首页|归脾汤联合穴位艾灸治疗心脾两虚型失眠的临床效果评价

归脾汤联合穴位艾灸治疗心脾两虚型失眠的临床效果评价

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目的 探讨心脾两虚型失眠患者使用归脾汤联合穴位艾灸治疗的临床效果.方法 随机选取于2021年1月—2023年2月昌乐县人民医院收治的80例心脾两虚型失眠患者作为研究对象,按随机抽签原则分为对照组和观察组,各40例.对照组使用归脾汤单一治疗,观察组采用归脾汤、穴位艾灸联合治疗.对比两组疗效、不良反应发生率、中医证候积分和睡眠质量.结果 观察组治疗后入睡时间、夜间觉醒次数、睡眠时间均优于对照组,差异有统计学意义(P均<0.05).治疗后,观察组神疲乏力、头晕目眩、多梦易醒、心悸健忘评分均低于对照组,差异有统计学意义(P均<0.05).观察组治疗总有效率(95.00%)高于对照组(80.00%),差异有统计学意义(χ2=4.114,P<0.05).两组不良反应发生率对比,差异无统计学意义(P>0.05).结论 应用归脾汤联合穴位艾灸治疗心脾两虚型失眠的临床效果显著,可以帮助患者延长睡眠时间、缩短入睡时间、减少夜间觉醒次数,该方法有助于改善患者的临床症状,安全性好.
Clinical Effect of Guipi Decoction Combined with Acupoint Moxibustion on Insomnia Caused by Deficiency of Heart and Spleen
Objective To investigate the clinical effect of Guipi decoction combined with acupoint moxibustion on in-somnia patients with deficiency of heart and spleen.Methods A total of 80 patients of insomnia caused by heart and spleen deficiency admitted to Changle County People's Hospital from January 2021 to February 2023 were randomly selected as the research objects.According to the principle of random drawing,they were divided into the control group and the observation group,with 40 cases in each group.Guipi decoction was used for single treatment in control group and Guipi decoction and acupoint moxibustion for combined treatment in observation group.The efficacy,the in-cidence of adverse reactions,TCM syndrome scores and sleep quality were compared between the two groups.Results After treatment,the time to fall asleep,of wake up at night and the sleep time in the observation group were better than those in the control group,and the differences were significantly significant(all P<0.05).After treatment the scores of fatigue,dizziness,dreaminess,palpitation and forgetfulness in the observation group were lower than those in the control group,and the differences were significantly significant(all P<0.05).The total clinical efficacy of observa-tion group(95.00%)was higher than that of control group(80.00%),and the difference was significantly significant(χ2= 4.114,P<0.05).There was no significantly significant difference in occurrence of adverse reactions between the two groups(P>0.05).Conclusion The application of Guipi decoction combined with acupoint moxibustion in the treatment of heart and spleen deficiency insomnia has significant clinical effect,which can help patients to extend sleep time,shorten the time to fall asleep,and reduce the number of night awakenings.This method helps to improve the clinical symptoms of patients,and its safety is good,worthy of popularization.

Heart and spleen deficiency typeInsomniaAcupoint moxibustionGuipi decoctionClinical effect

闫丽霞、张志鹏、刘小峰

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昌乐县人民医院,山东潍坊 262400

心脾两虚型 失眠 穴位艾灸 归脾汤 临床疗效

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(7)
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