涌泉穴艾灸配合引气归元针法治疗围绝经期心肾不交型失眠临床观察

Clinical Observation on the Treatment of Perimenopausal Insomnia with Heart-Kidney Insomnia by Yongquan Moxibustion Combined with Yinqi Restoration Acupuncture

目的探究涌泉穴艾灸配合引气归元针法治疗围绝经期心肾不交型失眠的效果.方法选取河南省中医院2019年8月—2021年8月收治的93例围绝经期心肾不交型失眠患者为研究对象,根据随机数字表法分为两组.对照组46例采用舒乐安定及谷维素治疗,观察组47例采用涌泉穴艾灸配合引气归元针法治疗.比较两组患者睡眠质量、睡眠进程及血清性激素水平.结果治疗前,两组爱泼沃斯思睡量表(ESS)、匹兹堡睡眠指数量表(PSQI)及汉密尔顿焦虑量表(HAMA)比较,组间差异无统计学意义(P>0.05);治疗后,观察组ESS、PSQI及HAMA评分均低于对照组,组间差异有统计学意义(P<0.05).治疗前,两组睡眠总时间、睡眠维持率、觉醒时间、睡眠潜伏期及觉醒次数比较,组间差异无统计学意义(P>0.05);治疗后,观察组睡眠总时间长于对照组,睡眠维持率高于对照组,觉醒时间及睡眠潜伏期短于对照组,觉醒次数少于对照组,组间差异均有统计学意义(P<0.05).治疗前,两组黄体生成激素、促卵泡生成素、雌二醇水平比较,组间差异无统计学意义(P>0.05);治疗后,观察组促卵泡生成素、黄体生成激素水平均低于对照组,雌二醇水平高于对照组,组间差异有统计学意义(P<0.05).结论涌泉穴艾灸配合引气归元针法治疗围绝经期心肾不交型失眠患者可有效改善其睡眠质量、睡眠进程及血清性激素水平.

Objective To explore the effect of Yongquan moxibustion combined with Yinqi restoration acupuncture in the treatment of perimenopausal heart-kidney insomnia.Methods A total of 93 perimenopausal patients with heart-kidney insomnia admitted to Henan Hospital of Traditional Chinese Medicine from August 2019 to August 2021 were selected as the research objects and divided into two groups according to random number table method.46 cases in the control group were treated with Suloxepam and glutarine,and 47 cases in the observation group were treated with Yongquan moxibustion combined with qi restoration acupuncture.Sleep quality,sleep progress and serum sex hormone levels were compared between the two groups.Results Before treatment,Epworth sleepiness score(ESS),Pittsburgh sleep quality index(PSQI),and Hamilton anxiety rating scale(HAMA)showed no significant differences between groups(P>0.05);after treatment,ESS,PSQI and HAMA scores in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before treatment,there were no significant differences in total sleep time,sleep maintenance rate,wake time,sleep latency and wake times between the two groups(P>0.05);after treatment,the total sleep time of the observation group was longer than that of the control group,the sleep maintenance rate was higher than that of the control group,the wake time and sleep latency were shorter than that of the control group,and the wake times were less than that of the control group,with statistical significance differences between the groups(P<0.05).Before treatment,there were no significant differences in the levels of luteinizing hormone,follicle-stimulating hormone and estradiol between the two groups(P>0.05);after treatment,the levels of follicle-stimulating hormone and luteinizing hormone in the observation group were lower than those in the control group,and the level of estradiol was higher than that in the control group,with statistical significance differences between the groups(P<0.05).Conclusion Yongquan moxibustion combined with Yinqi restoration acupuncture in the treatment of perimenopausal patients with heart-kidney insomnia can effectively improve their sleep quality,sleep progress and serum sex hormone levels.