归元膏敷脐联合微电流刺激治疗肾阳虚型老年期失眠30例
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摘要
目的:观察归元膏敷脐联合微电流刺激治疗肾阳虚型老年期失眠的临床疗效。方法:将120例肾阳虚型失眠患者按照随机数字表法分为对照1组、对照2组、对照3组和治疗组,每组各30例。对照1组给予唑吡坦,对照2组给予归元膏敷脐,对照3组给予微电流刺激治疗,治疗组给予归元膏敷脐联合微电流刺激治疗。比较4组患者的临床疗效及治疗前后匹兹堡睡眠质量指数(PSQI)量表、中医证候积分。结果:治疗组有效率为96. 66%,对照1组有效率为50. 00%,对照2组有效率为43. 33%,对照3组有效率为66. 66%,治疗组有效率优于其他3组,差异有统计学意义(P <0. 05)。4组患者治疗后PSQI指数积分、中医证候积分低于治疗前,且治疗组低于其他3组,差异具有统计学意义(P <0. 05)。结论:归元膏敷脐合微电流刺激治疗肾阳虚型老年期失眠可减轻失眠症状,调节阳虚体质。
Objective: To observe the clinical curative effect of Ointment for Restoring Promordial Qi for umbilical application in combination with microcurrent stimulation on senile insomnia with kidney yang deficiency syndrome. Methods: A total of 120 cases of insomnia with kidney-yang deficiency were randomly divided into No. 1 control group 1,No. 2 control group,No. 3 control group and the treatment group,with 30 cases in each group. The ones in the No. 1 control group were given zolpidem orally,the ones in the No. 2 control group were given Ointment for Restoring Promordial Qi for umbilical application,and the ones in No. 3 control group were given microcurrent stimulation,while the ones in the treatment group were given Ointment for Restoring Promordial Qi for umbilical application together with microcurrent stimulation. Then the clinical efficacy,Pittsburgh Sleep Quality Index(PSQI)scale and TCM syndrome scores of the four groups before and after treatment were compared. Results: The effective rate was96. 66% in the treatment group,50. 00% in the No. 1 control group,43. 33% in the No. 2 control group and 66. 66% in the No.3 control group. The treatment group was higher than the other three groups,and all the differences were statistically significant(P < 0. 05). The scores of PSQI index and TCM syndromes in the four groups after treatment were lower than those before treatment,and the treatment group were lower the other three groups,and all the differences were statistically significant(P < 0. 05).Conclusion: Ointment for Restoring Promordial Qi for umbilical application in combination with microcurrent stimulation has a remarkable efficacy on senile insomnia with kidney yang deficiency syndrome,can alleviate insomnia symptoms and regulate yang deficiency constitution.
Objective: To observe the clinical curative effect of Ointment for Restoring Promordial Qi for umbilical application in combination with microcurrent stimulation on senile insomnia with kidney yang deficiency syndrome. Methods: A total of 120 cases of insomnia with kidney-yang deficiency were randomly divided into No. 1 control group 1,No. 2 control group,No. 3 control group and the treatment group,with 30 cases in each group. The ones in the No. 1 control group were given zolpidem orally,the ones in the No. 2 control group were given Ointment for Restoring Promordial Qi for umbilical application,and the ones in No. 3 control group were given microcurrent stimulation,while the ones in the treatment group were given Ointment for Restoring Promordial Qi for umbilical application together with microcurrent stimulation. Then the clinical efficacy,Pittsburgh Sleep Quality Index(PSQI)scale and TCM syndrome scores of the four groups before and after treatment were compared. Results: The effective rate was96. 66% in the treatment group,50. 00% in the No. 1 control group,43. 33% in the No. 2 control group and 66. 66% in the No.3 control group. The treatment group was higher than the other three groups,and all the differences were statistically significant(P < 0. 05). The scores of PSQI index and TCM syndromes in the four groups after treatment were lower than those before treatment,and the treatment group were lower the other three groups,and all the differences were statistically significant(P < 0. 05).Conclusion: Ointment for Restoring Promordial Qi for umbilical application in combination with microcurrent stimulation has a remarkable efficacy on senile insomnia with kidney yang deficiency syndrome,can alleviate insomnia symptoms and regulate yang deficiency constitution.
引文
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[12]汪娅蓓.中医治疗失眠症的研究进展[J].内蒙古中医药,2017,36(13):139-140.
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[15]马李强,方鸿.方鸿教授治疗肾阳虚失眠经验浅谈[J].西藏医药,2016,42(1):75-77.
[16]宫锦汝,庄礼兴,王笑丹.敷脐疗法的作用机理探讨[J].长春中医药大学学报,2011,27(1):85-86.
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[18]陈云飞.穴位敷贴治疗失眠[N].上海中医药报,2013-08-02(10).
[19]付霆,许斌,张介眉.宁神贴敷脐治疗失眠症[J].吉林中医药,2014,34(2):142-144.
[2]刘芸,董永海,李晓云,等.中国60岁以上老年人睡眠障碍患病率的Meta分析[J].现代预防医学,2014,41(8):1442.
[3]刘连启,王汝展,刘贤臣,等.老年人睡眠质量及相关因素研究[J].中国老年学杂志,2002,11(22):437-440.
[4]贾波.温补镇摄法治疗肾阳虚型失眠症临床观察[J].北京中医药,2011,30(9):690-691.
[5]汤凤池,李晓芳.从“阳主阴从”角度试论阳虚失眠之证治[J].中国民族民间医药,2017,26(4):85-87.
[6]杨丽,王熙.中药敷脐治疗原发性失眠的临床疗效观察[J].四川中医,2013,31(12):101-102.
[7]中华精神科学会.中国精神障碍分类与诊断标准[S].3版.济南:山东科学技术出版社,2001:118.
[8]郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:385-388.
[9]关新军,王娅玲.祝味菊重阳学术思想探源[J].江西中医药,2007,38(7):16-17.
[10]杨虎,汪毓铎,陈新华,等.多参数可调经颅微电流刺激仪的研制和基于脑电的效果评测[J].中国生物医学工程学报,2015,34(6):714-719.
[11]钦松,盛娟,郭伟,等.经颅微电流刺激辅助治疗老年慢性失眠症的疗效观察[J].实用老年医学,2013,27(5):399-401.
[12]汪娅蓓.中医治疗失眠症的研究进展[J].内蒙古中医药,2017,36(13):139-140.
[13]邓舜.从阳虚论治失眠[J].四川中医,2009,27(11):30-31.
[14]龙清华,王平.王平教授以温补元阳法论治老年性失眠[J].世界睡眠医学杂志,2016,3(1):32-34.
[15]马李强,方鸿.方鸿教授治疗肾阳虚失眠经验浅谈[J].西藏医药,2016,42(1):75-77.
[16]宫锦汝,庄礼兴,王笑丹.敷脐疗法的作用机理探讨[J].长春中医药大学学报,2011,27(1):85-86.
[17]邱茂良,余仲权,周行晓,等.针灸学[M].5版.上海:上海科学技术出版社,1997:5-25.
[18]陈云飞.穴位敷贴治疗失眠[N].上海中医药报,2013-08-02(10).
[19]付霆,许斌,张介眉.宁神贴敷脐治疗失眠症[J].吉林中医药,2014,34(2):142-144.