针刺配合心理疗法治疗心律失常合并失眠症疗效观察

Therapeutic Observation of Acupuncture plus Psychotherapy for Arrhythmias Complicated with Insomnia

目的观察针刺配合心理疗法治疗心律失常合并失眠症的临床疗效。方法将60例心律失常合并失眠症患者随机分为治疗组和对照组,每组30例。治疗组采用针刺配合心理疗法治疗,对照组采用单纯针刺治疗。两组均每日治疗1次,共治疗30 d。观察两组治疗前后匹兹堡睡眠质量(PSQI)评分、血液流变学各项指标及24 h各项心律失常发生次数的变化情况,并比较两组临床疗效。结果治疗组总有效率为96.7%,对照组为80.0%,两组比较差异具有统计学意义(P<0.05)。两组治疗后PSQI评分和24 h各项心律失常(室性早搏、非持续性室速、房性早搏、非阵发性室性心动过速)发生次数与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后PSQI评分、血液流变学各项指标(全血高切黏度、全血低切黏度、血浆黏度、红细胞压积、血沉)和24 h各项心律失常发生次数与对照组比较,差异具有统计学意义(P<0.05)。结论针刺配合心理疗法是一种治疗心律失常合并失眠症的有效方法。

Objective To observe the clinical efficacy of acupuncture plus psychotherapy in treating arrhythmia complicated with insomnia.Method Sixty patients with arrhythmia complicated with insomnia were randomized into a treatment group and a control group, 30 cases each. The treatment group was intervened by acupuncture plus psychotherapy, while the control group was intervened by acupuncture alone. The two groups were treated once a day, for a total of 30 d. Pittsburgh Sleep Quality Index （PSQI）, hemorheological parameters, and 24-h arrhythmias flare-ups were observed before and after the intervention, and the clinical efficacies were compared.Result The total effective rate was 96.7% in the treatment group versus 80.0% in the control group, and the between-group difference was statistically significant （P〈0.05）. After the treatment, the PSQI score and count of 24-h arrhythmias （premature ventricular contraction, sustained ventricular tachycardia, premature atrial contraction, and nonparoxysmal ventricular tachycardia） flare-ups were significantly changed in both groups （P〈0.05）. After the intervention, the PSQI score, hemorheological indexes （high-shear whole blood viscosity, low-shear whole blood viscosity, plasma viscosity, hematocrit, and erythrocyte sedimentation rate） and the count of 24-h arrhythmias flare-ups in the treatment group were significantly different from those in the control group （P〈0.05）.Conclusion Acupuncture plus psychotherapy is an effective approach in treating arrhythmias complicated with insomnia.