针刺配合耳穴贴压治疗心脾两虚型失眠病的临床疗效观察

Clinical Observation of Acupuncture and Auricular Point Therapy in Treatment of Insomnia of Heart and Spleen Deficiency Type

目的:探讨针刺配合耳穴贴压治疗心脾两虚型失眠的临床疗效。方法:临床收集心脾两虚型失眠患者50例。对照组(单纯针刺组)25例,治疗组(针刺配合耳穴贴压组)25例,针刺穴位选取神门、内关、三阴交、百会、安眠。耳穴选取神门、内分泌、心、脾,每周2次,每4周为1个疗程,共计3个疗程。观察两组治疗前后匹兹堡睡眠质量量表(PSQI)评分的差异性,从而进行疗效比较。结果:无论是治疗组患者还是对照组患者,经治疗后,失眠症状均有明显改善。治疗组临床痊愈4例,显效8例,有效10例,无效3例,总有效率为88%;对照组临床痊愈3例,显效8例,有效9例,无效5例,总有效率为80%。治疗组治疗心脾两虚型失眠有效率要优于对照组(P<0.05)。结论:通过PSQI评分可以看出,针刺配合耳穴贴压疗法在改善PSQI量表总分、主观睡眠质量、睡眠时间、安眠药物的运用、睡眠效率、日间功能等六个方面,效果优于对照组。表明针刺配合耳穴贴压疗法在改善心脾两虚型失眠患者睡眠质量及日常生活状态方面具有优势。

Objective:To explore the clinical efficacy of acupuncture combined with auricular point therapy in treatment of the insomnia of heart and spleen deficiency type so as to promote the clinical application.Methods:The 50 patients had been divided into 2groups:25cases in the control group with acupuncture only and 25 cases in the treatment group with acupuncture combined with auricular point therapy.The points of Shenmen,Sanyinjiao,Baihui and Anmian had been selected for acupuncture.The auricular points had been Shenmen,endocrine,heart and spleen with the treating time twice a week,4weeks for a course,and a total of 3courses.The scores of the PSQI table of the two groups before and after treatment had been observed and the curative effects had been compared.Results:It was showed that insomnia in both the treatment group and the control group was improved significantly.The efficacy comparison between the two groups showed that the total efficiency in the treatment group was 88% with 4cases cured,8cases markedly effective,10 cases effective,3cases ineffective;the total effective rate was 80%in the control group with 3cases clinically cured,8cases markedly effective,9cases effective and 5cases ineffective.The differences were statistically significant between the two groups(P<0.05).Acupuncture combined with auricular point therapy was more effective in treating the insomnia of heart spleen deficiency type.Conclusion:The curative effects of both the group are excellent.According to the scores of PSQI,acupuncture combined with auricular point therapy is more effective in improving PSQI score,subjective sleep quality,sleep time,sleeping pills application,sleep efficiency and daytime function.