艾灸百会、涌泉穴治疗心肾不交型原发性失眠症的临床疗效观察  

Clinical Effect of Moxibustion at Baihui and Yongquan Acupoints on Patients with Primary Insomnia with Cardio-Renal Incompatibility

作　　者：张蕾 张政[1] 徐海燕 黄国民 ZHANG Lei;ZHANG Zheng;XU Hai-yan;HUANG Guo-min(Department of Nursing,Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang Jiangxi,330006,China;Clinical Skills Centre,Jiangxi University of Chinese Medicine,Nanchang Jiangxi,330004,China)

机构地区：[1]江西中医药大学附属医院护理部,江西南昌330006 [2]江西中医药大学临床技能中心,江西南昌330004

出　　处：《中华养生保健》2025年第5期17-20,共4页CHINESE HEALTH CARE

基　　金：江西省中医药管理局科技计划(2021B106)。

摘　　要：目的与常规西药对比,观察艾灸百会、涌泉穴治疗心肾不交型原发性失眠症的临床疗效优势。方法采用随机RCT设计,纳入60例合格受试者,采用随机数表法分为两组。试验组(n=30):选用艾灸百会、涌泉为主的灸法治疗,1次/d,连续2周;对照组(n=30):口服艾司唑仑片,1mg/次,1次/d,于睡前0.5 h服药,连续2周。观察指标为匹兹堡睡眠质量指数(PSQI)、抑郁自评量表(SDS)、中医证候积分、临床疗效。结果连续2周治疗后,试验组PSQI总评分显著低于对照组总评分,差异有统计学意义(P<0.05)。试验组SDS总评分显著低于对照组总评分,差异有统计学意义(P<0.05)。试验组中医证候积分显著低于对照组总评分,差异有统计学意义(P<0.05)。临床疗效比较,试验组总有效率高于对照组总有效率,差异有统计学意义(P<0.05)。结论艾灸百会、涌泉穴治疗心肾不交型原发性失眠症的临床疗效优势显著。Objective To compare with conventional western medicine,to observe the clinical efficacy advantages of moxibustion at Baihui and Yongquan points in the treatment of primary insomnia of heart-kidney disharmony type.Methods A randomized RCT design was adopted,and 60 qualified subjects were included.Divide into two groups using random number table method.Experimental group(n=30):Acupuncture treatment based on moxibustion Baihui and Yongquan,once a day for 2 weeks;Control group(n=30):Oral estazolam tablets,1 mg/time,once a day,take the medicine half an hour before going to bed for 2 weeks.Observed indicators were Pittsburgh Sleep Quality Index(PSQI),Self-Rating Depression Scale(SDS),Traditional Chinese Medicine Syndrome Score,clinical efficacy.Results After 2 consecutive weeks of treatment,the total PSQI score of the test group was significantly lower than the total score of the control group,and the difference was statistically significant(P<0.05).The total SDS score of the experimental group was significantly lower than the total score of the control group,and the difference was statistically significant(P<0.05).The TCM syndrome score of the experimental group was significantly lower than the total score of the control group,and the difference was statistically significant(P<0.05).Comparing the clinical efficacy,the total effective rate of the test group was 93.33%,and the total effective rate of the control group was 86.67%.The difference was statistically significant(P<0.05).Conclusion Moxibustion at Baihui and Yongquan points has significant clinical efficacy in treating primary insomnia of heart-kidney disharmony type.

关 键 词：艾灸 失眠 心肾不交 疗效评价 

分 类 号：R248.1[医药卫生—中医临床基础]