子午流注穴位贴敷治疗老年心肾不交型失眠临床效果观察  

Observation on the clinical effect of meridian flow acupoint application on elderly patients with heart and kidneydisharmonytype of insomnia

作　　者：叶云 王梁敏[2] 石明杰 徐婧 季坤[2] YE Yun;WANG Liang-min;SHI Ming-jie;XU Jing;JI Kun(Department of Geriatrics,Dongfang Hospital,Beijing University of Chinese Medicine,Bejing 100078,China;Respiratory Fever Department,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078;Department of Pharmacy,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078)

机构地区：[1]北京中医药大学东方医院老年病科,北京100078 [2]北京中医药大学东方医院呼吸热病科,北京100078 [3]北京中医药大学东方医院药学部,北京100078

出　　处：《北京中医药》2023年第11期1270-1273,共4页Beijing Journal of Traditional Chinese Medicine

基　　金：北京中医药大学青年教师项目(2018-JYB-JS)。

摘　　要：目的 观察子午流注择时穴位贴敷治疗老年心肾不交型失眠的临床疗效。方法 选择2019年1月—2021年3月北京中医药大学东方医院老年病科、呼吸热病科门诊就诊的60例老年心肾不交型失眠患者,采用随机信封法分为2组,各30例。对照组给予常规治疗、护理;观察组在对照组治疗方法基础上,给予子午流注择时穴位贴敷,1次/d,4 h/次。2组均以10 d为1个疗程,连续治疗2个疗程。对比2组疗效,治疗前后匹兹堡睡眠质量指数(PSQI)评分、中医证候积分、健康状态调查简表(SF-36)评分、汉密尔顿焦虑量表(HAMA)评分。结果 观察组总有效率96.6%,对照组为72.4%,差异有统计学意义(P<0.05)。治疗后,2组PSQI评分、中医证候积分、HAMA评分均较治疗前降低,SF-36评分均较治疗前升高,差异有统计学意义(P<0.05);且观察组PSQI评分、中医证候积分、HAMA评分均低于对照组(P<0.05),SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论 子午流注择时穴位贴敷治疗老年心肾不交型失眠疗效显著,能提高睡眠质量及生活质量,缓解焦虑。Objective To observe the clinical effect of meridian flow timing acupoint application in the treatment of senile heart and kidney disharmony type of insomnia.Methods A totai of 60 elderly patients with heart and kidney disharmony type of insomnia who visited the Otpatient Department of Geriatrics and Respiratory Fever in Dongfang Hospital of Beijing University of Chinese Medicine from January 2019 to March 2021 were selected and divided into 2 groups with 30 patients in each group by random envelope method.The control group was given routine treatment and nursing;on the basis of the treatment method of the control group,the observation group was given meridian flow timing acupoint applicatononce d,4h/time.Both 2 groups were treated with 10 days as one course of treatment for 2 consecutive courses.The effects of the two groups were compared,including Pittsburgh Sleep Quality Index(PSQI)score,TCM syndrome score,Quality of life score(SF-36)and Hamilton Anxiety Scale(HAMA)before and after treatment.Results The total effective rate was 96.6%in the observation group and 72.4%in the control group,the difference was statistically significant(P<0.05).After treatment,PSQI scores,TCM syndrome scores and HAMA scores of 2 groups were lower than that before treatment,while SF-36 scores were higher than that before treatment,with statistical significance(P<0.05).In addition,PSQI scores,TCM syndrome scores and HAMA scores in the observation group were lower than those in the control group(P<0.05),and SF-36 scores were higher than those in the control group,with statistical significance(P<0.05).Conclusion The treatment of senile cardio-renal disharmony with meiridian flow timing acupoint application has remarkable effect,and it can improve sleep quality and quality of life,andrelieveanxiety.

关 键 词：子午流注 穴位贴敷 心肾不交 失眠 老年人 

分 类 号：R256.23[医药卫生—中医内科学]