针刺结合归脾汤治疗心脾两虚型老年抑郁性失眠临床观察

Clinical Observation of Acupuncture Combined with Guipi Tang for Treatment of Senile Depression Insomnia with Syndrome of Insufficiency of Both Heart and Spleen

目的:观察针刺结合归脾汤治疗心脾两虚型老年抑郁性失眠的临床疗效。方法:将60例心脾两虚型老年抑郁性失眠的患者随机分为2组各30例。治疗组采用针刺结合归脾汤治疗,对照组采用常规药物米氮片治疗。并同时观察治疗前后老年抑郁量表(GDS)、匹兹堡睡眠质量指数(PSQI)评分的变化,判断2组临床疗效。结果:治疗后2组GDS和PSQI评分较治疗前均降低,差异均有统计学意义(P<0.05);治疗后,治疗组GDS和PSQI评分分别与对照组比较,差异均无统计学意义(P>0.05)。结论:针刺结合归脾汤治疗心脾两虚型老年抑郁性失眠疗效确切。

Objective：To observe the clinical efficacy of acupuncture combined with Guipi Tang for senile depression insomnia with the syndrome of insufficiency of both heart and spleen. Methods： Sixty elderly depression insomnia patients with heart-spleen insufficiency were randomly divided into treatment group and control group, 30 cases in each group. The treatment group was intervened by acupuncture combined with Guipi Tang. The control group was intervened by conventional medicine treatment. The scores of geriatric depressive scale（GDS） and Pittsburgh sleep quality index（PSQI） were evaluated before and after the intervention. Results：After treatment,the scores of GDS and PSQI were reduced in both groups（P 0.05 compared with those before treatment）.There was no statistically difference in the scores of GDS and PSQI between the treatment group and the control group after treatment（P 0.05）.Conclusion： Acupuncture combined with Guipi Tang has certain effect in treating senile depression insomnia with the syndrome of insufficiency of heart and spleen.