针刺联合归脾汤治疗顽固性失眠31例

Acupuncture combined with Guipi Decoction in the Treatment of Intractable Insomnia for 31 Cases

目的通过观察针刺联合归脾汤治疗顽固性失眠的疗效,并阐述治疗的机理作用。方法将住院和门诊部确诊的63例顽固性失眠的患者根据就诊的先后顺序分为治疗组和对照组,其中治疗组31例,对照组32例,治疗组给予针刺联合归脾汤治疗,对照组给予地西泮片治疗,两组治疗疗程均为4周,4周后观察两组患者的临床疗效和治疗前后组内及组间的临床症状积分比较,并做出疗效评价。结果治疗组的疗效总有效率为87.97%,对照组的临床疗效总有效率为58.06%,两者相差异有统计学意义(P<0.05)。结论针刺联合归脾汤治疗顽固性失眠临床疗效显著,值得推广。

Objective By observing the curative effect of acupuncture combined Guipi decoction in the treatment of intractable insomnia,to expound the mechanism of the treatment. Methods 63 cases of inpatient and outpatient confirmed intractable insomnia patients according to the doctor＇s order were divided into treatment group and control group. The treatment group of 31 cases was given acupuncture combined Guipi decoction. The control group of 32 cases was given diazepam treatment. The course of treatment was 4 weeks. The clinical effect and clinical symptom score before and after comparison were evaluated. Results The total effective rate of the treatment group was 87. 97%,the total effective rate of the control group was 58. 06%,and the difference was statistically significant（ P〈0. 05）. Conclusion The acupuncture combined Guipi decoction in the treatment of intractable insomnia has significant clinical curative effect,and is worth promoting.