通督调神针法结合行为干预治疗不寐的临床疗效观察

Clinical Observation of Hedging the Govern Vessel by Regulating Spirits with Behavior Intervention Therapy on Treatment of Insomnia

目的:观察通督调神针法结合行为干预治疗不寐的临床疗效。方法:将60例不寐患者随机分为通督调神针法结合行为干预治疗组和行为干预疗法对照组。结果:经匹兹堡睡眠质量量表(PSQI)评定,治疗前组间比较,t=0.49,P>0.05,无统计学意义;治疗4 w后组间比较,t=2.91,P<0.01,治疗组明显优于对照组;治疗前后组内比较,2组均有t>4.08,P<0.01,有非常显著性差异;治疗8 w后组间比较,t=2.74,P<0.01,治疗组明显优于对照组;治疗前后组内比较,2组均有t>4.20,P<0.01,有非常显著性差异。经中医症候标准评定,治疗4 w后总有效率:治疗组73.3%,对照组56.7%;治疗8 w后总有效率:治疗组83.3%,对照组60.0%;治疗组与对照组经Radit检验比较,治疗4 w与治疗8 w,P<0.05。结论:通督调神针法结合行为干预治疗不寐效果显著,值得临床推广。

Objective： To observe the effect of hedging the Govern vessel by regulating spirits with behavior intervention therapy on the treatment of insomnia. Methods： 60 cases of insomnia were randomly divided into hedging the Govern vessel by regulating spirits combined with behavior intervention and behavior intervention therapy group. Results： By the Pittsburgh Sleep Quality Scale （PSQI） assessment, before the treatment, comparison between groups, t = 0. 49, P 〉 0. 05, no statistical significance ; after 4 weeks of treatment between the two groups, t =2.91, P 〈0. 01, the treatment group was significantly better than the control group; and com- pared before and after the treatment group, two groups were t 〉 4. 08, P 〈 0. 01, there was a significant difference ; after 8 weeks of treatment, groups compared ： t = 2. 74, P 〈 0. 01, the treatment group was significantly better than the control group, and compared before and after the treatment group, two groups were t 〉4. 20, P 〈0.01, there was significant difference. Assessed TCM syndrome criteria, the total effective rate after 4 weeks： treatment group was 73.3%, control group was 56. 7% ; 8 weeks after the treatment, the total efficiency： treatment group was 83.3%, control group was 60. 0% ; the treatment group and the control group by Radit test, treatment for 4 weeks and 8 weeks of treatment were P 〈 0. 05. Conclusion： Hedging the Govern vessel by regulating spirits combined with behavior intervention has a remarkable effect on the treatment of insomnia, is worthy the clinical promotion.