中国实用医药2024,Vol.19Issue(23) :153-156.DOI:10.14163/j.cnki.11-5547/r.2024.23.042

针灸联合归脾汤加减治疗帕金森病失眠患者的临床效果分析

Clinical effect analysis of acupuncture combined with modified Guipi Decoction in treating insomnia in patients with Parkinson's disease

张广宇
中国实用医药2024,Vol.19Issue(23) :153-156.DOI:10.14163/j.cnki.11-5547/r.2024.23.042

针灸联合归脾汤加减治疗帕金森病失眠患者的临床效果分析

Clinical effect analysis of acupuncture combined with modified Guipi Decoction in treating insomnia in patients with Parkinson's disease

张广宇1
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作者信息

  • 1. 221000 徐州市财贸职工医院中医科
  • 折叠

摘要

目的 分析予以帕金森病(PD)失眠患者针灸+归脾汤加减治疗的临床价值.方法 68例PD失眠患者,以随机数字表法分为对照组与观察组,每组34例.对照组实施常规西药治疗,观察组实施针灸+归脾汤加减治疗.比较两组治疗效果、睡眠质量及生活质量评分.结果 观察组总有效率为94.12%,较对照组的76.47% 更高(P<0.05).治疗后,观察组睡眠质量评分为(1.20±0.12)分、睡眠时间评分为(1.18±0.10)分、睡眠障碍评分为(1.23±0.15)分、睡眠效率评分为(1.19±0.12)分、日间功能评分为(1.20±0.13)分、入睡时间评分为(1.25±0.17)分、催眠药物评分为(1.19±0.15)分,均较对照组的(1.68±0.12)、(1.59±0.20)、(1.61±0.18)、(1.66±0.19)、(1.69±0.20)、(1.70±0.22)、(1.66±0.18)分更低(P<0.05).治疗后,观察组中文版39项帕金森病生活质量量表(PDQ-39)评分(32.25±2.05)分较对照组的(41.25±3.91)分更低(P<0.05).结论 予以PD失眠患者针灸+归脾汤加减治疗效果显著,可改善患者睡眠质量,提升其生活质量.

Abstract

Objective To analyze the clinical value of acupuncture combined with modified Guipi Decoction in treating insomnia in patients with Parkinson's disease (PD). Methods 68 cases of PD patients with insomnia were divided into the control group and the observation group according to the random number table,with 34 patients in each group. The control group was treated with conventional western medicine,and the observation group was treated with acupuncture+modifed Guipi Decoction. The treatment effect,sleep quality and quality of life score were compared between the two groups. Results The observation group's total effective rate was 94.12%,higher than 76.47% of control group (P<0.05). After treatment,the observation group's sleep quality score was (1.20±0.12)points,sleep duration score was (1.18±0.10)points,sleep disorder score was (1.23±0.15)points,sleep efficiency score was (1.19±0.12) points,daytime function score was (1.20±0.13)points,sleep duration score was (1.25±0.17)points,hypnotic drug score was (1.19±0.15)points,lower than (1.68±0.12),(1.59±0.20),(1.61±0.18),(1.66±0.19),(1.69±0.20),(1.70±0.22),(1.66±0.18)points of the control group (P<0.05). After treatment,the 39-item Parkinson's disease Questionnaire (PDQ-39) score of the observation group was (32.25±2.05) points,which was lower than (41.25±3.91) points of the control group (P<0.05). Conclusion Acupuncture+modified Guipi Decoction has significant effect in the treatment of PD patients with insomnia,which can improve the sleep quality of patients and enhance their quality of life.

关键词

针灸/归脾汤加减/帕金森病/失眠/睡眠质量/生活质量

Key words

Acupuncture/Modified Guipi Decoction/Parkinson's disease/Insomnia/Sleep quality/Quality of life

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出版年

2024
中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
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