山东中医杂志2024,Vol.43Issue(12) :1380-1386.DOI:10.16295/j.cnki.0257-358x.2024.12.011

五神针联合眠安汤治疗复合证型不寐临床观察

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

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
山东中医杂志2024,Vol.43Issue(12) :1380-1386.DOI:10.16295/j.cnki.0257-358x.2024.12.011

五神针联合眠安汤治疗复合证型不寐临床观察

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

游晓阳 1马巧琳 2胡斌 2孙春阳 3宋甲奇 3李明哲 3张琳 3赵蓉蓉 3牛骏崴3
扫码查看

作者信息

  • 1. 南阳医学高等专科学校,河南南阳 473061
  • 2. 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
  • 3. 河南中医药大学,河南郑州 450046
  • 折叠

摘要

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.

Abstract

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.

关键词

复合证型不寐/五神针/眠安汤/心脾两虚/针药联合

Key words

compound types insomnia/Wushen acupuncture/Mian'an Decoction(眠安汤)/deficiency of both heart and spleen/combination of acupuncture and medicine

引用本文复制引用

出版年

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
段落导航相关论文