五神针联合眠安汤治疗复合证型不寐临床观察  

Clinical Observation of Wushen Acupuncture Combined with Mian’an Decoction(眠安汤)in Treatment of Compound Types Insomnia

作　　者：游晓阳 马巧琳[2,3] 胡斌[2,3] 孙春阳[2] 宋甲奇 李明哲[2] 张琳[2] 赵蓉蓉 牛骏崴 YOU Xiaoyang;MA Qiaolin;HU Bin;SUN Chunyang;SONG Jiaqi;LI Mingzhe;ZHANG Lin;ZHAO Rongrong;NIU Junwei(Nanyang Medical College,Nanyang 473061,China;Henan University of Chinese Medicine,Zhengzhou 450046,China;Third Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450008,China)

机构地区：[1]南阳医学高等专科学校,河南南阳473061 [2]河南中医药大学,河南郑州450046 [3]河南中医药大学第三附属医院,河南郑州450008

出　　处：《山东中医杂志》2024年第12期1380-1386,共7页Shandong Journal of Traditional Chinese Medicine

基　　金：河南省中医药科学研究专项重点课题项目(编号:2024ZY1017);河南省中医药传承与创新人才工程(仲景工程)中医药拔尖人才项目(批文号:豫卫中医函[2021]15号)。

摘　　要：目的:观察五神针联合眠安汤治疗复合证型不寐的临床疗效。方法:将90例复合证型(心脾两虚证、痰热扰心证)不寐患者随机分为五神针组(30例,完成研究者27例)、眠安汤组(30例,完成研究者28例)和针药联合组(30例,完成研究者27例),分别采用针刺、中药、针药联合治疗,3组均治疗2周。比较3组治疗前、治疗1周后、治疗2周后的匹兹堡睡眠质量指数量表(PSQI)和阿森斯失眠量表(AIS)评分以评价疗效。结果:经治疗后,针药联合组的总有效率(96.30%)高于五神针组(74.07%)和眠安汤组(75.00%)(P<0.05),且针药联合组的PSQI、AIS评分均低于同期其他两组(P<0.05)。组内比较发现,3组患者治疗后的PSQI、AIS评分均低于治疗前(P<0.05)。结论:五神针、眠安汤、五神针联合眠安汤对于复合证型不寐均有治疗效果,且五神针联合眠安汤治疗效果更好。Objective:To observe the clinical efficacy of Wushen Acupuncture combined with Mian’an Decoction(眠安汤)in the treatment of compound types insomnia.Methods:A total of 90 patients with compound types insomnia(heart-spleen deficiency syndrome,phlegm-heat disturbance of the heart syndrome)were randomly divided into Wushen Acupuncture group(30 cases,completed by 27 researchers),Mian’an Decoction group(30 cases,completed by 28 researchers),and the acupuncture-medicine combination group(30 cases,completed by 27 researchers),and were treated with acupuncture,medicine,and acupuncturemedicine combination,respectively,and all the 3 groups were treated for 2 weeks.Pittsburgh Sleep Quality Index(PSQI)and Athens Insomnia Scale(AIS)scores of the three groups before treatment,1 week after treatment and 2 weeks after treatment were compared to evaluate the efficacy.Results:After treatment,the total effective rate of the acupuncture-medicine combination group(96.30%)was higher than that of Wushen Acupuncture group(74.07%)and Mian’an Decoction group(75.00%)(P<0.05),and the PSQI and AIS scores of the acupuncture-medicine combination group were lower than those of the other two groups in the same period(P<0.05).Intra-group comparison showed that the PSQI and AIS scores of the three groups after treatment were lower than those before treatment(P<0.05).Conclusions:Wushen Acupuncture,Mian’an Decoction,and Wushen Acupuncture combined with Mian’an Decoction all have therapeutic effects on compound types insomnia,and Wushen Acupuncture combined with Mian’an Decoction has better therapeutic effect.

关 键 词：复合证型不寐 五神针 眠安汤 心脾两虚 针药联合 

分 类 号：R256.23[医药卫生—中医内科学]