“龙虎交战”针法结合耳穴揿针治疗阴虚火旺型失眠的临床效果研究  

Study on Clinical Effect of "Dragon and Tiger Fighting" Acupuncture Combined with Auricular Acupoint Press Acupuncture for Insomnia with Yin Deficiency and Excessive Fire

作　　者：齐玲玲 赵晓倩 李丽娟 刘卫国[3] QI Lingling;ZHAO Xiaoqian;LI Lijuan;LIU Weiguo(Acupuncture and Massage Department of Traditional Chinese Medicine,People's Hospital of Gaoxin Weifang,Weifang 261205,China;Pediatrics Department,People's Hospital of Gaoxin Weifang,Weifang 261205,China;Department of Chinese Medicine,Affiliated Hospital of Weifang Medical University,Weifang 261031,China)

机构地区：[1]潍坊高新技术产业开发区人民医院中医针灸推拿科,山东潍坊261205 [2]潍坊高新技术产业开发区人民医院儿科,山东潍坊261205 [3]潍坊医学院附属医院中医科,山东潍坊261031

出　　处：《基层中医药》2023年第12期65-70,共6页Basic Traditional Chinese Medicine

基　　金：潍坊市卫生健康委员会中医药科研项目[2022年(第二类)第001号]。

摘　　要：目的 研究应用“龙虎交战”针法结合耳穴揿针治疗阴虚火旺型失眠的临床效果。方法选取2021年10月—2023年1月于潍坊高新技术产业开发区人民医院、潍坊医学院附属医院治疗的阴虚火旺型失眠患者112例,按随机数字法分为对照组(56例)和观察组(56例),对照组选用普通针刺结合耳穴揿针治疗,观察组选用“龙虎交战”针法结合耳穴揿针治疗,两组均以10 d为1个疗程,治疗2个疗程。观察比较两组中医证候评分、睡眠质量评分、临床疗效及不良反应发生率。结果 治疗后,两组中医证候评分、匹兹堡睡眠质量指数(PSQI)量表评分均较治疗前降低(P <0.05),且观察组中医证候评分、PSQI量表评分均低于对照组(P <0.01)。观察组治疗总有效率(96.43%)高于对照组(85.71%,P <0.05)。观察组不良反应发生率(5.36%)低于对照组(17.86%,P <0.05)。结论 应用“龙虎交战”针法结合耳穴揿针治疗阴虚火旺型失眠不仅能够有效改善患者失眠等临床症状,提升睡眠质量,还能减少不良反应,值得推广。Objective To study the clinical effect of applying the "dragon and tiger fighting" acupuncture combined with auricular acupoint press acupuncture in the treatment of insomnia with yin deficiency and excessive fire.Methods A total of 112 insomnia patients with Yin deficiency and excessive fire who were treated at the People's Hospital of Gaoxin Weifang and the Affiliated Hospital of Weifang Medical University from October 2021 to January 2023 were selected and randomly divided into a control group(56 cases) and an observation group(56 cases).The control group was treated with ordinary acupuncture combined with auricular acupoint press acupuncture,while the observation group was treated with "dragon and tiger fighting" acupuncture combined with auricular acupoint press acupuncture.Both groups were treated for 20 days of two courses.The scores of traditional Chinese medicine syndrome,Pittsburgh sleep quality index(PSQI) scores,clinical efficacy,and incidence of adverse reactions between the two groups were observed and compared.Results After treatment,the scores of traditional Chinese medicine syndrome and PSQI scores in both groups decreased(P < 0.05),and the scores of traditional Chinese medicine syndrome and PSQI scores in the observation group were lower than those in the control group(P < 0.01).The total effective rate of the observation group(96.43%) was higher than that of the control group(85.71%,P < 0.05).The incidence of adverse reactions in the observation group(5.36%) was lower than that in the control group(17.86%,P < 0.05).Conclusion The application of "dragon and tiger fighting" acupuncture combined with auricular acupoint press acupuncture can effectively improve clinical symptoms such as insomnia in patients with yin deficiency and excessive fire,improve sleep quality,and reduce adverse reactions.It is worth promoting.

关 键 词：“龙虎交战”针法 耳穴揿针 阴虚火旺 失眠 

分 类 号：R24[医药卫生—中医临床基础]