首页|疏肝调神针刺法联合丹栀逍遥散治疗肝郁化火型失眠的临床研究

疏肝调神针刺法联合丹栀逍遥散治疗肝郁化火型失眠的临床研究

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目的:观察疏肝调神针刺法联合丹栀逍遥散治疗肝郁化火型失眠的临床疗效及对患者睡眠质量和血清神经递质水平的影响.方法:选取湛江市第二中医医院2022年5月—2024年5月收治的120例肝郁化火型失眠患者参与研究,将其分为对照组和试验组.为对照组60例患者采用疏肝调神针刺法治疗,为试验组60例患者采用疏肝调神针刺法联合丹栀逍遥散治疗,两组连续治疗8周.比较两组治疗前后的血清学神经递质水平、匹兹堡睡眠质量指数评分、中医证候积分.结果:治疗后两组组间对比,试验组血清5-HT明显更高,DA和NE明显更低,差异具有统计学意义(P<0.05).治疗后两组对比,试验组睡眠时间、睡眠障碍、睡眠效率和主观睡眠质量评分明显更低,差异具有统计学意义(P<0.05).治疗后,试验组入寐困难、烦躁易怒、醒后不寐、头痛面红和胸闷肋痛积分明显更低,差异具有统计学意义(P<0.05).结论:对肝郁化火型失眠患者采用疏肝调神针刺法联合丹栀逍遥散治疗可有效提高其血清5-HT水平,降低血清DA、NE水平,提高睡眠质量,缓解临床症状,值得临床大力推广.
Clinical study on liver-soothing and mind-regulating acupuncture combined with Danzhi Xiaoyao Powder for the treatment of liver-Qi stagnation and fire-transformation type insomnia
Objective To observe the clinical efficacy of liver-soothing and mind-regulating acupuncture combined with Danzhi Xiaoyao Powder in the treatment of liver-Qi stagnation and fire-transformation type insomnia,and its influence on sleep quality and serum neurotransmitter level.Methods:A total of 120 patients with liver-Qi stagnation and fire-transformation type insomnia admitted to Zhanjiang Second Hospital of Traditional Chinese Medicine from May 2022 to May 2024 were selected to participate in the study,and divided into control group and experimental group.In the control group,60 patients were treated with liver-soothing and mind-regulating acupuncture,while in the experimental group,60 patients were treated with liver-soothing and mind-regulating acupuncture combined with Danzhi Xiaoyao Powder.Both groups were treated for 8 weeks.Serological neurotransmitter level,Pittsburgh sleep quality index score and TCM syndrome score before and after treatment were compared between the two groups.Results After treatment,the serum 5-HT in the experimental group was significantly higher,DA and NE were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of sleep time,sleep disorder,sleep efficiency and subjective sleep quality score in the experimental group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).After treatment,difficulty in sleeping,irritability,sleeplessness after waking,headache and facial redness,chest tightness and rib pain scores in the experimental group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Liver-soothing and mind-regulating acupuncture combined with Danzhi Xiaoyao Powder can effectively improve the level of serum 5-HT,reduce the level of serum DA and NE,improve the quality of sleep,alleviate clinical symptoms in patients with liver-Qi stagnation and fire-transformation type insomnia,and is worthy of clinical promotion.

liver-soothing and mind-regulating acupunctureDanzhi Xiaoyao Powderliver-Qi stagnation and fire-transformation type insomnia

黎超明、李海新、黄小清

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湛江市第二中医医院,广东 湛江 524000

疏肝调神针刺 丹栀逍遥散 肝郁化火型失眠

2024

延边大学医学学报
延边大学

延边大学医学学报

影响因子:0.308
ISSN:1000-1824
年,卷(期):2024.47(4)