首页|舒神汤联合穴位拔罐治疗慢性顽固性失眠50例

舒神汤联合穴位拔罐治疗慢性顽固性失眠50例

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目的 观察舒神汤联合神门、三阴交穴位拔罐治疗慢性顽固性失眠的临床效果。方法 选择100例病程6个月以上的慢性顽固性失眠患者。双盲随机分成治疗组与对照组。对照组行常规治疗，采用安眠类西药;治疗组应用舒神汤，联合神门、三阴交穴位拔罐。两组治疗4周，观察治疗效果。结果 治疗组治愈率64。0％(32/50)高于对照组的8。0％(4/50)，总有效率100。0％(50/50)高于对照组的66。0％(33/50)，差异均有统计学意义(P＜0。05)。治疗后，治疗组汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分较治疗前明显降低，且治疗组低于对照组，差异有统计学意义(P＜0。05);治疗组匹兹堡睡眠质量指数(PSQI)评分较治疗前明显降低，且治疗组低于对照组，差异有统计学意义(P＜0。05);治疗组健康状况调查问卷(SF-36)评分较治疗前明显升高，差异有统计学意义(P＜0。05)，且治疗组高于对照组，差异有统计学意义(P＜0。05)。对照组不良反应总发生率为46。0％(23/50)，高于治疗组的2。0％(1/50)，差异有统计学意义(P＜0。05)。结论 舒神汤联合神门、三阴交穴位拔罐治疗慢性顽固性失眠安全性高、有显著效果。
Shushen Decoction Combined with Acupoint Cupping in the Treatment of Chronic Intractable Insomnia for 50 Cases
Objective To observe the clinical effect of Shushen decoction combined with Shenmen(HT7)and Sanyinjiao(SP6)acu-point cupping therapy on chronic intractable insomnia.Methods A total of 100 patients with chronic intractable insomnia with a course of more than 6 months were selected.They were randomly divided into treatment group and control group.The control group re-ceived routine treatment,and used Western medicine.The treatment group applied Shushen decoction,combined with Shenmen(HT7)and Sanyinjiao(SP6)acupoint cupping.The two groups were treated for 4 weeks and the therapeutic effect was observed.Results The cure rate of the treatment group was 64.0％(32/50),which was higher than that of the control group(8.0％,4/50),and the total effective rate of 100.0％(50/50),which was was higher than that of the control group(66.0％,33/50),and the difference was statistical signifi-cance(P＜0.05).After treatment,HAMA and HAMD scores in the treatment group were significantly reduced compared with those be-fore treatment,the treatment group was lower than the control group,and the difference was statistically significant(P＜0.05).The PSQI score of the treatment group was significantly lower than that before treatment,the treatment group was lower than the control group,and the difference was statistically significant(P＜0.05).The SF-36 score in the treatment group was significantly higher than that be-fore treatment,and the difference was statistically significant(P＜0.05).The treatment group was higher than the control group,and the difference was statistically significant(P＜0.05).The total incidence of adverse reactions in control group was 46.0％(23/50),which was higher than that in treatment group(2.0％,1/50),and the difference was statistically significant(P＜0.05).Conclusion Shushen decoc-tion combined with Shenmen(HT7)and Sanyinjiao(SP6)acupoint cupping therapy in the treatment of chronic intractable insomnia has high safety and significant effect.

sleeplessnesschronic intractable insomniasoothing the liver and removing blood stasisnourishing the mind and calm-ing the mind methodShushen decoctionacupoint cupping therapy

刘宏平、付筱涵

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吉林省辽源市中医院内科,吉林 辽源 136200

不寐 慢性顽固性失眠 疏肝化瘀 养心安神法 舒神汤 穴位拔罐

2025

10.3969/j.issn.1672-2779.2025.02.037

中国中医药现代远程教育
世中联(北京）远程教育科技发展中心

中国中医药现代远程教育

影响因子：0.531
ISSN：1672-2779
年,卷(期)：2025.23(2)