针灸配合补阴泻阳穴位按摩法治疗失眠症的临床效果

Clinical Effect of Acupuncture and Moxibustion Combined with Supplementing Yin and Draining Yang Acupoint Massage in the Treatment of Insomnia

目的分析针灸配合补阴泻阳穴位按摩法治疗失眠症的效果。方法选取2021年9月—2023年5月乌鲁木齐市中医医院收治的80例失眠症患者为研究对象,按随机数字表法将其分为对照组及观察组,每组40例。对照组采用常规西医配合补阴泻阳穴位按摩法治疗,观察组在此基础上采用针灸治疗,均持续治疗4周。对比两组患者的临床疗效、睡眠参数、睡眠质量及不良反应发生情况。结果观察组的治疗总有效率为95.00%,高于对照组的77.50%,差异有统计学意义(P<0.05)。治疗后,观察组的总睡眠时间为(359.84±26.48)min,长于对照组的(310.69±22.35)min,睡眠潜伏期为(65.29±4.28)min,短于对照组的(84.75±6.31)min,睡眠效率为(75.69±10.24)%,高于对照组的(66.48±8.35)%,组间差异有统计学意义(P<0.05)。治疗后,观察组的匹兹堡睡眠质量指数内各维度评分及总分均高于对照组,组间差异有统计学意义(P<0.05)。两组的不良反应发生率比较,差异无统计学意义(P>0.05)。结论针灸配合补阴泻阳穴位按摩法能减轻失眠症患者的症状,改善其睡眠质量,且无严重不良反应,值得临床推广使用。

Objective To analyze the effect of acupuncture and moxibustion combined with supplementing Yin and draining Yang acupoint massage on insomnia.Methods 80 patients with insomnia admitted to Urumqi Hospital of Traditional Chinese Medicine from September 2021 to May 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group was treated with conventional western medicine combined with supplementing Yin and draining Yang acupoint massage,and the observation group was treated with acupuncture and moxibustion on this basis.Both groups were treated for 4 weeks.The clinical efficacy,sleep parameters,sleep quality and the occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 95.00%,which was higher than 77.50%of the control group,the difference was statistically significant(P<0.05).After treatment,the total sleep time of the observation group was(359.84±26.48)min,longer than(310.69±22.35)min of the control group,the sleep latency was(65.29±4.28)min,shorter than(84.75±6.31)min of the control group,and the sleep efficiency was(75.69±10.24)%,higher than(66.48±8.35)%of the control group,the differences between the groups were statistically significant(P<0.05).After treatment,the scores and total score of Pittsburgh sleep quality index in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Acupuncture and moxibustion combined with supplementing Yin and draining Yang acupoint massage can reduce the symptoms of insomnia patients,improve their sleep quality,and no serious adverse reactions,worthy of clinical promotion.