首页|子午养心方联合艾灸治疗青中年心胆气虚型不寐临床观察

子午养心方联合艾灸治疗青中年心胆气虚型不寐临床观察

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目的:观察子午养心方联合艾灸治疗心胆气虚型不寐的临床疗效。方法:将青中年心胆气虚型不寐患者70例,随机分为两组。对照组34例予右佐匹克隆片口服治疗,治疗组36例予子午养心汤联合灸法(取双侧少冲穴、大敦穴、侠溪穴)治疗,10天为1个疗程,两组均连续治疗3个疗程。观察两组治疗前后匹斯堡失眠量表(PSQI)评分和焦虑自评量表(SAS)评分,并评价两组疗效和不良反应发生率。结果:治疗组愈显率为66。67%,对照组为38。24%,两组比较具有统计学意义(P<0。05)。与治疗前比较,两组治疗后PSQI评分和SAS评分均明显降低(P<0。05),组间PSQI评分比较差异均具有统计学意义(P<0。05)。两组不良反应发生率比较,差异有统计学意义(P<0。05)。结论:子午养心方联合艾灸治疗青中年心胆气虚型不寐临床疗效肯定,可明显改善患者睡眠状态和焦虑情况,不良反应发生率较低,疗效优于单纯口服西药治疗。
Efficacy observation of Ziwu Yangxin formula and moxibustion on young-and middle-aged insomnia with syndrome of deficiency of heart qi and gallbladder qi
Objective:To observe the clinical efficacy of Ziwu Yangxin formula and moxibustion on young-and middle-aged insomnia with syndrome of deficiency of heart qi and gallbladder qi.Methods:70 cases of young-and middle-aged patients with insomnia with syndrome of deficiency of heart qi and gallbladder qi were randomly divided into control group and treatment group.34 cases of control group were treated with oral dexzopiclone tablets,while 36 cases of treatment group were treated with Ziwu Yangxin decoction and moxibustion(taking bilateral HT9,RL1 and GB43).10 days as a course of treatment.Both groups were treated continuously for 3 courses of treatment.The scores of Pittsburgh sleep quality index(PSQI)and Self-rating Anxiety Scale(SAS)were observed in two groups before and after treatment.The clinical efficacy and incidence rat of adverse reactions were evaluated in two groups.Results:The markedly curative rate was 66.67%in the treatment group and 38.24%in the control group,and the comparative difference between two groups was statistically significant(P<0.05).Compared with before treatment,the scores of PSQI and SAS were significantly decreased in two groups after treatment(P<0.05),and compared PSQI score between two groups,the difference was statistically significant(P<0.05).The incidence rat of adverse reactions was different in two groups(P<0.05).Conclusion:The clinical efficacy of Ziwu Yangxin formula and moxibustion on young-and middle-aged insomnia with syndrome of deficiency of heart qi and gallbladder qi is significant,which can obviously improve the sleep state and anxiety of patients.The incidence rat of adverse reactions is lower.The clinical efficacy is better than that of oral western medicine alone.

insomniadeficiency of heart qi and gallbladder qiZiwu Yangxin formulamoxibustiontherapy of TCM

任正意、齐运卫、龚丹、王栓伟

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河南省洛阳市中医院(洛阳471000)

河南省汝阳县中医院

不寐 心胆气虚 子午养心方 艾灸 中医药疗法

河南省中医药青苗人才项目(2020)河南省洛阳市科技计划

豫卫中医函[2020]61号2022010Y

2024

山西中医
山西省中医药学会 山西中医药研究院

山西中医

影响因子:0.59
ISSN:1000-7156
年,卷(期):2024.40(3)
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