耳穴压豆联合自拟养心健脾汤对心脾两虚型不寐病的临床研究  

Clinical Study on Ear Acupoint Bean Pressing Combined with Self-made Yangxin Jianpi Decoction for Insomnia of Heart-spleen Deficiency Type

作　　者：吴婷婷 董丽华 李强 魏娟 焉凯 WU Tingting;DONG Lihua;LI Qiang;WEI Juan;YAN Kai(Jinan Eighth People's Hospital,Jinan 271104,Shandong,China)

机构地区：[1]济南市第八人民医院,山东济南271104

出　　处：《中外医疗》2024年第18期190-192,198,共4页China & Foreign Medical Treatment

摘　　要：目的探究耳穴压豆法联合自拟养心健脾汤治疗心脾两虚型不寐病患者的临床疗效。方法随机选取2022年3月—2023年5月济南市第八人民医院中医科收治的120例不寐病患者为研究对象,采用随机数表法分为对照组和观察组,各60例。对照组采用阿普唑仑片治疗,观察组采用耳穴压豆及自拟养心健脾汤治疗,比较两组治疗前后的临床疗效、匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)量表评分、中医证候评分变化。结果观察组治疗总有效率(90.00%)明显高于对照组(76.67%),差异有统计学意义(χ^(2)=4.117,P<0.05)。治疗后,观察组PSQI评分、中医证候评分均低于对照组,差异有统计学意义(P均<0.05)。结论在心脾两虚型不寐病治疗中,运用耳穴压豆联合自拟养心健脾汤疗法可有改善睡眠质量,降低中医证候评分,提高治疗有效率。Objective To explore the clinical effect of ear acupoint bean pressing combined with self-made Yangxin Jianpi decoction in the treatment of insomnia patients with heart-spleen deficiency type.Methods A total of 120 pa-tients with insomnia admitted to the department of traditional Chinese medicine of Jinan Eighth People's Hospital from March 2022 to May 2023 were randomly selected as the research objects.They were divided into control group and observation group by random number table method,with 60 cases in each group.The control group was treated with alprazolam tablets,and the observation group was treated with auricular point pressing beans and self-made Yangxin Jianpi decoction.The clinical efficacy,Pittsburgh Sleep Quality Index(PSQI)score and traditional Chinese medicine syndrome score of the two groups before and after treatment were compared.Results The total effective rate of treatment in the observation group(90.00%)was significantly higher than that in the control group(76.67%),and the difference was statistically significant(χ^(2)=4.117,P<0.05).After treatment,the PSQI score and traditional Chinese medicine syndrome score of the observation group were lower than those of the control group,and the differences were statistically significant(both P<0.05).Conclusion In the treatment of insomnia with deficiency of both heart and spleen,the use of auricular point pressing beans combined with self-made Yangxin Jianpi Decoction can improve sleep quality,reduce traditional Chinese medicine syndrome scores,and improve treatment efficiency.

关 键 词：不寐病 心脾两虚型 耳穴压豆 自拟养心健脾汤 

分 类 号：R5[医药卫生—内科学]