低阻抗意念导入心理治疗联合针刺疗法治疗心胆气虚型不寐的临床研究  

Clinical Research on the Treatment of Heart-gallbladder Qi Deficiency Insomnia by Low-impedance Thought-insertion Psychotherapy Combined with Acupuncture

作　　者：谢小红 杨扬 王处渊 温立新[1] 苏文理[1] 杨敏 刘美红 吴婷婷 XIE Xiaohong;YANG Yang;WANG Chuyuan;WEN Lixin;SU Wenli;YANG Min;LIU Meihong;WU Tingting(Department of Sleep Psychology,Fujian Sanming Hospital of Integrated Traditional Chinese and Western Medicine,Sanming 365000,China;Department of Psychology,Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100000,China)

机构地区：[1]福建省三明市中西医结合医院睡眠心理科,三明365000 [2]中国中医科学院广安门医院心理科,北京100000

出　　处：《世界睡眠医学杂志》2024年第9期2018-2021,共4页World Journal of Sleep Medicine

基　　金：三明市级科技项目计划和资金补助项目(2023-S158)。

摘　　要：目的:探讨低阻抗意念导入心理治疗(TIP)联合针刺疗法治疗心胆气虚型不寐的临床疗效。方法:选取2023年5月至2024年4月福建省三明市中西医结合医院睡眠心理科心胆气虚型不寐的患者60例作为研究对象,按照随机数字表法分为观察组和对照组,每组30例。观察组给予TIP联合针刺疗法治疗,对照组给予超低频经颅磁刺激治疗,2组患者均每周治疗2次,疗程共4周。比较2组患者治疗前、治疗后以及治疗后4周的匹兹堡睡眠质量指数(PSQI)量表评分和中医证候积分。结果:观察组总有效率93.3%,对照组总有效率73.3%,二者比较差异有统计学意义(P<0.05)。与本组治疗前比较,2组治疗后PSQI评分和中医证候积分均降低(P<0.05),观察组治疗后4周PSQI评分和中医证候积分与治疗后比较差异也有统计学意义(P<0.05),且观察组治疗后及治疗后4周PSQI评分和中医证候积分均低于对照组(P<0.05)。结论:TIP联合针刺疗法治疗心胆气虚型不寐疗效显著,能有效改善睡眠,且远期疗效较好。Objective:To explore the clinical efficacy of low-impedance thought-insertion psychotherapy(TIP)combined with acupuncture therapy in the treatment of heart-gallbladder qi deficiency type insomnia.Methods:A total of 60 patients with heart-gallbladder qi deficiency type insomnia in the Department of Sleep Psychology,Sanming Integrated Traditional Chinese and Western Medicine Hospital from May 2023 to April 2024 were randomly divided into observation group and control group,with 30 cases in each group.The observation group was treated with TIP combined with acupuncture therapy,and the control group was treated with ultra-low frequency transcranial magnetic stimulation.Both groups were treated twice a week for a total of 4 weeks.The Pittsburgh Sleep Quality Index(PSQI)score and traditional Chinese medicine syndromes integral before treatment,after treatment,and 4 weeks after treatment were compared between the two groups.Results:The total effective rate of the observation group was 93.3%,and that of the control group was 73.3%,with a statistically significant difference(P<0.05).Compared with before treatment,the PSQI and traditional Chinese medicine syndromes integral in both groups decreased after treatment(P<0.05),and the difference in PSQI score and traditional Chinese medicine syndromes integral between 4-week follow-up and after treatment in the observation group was also statistically significant(P<0.05).Post-treatment and follow-up scores in the observation group were also significantly lower than those in the control group(P<0.05).Conclusion:TIP combined with acupuncture therapy is effective in treating heart-gallbladder qi deficiency type insomnia,effectively improving sleep quality with sustained benefits observed in the longer term.

关 键 词：低阻抗意念导入 心理治疗 心胆气虚 不寐 针刺疗法 超低频经颅磁刺激治疗 调神 临床研究 

分 类 号：R338.63[医药卫生—人体生理学] R493.25[医药卫生—基础医学]