针刺宁神穴结合腹针治疗心脾两虚型失眠症的临床研究
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摘要
目的:通过针刺宁神穴与腹针相结合治疗心脾两虚型失眠的方法观察其临床疗效,为宁神穴结合腹针治疗心脾两虚型失眠症提供客观依据。方法:将门诊确诊为心脾两虚型失眠的患者按照时间顺序随机分成治疗组1组、治疗2组和对照组,每组20例。治疗1组:宁神穴结合腹针加常规针刺治疗;治疗2组:宁神穴加常规针刺治疗;对照组:常规针刺治疗。每组治疗40min/d,连续治疗6d,休息1次,共治疗12d。治疗前后分别用PSQI、中医临床症状量表及临床疗效诊断标准进行评估疗效。结果:治疗后,三组的PSQI量表评分前后差异显著,说明三组患者均有所改善;在中医症状评分中,三组患者也均有所改善。三组间比较,PSQI量表评分、中医症状评分均是治疗1组>治疗2组>对照组,说明治疗1组效果最佳。结论:(1)三组均可有效地改善心脾两虚型失眠;(2)针刺宁神穴结合腹针加常规取穴治疗心脾两虚型失眠优于针刺宁神穴加常规取穴治疗心脾两虚型失眠,优于常规取穴治疗心脾两虚型失眠。
Objective: To observe the clinical efficacy of the acupuncture of Ningshen acupoint combined with abdominal acupuncture in treating heart and spleen deficiency insomnia, and to provide an objective basis for Ningshen acupoint combined with abdominal acupuncture in treating heart and spleen deficiency insomnia. Methods: The patients who were diagnosed as insomnia in the outpatient department were randomly divided into treatment group 1, treatment group 2 and the control group, with 20 patients in each group according to the chronological order. The first treatment group received acupuncture of Ningshen acupoint combined with abdominal acupuncture on the basis of the routine treatment. The second treatment group received acupuncture of Ningshen acupoint on the basis of routine acupuncture. And the control group received the conventional acupuncture treatment. Every group received treatment 40min/d and was treated continuously for 6 days, after one day's rest, treatment was given for another 6 days. PSQI, TCM symptoms simplify scale and the clinical efficacy of diagnostic criteria were applied respectively to assess the efficacy before and after treatment. Results: After treatment, the PSQI score of three groups showed significant difference, indicating that the three groups of patients had improved and the TCM symptom score also improved. Comparison between the groups showed that PSQI scale score and TCM symptoms were as the following: treatment group 1> treatment group 2> the control group, indicating the best effect was in treatment group 1. Conclusion: 1.Three groups could effectively improve the heart and spleen deficiency type insomnia. 2. The acupuncture of Ningshen acupoint combined with abdominal acupuncture had better effect in treating heart and spleen deficiency insomnia than Ningshen acupoint combined with routine acupuncture treatment and the routine acupuncture.
Objective: To observe the clinical efficacy of the acupuncture of Ningshen acupoint combined with abdominal acupuncture in treating heart and spleen deficiency insomnia, and to provide an objective basis for Ningshen acupoint combined with abdominal acupuncture in treating heart and spleen deficiency insomnia. Methods: The patients who were diagnosed as insomnia in the outpatient department were randomly divided into treatment group 1, treatment group 2 and the control group, with 20 patients in each group according to the chronological order. The first treatment group received acupuncture of Ningshen acupoint combined with abdominal acupuncture on the basis of the routine treatment. The second treatment group received acupuncture of Ningshen acupoint on the basis of routine acupuncture. And the control group received the conventional acupuncture treatment. Every group received treatment 40min/d and was treated continuously for 6 days, after one day's rest, treatment was given for another 6 days. PSQI, TCM symptoms simplify scale and the clinical efficacy of diagnostic criteria were applied respectively to assess the efficacy before and after treatment. Results: After treatment, the PSQI score of three groups showed significant difference, indicating that the three groups of patients had improved and the TCM symptom score also improved. Comparison between the groups showed that PSQI scale score and TCM symptoms were as the following: treatment group 1> treatment group 2> the control group, indicating the best effect was in treatment group 1. Conclusion: 1.Three groups could effectively improve the heart and spleen deficiency type insomnia. 2. The acupuncture of Ningshen acupoint combined with abdominal acupuncture had better effect in treating heart and spleen deficiency insomnia than Ningshen acupoint combined with routine acupuncture treatment and the routine acupuncture.
引文
[1]赵非一,许红,燕海霞.针药结合治疗失眠临床研究进展[J].中华中医药学刊,2016,34(2):346-349.
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[5]罗翌,吕海涛,叶烨,等.试谈薄氏腹针疗法与脏腑经络理论的关系[J].新中医,2008(09):104-105.
[6]徐振华,符文彬,薄智云.从经络学说角度探讨腹针疗法的理论基础[J].针灸临床杂志,2011(06):59-60.
[7]罗翌.试论薄氏腹针疗法与脏腑经络理论的关系[A].中国中西医结合学会.第三届世界中西医结合大会论文摘要集[C].中国中西医结合学会:2007:2.
[2]薄立宏.从心主神明论治失眠[J].中医研究,2012,25(10):9-11.
[3]薄智云.腹针疗法[M].北京:中国科学技术出版社,1999:48.
[4]薄智云.神阙布气说与腹针的关系[J].北京中医,1993(04):13-14.
[5]罗翌,吕海涛,叶烨,等.试谈薄氏腹针疗法与脏腑经络理论的关系[J].新中医,2008(09):104-105.
[6]徐振华,符文彬,薄智云.从经络学说角度探讨腹针疗法的理论基础[J].针灸临床杂志,2011(06):59-60.
[7]罗翌.试论薄氏腹针疗法与脏腑经络理论的关系[A].中国中西医结合学会.第三届世界中西医结合大会论文摘要集[C].中国中西医结合学会:2007:2.