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子午流注开穴法对不寐患者睡眠质量的影响研究

Study on Effect of the Ziwu Liuzhu Acupoint Selection Method on Sleep Quality in the Treatment of Insomnia
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摘要 目的:分析子午流注开穴法治疗不寐的临床效果及对睡眠质量的影响。方法:纳入2023年7月—2024年7月于本院诊治的不寐患者60例,按照随机法分为对照组与观察组,每组30例。对照组给予常规西药治疗,观察组实施子午流注开穴法治疗。两组患者均治疗1个疗程(30 d)。在治疗后比较分析两组患者临床效果及对睡眠质量的影响。结果:治疗后观察组匹兹堡睡眠质量指数量表(PSQI)评分、下丘脑-垂体相关激素水平、中医症候积分(心脾两虚型、阴虚火旺型、肝郁化火型与痰热内扰型)以及临床疗效优于对照组,差异具有统计学意义(P<0.05)。结论:子午流注开穴法对不寐的疗效确切,可以显著改善患者的睡眠质量,调节下丘脑-垂体相关激素水平与中医症候积分,值得临床推广应用。 Objective:To evaluate the therapeutic effect of the Ziwu Liuzhu acupoint selection method in treatment of insomnia and its impact on sleep quality.Methods:A total of 60 patients diagnosed with insomnia were randomly assigned into the control group(n=30)and the observation group(n=30).The control group was treated with conventional Western medication,and the observation group was treated with the Ziwu Liuzhu acupoint selection method.Both groups underwent a 30-day treatment course.Clinical efficacy and sleep quality were compared and analyzed after the treatment.Results:The observation group showed significantly improved Pittsburgh Sleep Quality Index(PSQI)scores,hypothalamic-pituitary axis-related hormone levels,and TCM syndrome scores(including Heart-Spleen deficiency,Yin deficiency with internal heat,Liver-Qi stagnation transforming into fire,and internal disturbance of phlegm-heat types),all of which were statistically superior to the control group(P<0.05).Conclusion:The Ziwu Liuzhu acupoint selection method is effective in treating insomnia,significantly improving sleep quality,regulating hypothalamic-pituitary hormone levels,and alleviating TCM syndrome scores.It is worthy of wider clinical application.
作者 周晓天 何宝 邓晨 鲍毅梅 ZHOU Xiaotian;HE Bao;DENG Chen;BAO Yimei(Ili Kazakh Autonomous Prefecture Hospital of Traditional Chinese Medicine,Yining 835000,China;Xinjiang Uygur Autonomous Region Hospital of Traditional Chinese Medicine,Urumqi 830000,China)
出处 《针灸临床杂志》 2025年第8期37-41,共5页 Journal of Clinical Acupuncture and Moxibustion
关键词 不寐 子午流注开穴法 睡眠质量 Insomnia Ziwu Liuzhu acupoint selection method Sleep quality
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