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五神针联合眠安汤治疗复合证型不寐临床观察

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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。
Clinical Observation of Wushen Acupuncture Combined with Mian'an Decoction(眠安汤)in Treatment of Compound Types Insomnia
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 acupuncture-medicine 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.

compound types insomniaWushen acupunctureMian'an Decoction(眠安汤)deficiency of both heart and spleencombination of acupuncture and medicine

游晓阳、马巧琳、胡斌、孙春阳、宋甲奇、李明哲、张琳、赵蓉蓉、牛骏崴

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南阳医学高等专科学校,河南南阳 473061

河南中医药大学,河南郑州 450046

河南中医药大学第三附属医院,河南郑州 450008

复合证型不寐 五神针 眠安汤 心脾两虚 针药联合

2024

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2024.43(12)