健脾养心针刺法治疗心脾两虚型失眠症的临床观察

Clinical observation of invigorating spleen and nourishing heart acupuncture treatment on insomnia

目的:比较健脾养心针刺法与口服右佐匹克隆(文飞)治疗失眠伴焦虑抑郁障碍患者的疗效差异。方法:选取心脾两虚型失眠伴轻度焦虑抑郁障碍患者64例,随机分为针刺组(30例)和西药组(29例)。针刺组予健脾养心常规针刺治疗(脾俞、心俞、三阴交、足三里、神门、内关),每天1次,共治疗4周;西药组服用右佐匹克隆(文飞),每天1次,共服4周。治疗前后选择睡眠质量指数评定量表(PSQI)、自评焦虑量表(SAS)和自评抑郁量表(SDS)对两组患者临床疗效进行评价。结果:针刺组患者临床疗效显著优于西药组(Z=-2.766,P<0.01);两组患者治疗后PSQI总分及各项评分、SAS评分、SDS评分均较治疗前显著降低(P<0.01),并且针刺组在睡眠质量改善方面显著优于西药组(P<0.05)。结论:健脾养心针刺法治疗失眠疗效显著,能明显改善睡眠质量,且优于口服右佐匹克隆,不良反应较小。

Objective: To compare the curative effect of the treatment of insomnia with anxiety and depression by invigorating the spleen and nourishing the heart acupuncture and Eszopiclone. Methods: Sixty-four cases were selected and randomly divided into the acupuncture group(30 cases) and the western medication group(29 cases). In the acupuncture group, Pishu(BL20), Xinshu(BL15), Sanyinjiao(SP6), Shenmen(TF4) and Neiguan(PC6) were selected, and the treatment was once a day for 4 weeks. In the western medication group, Eszopiclone was applied with oral administration for 4 weeks. The curative effect comparison was analyzed by Pittsburgh Sleep Quality Index(PSQI), Self-Rating Anxiety Scale(SAS), and Self-Rating Depression Scale(SDS). Results: The cured and effective rate in the acupuncture group was superior to that of western medication group; after the treatment, the scores of all items and the total cumulative scores of PSQI, SAS and SDS of both groups were reduced(P<0.01); the sleep quality evaluation in acupuncture group had better effect than those in western medication group(P<0.05); the side effects in western medication group were higher than those in acupuncture group. Conclusion: The effect of nourishing spleen and nourishing heart acupuncture therapy on insomnia is remarkable. It could obviously improve the quality of sleep, and is better than Eszopiclone, and the adverse reaction is less.