灵龟八法配合雀啄灸治疗心肾不交型不寐临床研究
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摘要
目的:观察灵龟八法开穴配合雀啄灸治疗心肾不交型不寐对血清褪黑素(MT)的影响及其临床疗效。方法:将72例心肾不交型不寐患者随机分为普通针刺组(对照组) 36例和灵龟八法开穴配合雀啄灸治疗组(治疗组) 36例。观察两组患者治疗前后血清褪黑素(MT)的含量变化、匹兹堡睡眠质量指数(PSQI)量表、自评焦虑量表(SAS)、自评抑郁量表(SDS)的评分变化。结果:经治疗后治疗组MT值含量高于对照组(P <0. 05),治疗组PSQI、SDS、SAS评分比对照组显著降低(P <0. 05),且治疗组PSQI成分中的入睡时间、睡眠时间分数明显下降(P <0. 05),差异有统计学意义。结论:灵龟八法开穴配合雀啄灸足三里治疗心肾不交型不寐有效,且效果要优于普通针刺治疗,尤其对于促进人体内褪黑素的分泌、缓解患者紧张焦虑抑郁情绪、缩短入睡时间、增长睡眠时间效果更佳。
Objective: To observe the effect of Linggui Bafa acupuncture combined with bird-pecking moxibustion on serum melatonin( MLT) in the treatment of insomnia of disharmony of Heart and Kidney. Methods:72 cases of insomnia were randomly divided into the control group( n = 36) and the observation group( n = 36).The control group was treated with common acupuncture,and the observation group was treated with Linggui Bafa acupuncture combined with bird-pecking moxibustion. The changes of serum MT,PSQI,SDS and SAS were observed and compared before and after the treatment in the two groups. Results: The content of serum MT was significantly higher in the observation group than that in the control group( P < 0. 05). The scores of PSQI,SDS,and SAS were obviously decreased in the observation group than those in the control group( P < 0. 05). In PSQI score,the scores of sleep latency and sleep time were greatly decreased after the treatment( P < 0. 05).Conclusion: Linggui Bafa acupuncture combined with bird-pecking moxibustion on Zusanli( ST36) is effective for insomnia of disharmony of Heart and Kidney,which is better than common acupuncture. In particular,it is more effective for promoting the synthesis and secretion of MT,relieving anxiety,shortening sleep latency and increasing sleep time of the patients.
Objective: To observe the effect of Linggui Bafa acupuncture combined with bird-pecking moxibustion on serum melatonin( MLT) in the treatment of insomnia of disharmony of Heart and Kidney. Methods:72 cases of insomnia were randomly divided into the control group( n = 36) and the observation group( n = 36).The control group was treated with common acupuncture,and the observation group was treated with Linggui Bafa acupuncture combined with bird-pecking moxibustion. The changes of serum MT,PSQI,SDS and SAS were observed and compared before and after the treatment in the two groups. Results: The content of serum MT was significantly higher in the observation group than that in the control group( P < 0. 05). The scores of PSQI,SDS,and SAS were obviously decreased in the observation group than those in the control group( P < 0. 05). In PSQI score,the scores of sleep latency and sleep time were greatly decreased after the treatment( P < 0. 05).Conclusion: Linggui Bafa acupuncture combined with bird-pecking moxibustion on Zusanli( ST36) is effective for insomnia of disharmony of Heart and Kidney,which is better than common acupuncture. In particular,it is more effective for promoting the synthesis and secretion of MT,relieving anxiety,shortening sleep latency and increasing sleep time of the patients.
引文
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[17]王洪武,王玉兴,王小平.“秋伤于湿,冬生咳嗽”析[J].中国中医药信息杂志,2016,23(10):115-116.
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[3]卜淑华,马桂萍.苯二氮卓类药物所致戒断综合征32例临床观察[J].中国实用医药,2012,7(14):189-190.
[4]王艳君,韩一栩,朱学亮.针灸治疗失眠临床研究进展[J].现代中西医结合杂志,2016,25(10):1131-1134.
[5]冉茜,姜兴鹏.细火针治疗失眠临床观察[J].河南中医,2017,37(7):1288-1289.
[6]张建礼.针灸配合浅针耳穴综合治疗运动性失眠临床观察[J].福建体育科技,2016,35(1):31-32.
[7]中华医学会精神科分会.中国精神障碍分类与诊断标准[M].3版.济南:山东科学技术出版社,2001:118-119.
[8]周仲瑛.中医内科学[M].5版.北京:中国中医药出版社,2013:149.
[9]邱世光,王高岸.灵龟八法联合廉泉穴位注射治疗风痰阻络型中风假性球麻痹的临床观察[J].中华中医药学刊,2017,35(12):3221-3223.
[10]石学敏.针灸学[M].2版.北京:中国中医药出版社,2007:227.
[11]Buysse DJ,Reynolds C,Monk TH,et al.The pittsburgh sleep quality index:antn instrument for psychiatry Res,1989,28(2):193-213.
[12]Zung WW.A rating instrument for anxiety disorder[J].Psychosomatics,1971,12(6):371-379.
[13]Zung WW,Richards CB,Short MJ.Self-rating depression scale in an outpatient clinic:further validation of the SDS[J].Arch Gen Psychiatry,1965,13(6):508-515.
[14]Srinivasan V,Pandi PS,Trakht I,et al.Patho physiology of depression:Role of sleep and the melaton-ergic system[J].Psychiatry Res,2009,165(3):201-214.
[15]Maldonado MD,Maria APSG,Reiter RJ.The role of melatonin in the immuno-neuro-psychology of mental disorders[J].Recent Patents CNS Drug Discover,2009,4(1):61-69.
[16]郑美凤,何芙蓉,林煜芬,等.浅针山根穴治疗原发性失眠的疗效观察及其对血清褪黑素的影响[J].浙江中医药大学学报,2014,38(7):902-905.
[17]王洪武,王玉兴,王小平.“秋伤于湿,冬生咳嗽”析[J].中国中医药信息杂志,2016,23(10):115-116.