[1]宋奕璇,张立德.针刺联合地西泮治疗心脾两虚型失眠30例临床观察[J].甘肃中医药大学学报,2019,36(03):71-74.[doi:10.16841/j.issn1003-8450.2019.03.16]
　SONG Yixuan,ZHANG Lide.Clinical observation on 30 cases of insomnia with deficiency of qi and blood in the heart and spleen type treated by acupuncture combined with diazepam[J].Journal of Gansu University of Chinese Medicine,2019,36(03):71-74.[doi:10.16841/j.issn1003-8450.2019.03.16]
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针刺联合地西泮治疗心脾两虚型失眠30例临床观察()
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
36卷
期数:
2019年03期
页码:
71-74
栏目:
针灸推拿
出版日期:
2019-06-25

文章信息/Info

Title:
Clinical observation on 30 cases of insomnia with deficiency of qi and blood in the heart and spleen type treated by acupuncture combined with diazepam
作者:
宋奕璇;  张立德
辽宁中医药大学针灸推拿学院, 辽宁 沈阳 110847
Author(s):
SONG Yixuan;  ZHANG Lide
School of Acu-moxibustion and Massage, Liaoning University of Chinese Medicine, Shenyang, Liaoning, 110847, China
关键词:
失眠; 心脾两虚型; 针刺; 地西泮; 匹兹堡睡眠质量指数量表; 临床观察
Keywords:
insomnia; deficiency of qi and blood in the heart and spleen type; acupuncture; diazepam; Pittsburgh Sleep Quality Index(PSQI); clinical observation
分类号:
R246.6
DOI:
10.16841/j.issn1003-8450.2019.03.16
摘要:
目的 观察针刺联合地西泮治疗心脾两虚型失眠的临床疗效。方法 将68例心脾两虚型失眠患者按照随机数字表法分为对照组33例和治疗组35例，其中治疗组和对照组实际完成治疗及观察的患者各30例。对照组给予地西泮治疗；治疗组在对照组治疗方法的基础上予针刺治疗，取穴足三里、中脘、三阴交、通里、关元和气海，施以提插补法，针刺5 d，停针2 d。2组均以7 d为1个疗程，连续治疗2个疗程后比较2组的临床疗效及治疗前后匹兹堡睡眠质量指数量表（PSQI）总评分。结果 治疗后2组PSQI总评分均明显降低，与同组治疗前比较差异有统计学意义（P<0.05），且治疗组下降更明显，与对照组治疗后比较差异有统计学意义（P<0.05）；治疗组总有效率为93.33%，对照组为86.67%，2组比较差异有统计学意义（P<0.05）。结论 针刺联合地西泮治疗心脾两虚型失眠疗效确切，且能显著降低PSQI总评分，值得临床推广应用。
Abstract:
Objective To observe the clinical efficacy of acupuncture combined with diazepam in the treatment of insomnia with deficiency of qi and blood in the heart and spleen type. Methods Sixty-eight patients of insomnia with deficiency of qi and blood in the heart and spleen type were divided into control group with 33 cases and treatment group with 35 cases according to random number table method,with 30 cases in each who actually completed the treatment and observation.The control group was given diazepam,while the treatment group was given acupuncture on the basis of the control group,the acupoints Zusanli(St 36),Zhongwan(Ren 12),Sanyinjiao(Sp 6),Tongli(HT 5),Guanyuan(Ren 4) and Qihai(Ren 6) were selected and the lifting-thrusting supplementation method was applied. Acupuncture for 5 days and stop for 2 days. The 2 groups were treated for 7 days as a course of treatment. The clinical efficacy and the total score of Pittsburgh Sleep Quality Index(PSQI) before and after treatment were compared between the two groups after 2 consecutive courses of treatment.Results After treatment,the PSQI total score of the two groups both decreased significantly,the difference was statistically significant compared with the same group before treatment(P<0.05),moreover,the treatment group decreased more significantly,the difference was statistically significant compared with the control group after treatment(P<0.05).The total effective rate of the treatment group was 93.33%,that of the control group was 86.67%,the difference was statistically significant between the two groups(P<0.05).Conclusion It has definite curative effect to use acupuncture combined with diazepam in the treatment of insomnia with deficiency of qi and blood in the heart and spleen type,and it significantly decreases the PSQI total scores,which deserves clinical promotion and application.

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备注/Memo

备注/Memo:
收稿日期:2018-11-19。
基金项目:辽宁省教育厅创新团队项目（LT2014021）。
作者简介:宋奕璇(1993-),女,在读硕士研究生。研究方向:针灸推拿学。
通信作者:张立德(1960-),男,教授,医学博士,主要从事针刺治疗与预防疾病的机制研究。E-mail:zhldtcm@163.com
更新日期/Last Update: 1900-01-01