柴胡桂枝干姜汤加味结合针灸疗法治疗肝脾不调型原发性失眠的效果  

Effect of Chaihu Guizhi Ganjiang Decoction Combined with Acupuncture and Moxibustion Therapy in Treatment of Primary Insomnia of Liver and Spleen Disharmony Type

作　　者：李莉 王忠茂 孙海洋 LI Li;WANG Zhongmao;SUN Haiyang(Department of Cerebrology,Zhangqiu District Traditional Chinese Medicine Hospital,Jinan City,Jinan 250200,Shandong,China;Department of Acupuncture and Moxibustion,Zhangqiu District Hospital of Traditional Chinese Medicine,Jinan City,Jinan 250200,Shandong,China)

机构地区：[1]济南市章丘区中医医院脑病科,山东济南250200 [2]济南市章丘区中医医院针灸科,山东济南250200

出　　处：《系统医学》2025年第6期4-7,共4页Systems Medicine

基　　金：2023年度山东省中医药科技项目(Z-2023081)。

摘　　要：目的评估柴胡桂枝干姜汤加味+针灸疗法治疗肝脾不调型原发性失眠(primary insomnia,PI)的效果。方法非随机选取济南市章丘区中医医院于2022年2月—2024年2月收治的78例肝脾不调型PI患者为研究对象,按治疗方式差异分为对照组(n=39)和观察组(n=39)。对照组给予常规西药治疗、观察组给予柴胡桂枝干姜汤加味+针灸疗法,比较两组的临床有效率、睡眠质量、睡眠参数及血清学指标。结果两组治疗总有效率比较,观察组高于对照组,差异有统计学意义(P<0.05)。观察组睡眠质量低于对照组,两组比较差异有统计学意义(P<0.05)。且观察组睡眠效率(82.45±5.25)%、觉醒时间(94.36±7.52)min、睡眠潜伏期(22.63±2.28)min均优于对照组的(71.94±6.70)%、(115.39±8.74)min、(31.28±3.40)min,差异有统计学意义(t=7.711、11.391、13.196,P均<0.05)。两组血清学指标比较,观察组优于对照组,差异有统计学意义(P均<0.05)。结论采用柴胡桂枝干姜汤加味+针灸疗法治疗PI,可提高临床有效率,调节血清学指标,改善睡眠质量。Objective To evaluate the effect of Chaihu Guizhi Ganjiang decoction with added flavor+acupuncture and moxibustion in the treatment of primary insomnia(PI)with liver spleen and spleen disharmony type.Methods Seventy-eight cases of PI patients with liver and spleen dysregulation treated in Zhangqiu District Traditional Chinese Medicine Hospital,Jinan City from February 2022 to February 2024 were non-randomly selected as the study objects.According to the difference of treatment methods,they were divided into control group(n=39)and observation group(n=39).The control group was treated with conventional western medicine,and the observation group was treated with modified Chaihu Guizhi Ganjiang decoction+acupuncture.The clinical efficiency,sleep quality,sleep parameters and serological indexes of the two groups were compared.Results The total effective rate of treatment in the observa-tion group was higher than that in the control group,and the difference was statistically significant(P<0.05).The sleep quality of the observation group was lower than that of the control group,and the difference between the two groups was statistically significant(P<0.05).The sleep efficiency(82.45±5.25)%,awakening time(94.36±7.52)min and sleep latency(22.63±2.28)min in the observation group were better than(71.94±6.70)%,(115.39±8.74)min,(31.28±3.40)min in the control group,the differences were statistically significant(t=7.711,11.391,13.196,all P<0.05).The serological indexes of the two groups were compared,the observation group was better than the control group,the dif-ferences were statistically significant(all P<0.05).Conclusion Chaihu Guizhi Ganjiang decoction+acupuncture therapy in the treatment of PI can improve the clinical efficiency,regulate serological indicators and improve sleep quality.

关 键 词：柴胡桂枝干姜汤加味 针灸疗法 肝脾不调型 原发性失眠 有效率 

分 类 号：R4[医药卫生—临床医学]