火龙罐联合耳穴压豆治疗老年心肾不交型不寐临床观察  

Clinical Observation of Fire Dragon Cupping Combined with Auricular Acupoint Bean Pressing in Treating Senile Insomnia due to Heart-Kidney Non-Interaction

作　　者：刘媛[1] 李宸芮 吴毅明[2,3] LIU Yuan;LI Chenrui;WU Yiming(Henan Provincial People′s Hospital,Zhengzhou,Henan,China,450003;Henan University of Chinese Medicine,Zhengzhou,Henan,China,450046;The Third Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou,Henan,China,450008)

机构地区：[1]河南省人民医院,河南郑州450003 [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：《河南中医》2025年第5期682-686,共5页Henan Traditional Chinese Medicine

基　　金：2022年度河南省科技研发计划联合基金项目(222301420083);河南省中医药科学研究专项课题项目(2022ZYZD12);河南省第二批青苗人才培养项目{豫卫中医函〔2021〕16号}。

摘　　要：目的:观察火龙罐联合耳穴压豆法治疗老年心肾不交型不寐的临床疗效。方法:选取老年心肾不交型不寐患者116例,随机分为西药组和治疗组,每组各58例。对照组给予黛力新治疗,治疗组给予火龙罐联合耳穴压豆治疗。观察两组治疗前后失眠严重指数量表(insomnia severity index,ISI)评分、匹兹堡睡眠质量指数(pittsburgh sleep quality index,PSQI)量表评分变化情况以及临床疗效。结果:治疗组治疗后ISI评分、PSQI评分低于对照组,差异有统计学意义(P<0.05)。治疗组治疗后心烦、入睡困难、头晕、耳鸣等症状改善情况优于对照组,差异有统计学意义(P<0.05),两组间潮热盗汗症状改善情况比较,差异无统计学意义(P>0.05)。治疗组有效率为86.20%,对照组有效率为65.51%,治疗组有效率高于西药组,差异有统计学意义(P<0.05)。结论:火龙罐联合耳穴压豆治疗老年心肾不交型不寐临床疗效显著,能改善患者症状。Objective:To observe the clinical efficacy of fire dragon cupping combined with auricular acupoint bean pressing in treating senile insomnia due to heart-kidney non-interaction syndrome.Methods:A total of 116 elderly patients with insomnia due to heart-kidney non-interaction syndrome were randomly divided into the Western medicine group and the treatment group,with 58 cases in each group.The control group received Deanxit,while the treatment group underwent fire dragon cupping combined with auricular acupoint bean pressing.Changes in insomnia severity index(ISI)scores,Pittsburgh sleep quality index(PSQI)scores before and after treatment,and clinical efficacy were observed in the two groups.Results:After treatment,ISI and PSQI scores in the treatment group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Symptoms such as irritability,difficulty falling asleep,dizziness,and tinnitus improved more significantly in the treatment group compared to those the control group,and the differences were statistically significant(P<0.05).However,no significant differences were observed in alleviating night sweats and hot flashes(P>0.05).The effective rate in the treatment group was 86.20%,significantly higher than the 65.51%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Fire dragon cupping combined with auricular acupoint bean pressing demonstrates significant clinical efficacy in treating senile insomnia due to heart-kidney non-interaction syndrome,whicn can effectively improve their symptoms and sleep quality.

关 键 词：不寐 心肾不交证 火龙罐 耳穴压豆 

分 类 号：R256.23[医药卫生—中医内科学]