首页|基于治未病思想之理气健脾法治疗亚健康失眠的临床研究

基于治未病思想之理气健脾法治疗亚健康失眠的临床研究

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目的 探讨基于治未病思想之理气健脾法治疗亚健康失眠的价值。方法 选取2022年8月~2023年8月亚健康失眠患者90例,随机分为药物组(艾司唑仑片)、治疗组1(方氏头皮针+温针灸)、治疗组2(方氏头皮针+温针灸+中医健康教育)三组,各30例,对三组的睡眠质量、临床疗效、心理状态进行评估。结果 和药物治疗组相比,治疗组1和治疗组2患者治疗后的睡眠质量、日间功能、入睡时间、催眠药物使用、睡眠时间、睡眠障碍、睡眠效率评分均更低,且治疗组2各项评分比治疗组1低(P<0。05);药物组总有效率为70。00%,治疗组1总有效率为83。34%,治疗组2总有效率为96。67%,和药物组相比,治疗组1、治疗组2的总有效率更高,且治疗组2比治疗组1高(P<0。05);和药物组相比,治疗组1、治疗组2治疗后的HAMA、HAMD评分更低,且治疗组2两项评分均比治疗组1低(P<0。05)。结论 针对亚健康失眠患者应用基于治末病思想的理气健脾法治疗不仅可以改善患者的心理状态和睡眠质量,同时可以提高临床疗效。
Clinical study on the treatment of sub-health insomnia by regulating qi and strengthening spleen based on the thought of treating no disease
Objective To explore the value of regulating qi and invigorating spleen in the treatment of sub-health insomnia based on the thought of treating no disease.Methods A total of 90 patients with sub-health insomnia in our hospital from August 2022 to August 2023 were randomly divided into the drug group(Estazolam tablet),treatment group 1(Fang's scalp acupuncture+warm acupuncture)and treatment group 2(Fang's scalp acupuncture+warm acupuncture+traditional Chinese medicine health education)with 30 cases in each group.The sleep quality,clinical efficacy and psychological state of the three groups were evaluated.Results Compared with the drug treatment group,the scores of sleep quality,daytime function,time to fall asleep,use of hypnotic drugs,sleep time,sleep disturbance and sleep efficiency were lower in treatment group 1 and treatment group 2 after treatment,the total effective rate of treatment group 2 was 70.00%,that of treatment group 1 was 83.34%,that of treatment group 2 was 96.67%,which was lower than that of treatment group 1(P<0.05),the total effective rate of treatment group 1 and 2 was higher than that of treatment group 1(P<0.05),and the scores of Hama and Hamd of treatment group 1 and treatment group 2 were lower than that of treatment group 1(P<0.05),the scores of treatment group 2 were lower than that of treatment group 1(P<0.05).Conclusion The application of qi-invigorating spleen therapy for sub-health insomnia patients can not only improve the psychological state and sleep quality of patients,but also improve the clinical efficacy.

Thought of treating diseaseRegulating qi and invigorating spleenSub-health insomniaClinical effectSleep quality

闻哲、赵静、赵斌斌、潘洋、林广华

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广州市海珠区瑞宝街社区卫生服务中心(海珠区石溪中医医院)针灸推拿科,广州 510715

广州中医药大学附属第三医院中医内科,广州 510378

广州市海珠区中医医院针灸推拿科,广州 518000

治未病思想 理气健脾法 亚健康失眠 临床疗效 睡眠质量

广州市卫生健康科技项目

20222A010059

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(3)
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