摘要
目的:探讨针灸结合四君子汤合四逆散加减对肝郁脾虚型失眠患者的睡眠质量、睡眠时间的影响。方法:选择110例肝郁脾虚型失眠患者作为研究对象,按随机数字表法均分为对照组和观察组,各55例,对照组实施四君子汤合四逆散加减治疗,观察组在对照组基础上加针灸治疗。比较两组的匹兹堡睡眠质量指数(PSQI)、睡眠时间(慢波睡眠时间S 3、S 4及快动眼睡眠时间)、中医症候积分(主症总积分、次症总积分)、健康调查简表(SF-36)评分及临床疗效。结果:观察组治疗后1、2、4周的PSQI评分均低于对照组(P<0.05);观察组治疗后的慢波睡眠时间S 3、S 4及快动眼睡眠时间高于对照组(P<0.05);观察组治疗后的主症、次症总积分低于对照组(P<0.05);观察组治疗后的认知能力、生理状态、情感与精神状态、社会功能高于对照组(P<0.05);观察组总有效率高于对照组,差异有统计学意义(P<0.05)。结论:针灸结合四君子合四逆散加减治疗在肝郁脾虚型失眠中能达到较理想的治疗效果,能提高睡眠质量,改善失眠及睡眠状态,提升临床疗效。
Objective:To explore the effect of acupuncture and moxibustion combined with Sijunzi decoction and Sini powder on sleep quality and sleep time of insomnia patients with liver depression and spleen deficiency.Methods:A total of 110 cases of insomnia patients with liver-qi and spleen-deficiency treated were selected as research objects and divided into two groups(control group and observation group,55 cases each)according to random number table method.The treatment of Sijunzi decoction and Sini powder was performed,and the observation group was treated with acupuncture and moxibustion.Pittsburgh sleep quality index(PSQI),sleep duration(slow wave sleep duration S 3,S 4 and rapid eye movement sleep duration),TCM syndrome score(total score of major disease,total score of secondary disease),health survey Form(SF-36)score and clinical efficacy of the two groups were compared.Results:The PSQI scores of the observation group were lower than those of the control group at 1,2 and 4 weeks after treatment(P<0.05).The slow-wave sleep time S 3,S 4 and REM sleep time of the observation group after treatment were higher than those of the control group(P<0.05).The total scores of the main disease and secondary disease in the observation group were lower than those in the control group(P<0.05).The cognitive ability,physiological state,emotional and mental state and social function of the observation group were higher than those of the control group(P<0.05).The total effective rate of the observation group was higher than that of the control group.Conclusion:Acupuncture and moxibustion combined with Sijunzi plus Sini powder in the treatment of insomnia with liver depression and spleen deficiency can achieve ideal therapeutic effect,can improve sleep treatment,prolong sleep time,improve the insomnia symptoms of patients,improve their quality of life,can further improve the overall clinical efficacy.
作者
谢晓敏
曹雪梅
吴泽婷
谭天辉
金维缘
XIE Xiaomin;CAO Xuemei;WU Zeting;TAN Tianhui;JIN Weiyuan(The Fourth Clinical College of Guangzhou University of Chinese Medicine,Shenzhen 518000,China)
出处
《陕西中医》
CAS
2023年第10期1456-1460,共5页
Shaanxi Journal of Traditional Chinese Medicine
基金
国家自然科学基金资助项目(81603417)
广东省针灸学会科研基金资助项目(GDZJ2022004)。
关键词
失眠
肝郁脾虚型
针灸
四君子汤合四逆散
睡眠质量
睡眠时间
Insomnia
Liver depression and spleen deficiency type
Acupuncture
Sijunzi decoction and Sini powder
Sleep quality
Sleep duration
