首页|通督调神针刺法联合健脾滋阴安神汤治疗30例脾虚湿盛型睡眠障碍疗效观察

通督调神针刺法联合健脾滋阴安神汤治疗30例脾虚湿盛型睡眠障碍疗效观察

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目的:观察通督调神针刺法联合健脾滋阴安神方治疗脾虚湿盛型睡眠障碍的临床疗效.方法:选取2022年10月—2023年12月安徽中医药大学第一附属医院针灸康复一科门诊就诊的脾虚湿盛型睡眠障碍患者60例,随机分为对照组和观察组,每组30例.对照组采用通督调神针刺法治疗,取穴百会、印堂、四神聪、太阳(双侧)、内关(双侧)、神门(双侧)、三阴交(双侧)、太冲(双侧)等,采用平补平泻法,1次/d,每周连续治疗5次,连续治疗4周.观察组在对照组治疗基础上联合健脾滋阴安神方,药物组成为酸枣仁、合欢皮、薏苡仁、黄芪各15 g,柴胡、陈皮、熟地黄、山萸肉、茯苓、牡丹皮、木香、桂枝各10 g,炙甘草6 g.1剂/d,水煎2次取汁200 ml,100 ml/次,早晚分服,共4周.4周后,采用中医证候积分和匹兹堡睡眠质量指数(PSQI)量表评分进行睡眠质量评价.结果:治疗前两组患者中医证候积分和PSQI量表评分比较,差异无统计学意义(P>0.05);治疗后,观察组患者入睡困难、易醒、多梦和困倦乏力积分及PSQI量表睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能评分及PSQI总评分均低于对照组,差异有统计学意义(P<0.05,P<0.01).结论:通督调神针刺法联合健脾滋阴安神方对于改善脾虚湿盛型睡眠障碍患者的睡眠质量、提高睡眠效率等具有良好的临床疗效.
Observation on the curative effect of acupuncture for dredging governor meridian and regulating the mind combined with Jianpi Ziyin Anshen Decoction on 30 cases of sleep disorders due to insufficiency of the spleen with overabundance of dampness
Objective:To observe the clinical efficacy of acupuncture for dredging governor meridian and regulating the mind combined with Jianpi Ziyin Anshen Decoction on sleep disorders due to insufficiency of the spleen with overabun-dance of dampness.Methods:60 patients with sleep disorders due to insufficiency of the spleen with overabundance of dampness treated in the outpatient Acupuncture and Rehabilitation Department I of the First Affiliated Hospital of Anhui University of Chinese Medicine from October 2022 to December 2023 were selected and randomly divided into control group and observation group,with 30 patients in each group.Patients in the control group were treated with acupuncture for dredg-ing governor meridian and regulating the mind at Baihui,Yintang,Sishencong,Taiyang(bilateral),Neiguan(bilateral),Shenmen(bilateral),Sanyinjiao(bilateral),Taichong(bilateral)acupoints,etc.by using mild reinforcing-reducing method,once a day and 5 times a week for 4 weeks.The patients in the observation group were treated with Jianpi Ziyin An-shen Decoction on the basis of the treatment of the control group.The formula composition was 15 g each of Suanzaoren,He-huanpi,Yiyiren,and Huangqi,10 g each of Chaihu,Chenpi,Shudi,Shanyu meat,Fuling,Mudanpi,Muxiang,and Gui-zhi,and 6 g each of Zhigancao,which were 1 dose/d,and decocted in water twice for 200 ml of decoction.The decoction was taken 100 ml/time in the morning and evening for 4 weeks.After 4 weeks,the sleep quality was evaluated by TCM syn-drome score and Pittsburgh Sleep Quality Index(PSQI)score.Results:There were no statistically significant differences in TCM syndrome scores and PSQI scale scores between the two groups before treatment(P>0.05).After treatment,the scores of difficulty in falling asleep,easy to wake up,dreaminess and fatigue,the scores of PSQI scale sleep quality,the time to fall asleep,sleep time,sleep efficiency,sleep disorders,daytime function scores and PSQI total scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05,P<0.01).Con-clusion:Acupuncture for dredging governor meridian and regulating the mind combined with Jianpi Ziyin Anshen Decoc-tion has a good clinical efficacy on improving sleep quality and sleep efficiency of patients with sleep disorders due to insuf-ficiency of the spleen with overabundance of dampness.

sleep disordersacupuncture for dredging governor meridian and regulating the mindJianpi Ziyin An-shen Decoctioncombination of acupuncture and medicine

宁雪婷、肖洪波

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安徽中医药大学第一临床医学院,安徽 合肥 230021

安徽中医药大学第一附属医院针灸康复一科,安徽 合肥 230031

睡眠障碍 通督调神针刺法 健脾滋阴安神汤 针药结合

2024

山西中医药大学学报

山西中医药大学学报

ISSN:
年,卷(期):2024.25(11)