社区综合干预联合经络诊察针刺对慢性失眠患者的临床疗效评价  

Efficacy evaluation on comprehensive community intervention combined with channel palpation acupuncture for chronic insomnia patients

作　　者：於堃[1] 倪婧[1] 丁兰[1] YU Kun;NI Jing;DING Lan(Department of Traditional Chinese Medicine,Yuetan Community Health Service Center of Fuxing Hospital Affiliated to Capital Medical University,Beijing 100045,China)

机构地区：[1]首都医科大学附属复兴医院月坛社区卫生服务中心中医科,100045

出　　处：《中国老年保健医学》2023年第4期15-18,共4页Chinese Journal of Geriatric Care

基　　金：北京中医药科技发展基金项目(编号:JJ2018-62)。

摘　　要：目的观察社区综合干预联合经络诊察针刺对慢性失眠患者的临床疗效评价。方法本研究以84例慢性失眠患者为研究对象,采用随机数字表分为对照组和观察组,每组42例。对照组主要采用社区综合干预,由“医-护-防”社区家庭医生团队管理对患者进行定期用药、随访、健康宣教。观察组在社区综合干预基础上,采用中医经络诊察法在患者手少阴心经神门、通里、少海穴处发现异常表现,并进行针刺干预。2组均干预4周,在干预结束后6周随访。对比2组干预前后及干预后6周随访时的匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分和健康问卷抑郁量表(Patient Health Questionnaire-9,PHQ-9)评分,以及手少阴心经经络诊察异常改善情况(Channel Palpation abnormality,CPA)。结果干预后及干预结束后6周随访时2组PSQI、PHQ-9及CPA均较干预前改善(P<0.05)。且观察组PSQI、PHQ-9及CPA均优于对照组(P<0.05)。结论社区综合干预联合经络诊察针刺可显著改善慢性失眠患者睡眠质量,减轻患者抑郁情绪,对手少阴心经经络状态具有一定的调节作用。Objective To observe the efficacy on comprehensive community intervention combined with channel palpation acupuncture for chronic insomnia patients.Methods 84 chronic insomnia patients were randomly and equally divided into the control group and the observation group,42 patients in each.The control group was managed by the comprehensive community intervention conducted by a“medical care”family doctor team consisting of community family doctors,traditional Chinese medicine nurses,and preventive physicians,mainly providing regular medication,follow-up,and health education to patients.Besides the interventions mentioned above,in the observation group,acupuncture points Shenmen,Tongli,and Shaohai on patient's hand Shaoyang heart channels were applied bilaterally according to the channel palpation.The intervening period of the two groups last 4 weeks,with a follow-up 6 weeks after the intervention.The Pittsburgh Sleep Quality Index(PSQI)grade,the patient health questionnaire depression scale(PHQ-9)score,and the abnormal improvement of channel palmation abnormality(CPA)of the hand Shaoyin heart channel before and after the intervention and during the follow-up were compared between two groups.Results After the intervention and follow-up on week 6,PSQI,PHQ-9 and CPA in each group were improved compared to those before the intervention(P<0.05).After intervention and follow-up on week 6,the PSQI,PHQ-9 and CPA in observation group were better than those in the control group(P<0.05).Conclusion Community comprehensive intervention combined with channel palpation acupuncture could significantly improve the sleep quality of chronic insomnia patients,alleviate their depression,and modify the state of hand Shaoyin heart channel.

关 键 词：经络诊察 社区综合干预 慢性失眠 临床疗效 

分 类 号：R246.6[医药卫生—针灸推拿学]