)。观察组有效率为85.7%,对照组有效率为62.9%,两组有效率比较,差异有统计学意义(P<0.01)。结论:安神养血汤联合刮痧、针刺治疗老年慢性失眠症临床疗效显著,能有效缓解老年慢性失眠症患者的失眠症状。Objective To observe the efficacy of treating senile chronic insomnia with spiritcalming and blood-nourishing decoction combined with Guasha(scraping)and acupuncture therapy.Methods Seventy elderly patients with chronic insomnia were included and numbered by their visiting sequence.They were randomly divided into the control group and the observation group,35 patients for each.Spirit-calming and blood-nourishing decoction was given to the control group,whereas Guasha(scraping)and acupuncture were applied together with the spirit-calming and blood-nourishing decoction to the observation group.Both groups were treated for 4 weeks before comparing their Pittsburgh Sleep Quality Index(PSQI)score and clinic efficacy.Results PSQl scores of both groups were significantly lowered.Compared with the control group,the differences are statistically significant(p<0.01).After treatment,the PSQI score of the observation group is(6.80±1.37),whereas that of the control group is(10.83±2.51).PSQI score of the observation group is lower(p<0.01).The effective rate was 85.7%in the observation group and 62.9%in the control group.Difference of the effective rates of both groups is statistically significant(p<0.01).Conclusion Spirit-calming and blood-nourishing decoction combined with Guasha(scraping)and acupuncture is significantly effective in treating senile chronic insomnia.The combined therapy can effectively relieve the symptoms.

关 键 词：慢性失眠症 刮痧 针刺疗法 安神养血汤 

分 类 号：R256.23[医药卫生—中医内科学]