米粒灸联合八段锦在老年不寐中的应用  

The Application of Rice Grain Moxibustion Combined with Baduanjin in Senile Insomnia in Community

作　　者：倪骥杰 常秋伊 NI Jijie;CHANG Qiuyi(Department of Traditional Chinese Medicine,Minhang District Pujiang Community Health Service Center,Shanghai 201100,China;Department of Dermatology,Shanghai Pudong New Area Guangming Hospital of Traditional Chinese Medicine,Shanghai 200120,China)

机构地区：[1]上海市闵行区浦江社区卫生服务中心中医科,上海201100 [2]上海市浦东新区光明中医医院皮肤科,上海200120

出　　处：《光明中医》2023年第19期3797-3800,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：浦江社区卫生服务中心院级科研资助项目(No.2019PW02)。

摘　　要：目的探讨米粒灸联合八段锦在社区老年不寐患者心脾两虚型中临床效果。方法采用信封法将96例心脾两虚型老年不寐患者随机分成对照组和观察组各48例。对照组给予常规安眠药治疗,观察组采用米粒灸联合八段锦治疗,治疗4周后比较2组临床效果。结果观察组总有效率高于对照组(P<0.05),2组治疗后中医症状积分和匹兹堡睡眠质量指数量表(PSQI)评分均明显下降(P<0.05),观察组上述中医症状积分和PSQI评分均低于对照组(P<0.05)。2组不良反应率差异无统计学意义(P>0.05)。结论米粒灸联合八段锦在社区老年心脾两虚型不寐患者中临床干预效果满意,可提高睡眠质量,为社区老年人群不寐的预防治疗提供思路。Objective To explore the clinical effect of rice grain moxibustion combined with Baduanjin in elderly patients with insomnia in the community.Methods 96 cases of senile insomnia with deficiency of both heart and spleen were randomly divided into the control group and the observation group,with 48 cases in each group.The control group was treated with conventional sleeping pills,and the observation group was treated with rice grain moxibustion combined with Baduanjin.After 4 weeks of treatment,the clinical effects of the two groups were compared.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the scores of TCM and Pittsburgh Sleep Quality Index(PSQI) decreased significantly in both groups(P<0.05).The TCM symptom score and PSQI score in the observation group were lower than those in the control group(P<0.05).The difference of adverse reaction rate between the two groups was not significant(P>0.05).Conclusion The clinical intervention effect of rice grain moxibustion combined with Baduanjin in elderly patients with insomnia of both heart and spleen deficiency in the community is satisfactory,can improve the quality of sleep and provide ideas for the prevention and treatment of insomnia in elderly people in community.

关 键 词：不寐 米粒灸 八段锦 老年病 心脾两虚证 

分 类 号：R246.6[医药卫生—针灸推拿学]