穴位埋线治疗心脾两虚型失眠临床研究

Clinical Research on Insomnia Due to Heart and Spleen Deficiency Treated by Acupoint Catgut Implantation

目的:观察穴位埋线治疗心脾两虚型失眠的临床效果。方法:选取本院2015年1月—2016年3月收治的心脾两虚型失眠患者60例,随机分为埋线组和药物组,每组30例。药物组给予归脾丸配合枣仁安神胶囊口服治疗,埋线组给予穴位埋线治疗。结果:两组组内中医证候及PSQI量表各时段评分与治疗前比较,差异均有统计学意义(P<0.05);埋线组中医证候及PSQI量表评分治疗后优于药物组(P<0.05);两组间在睡眠质量、入睡时间、睡眠时间和日间功能障碍方面治疗后比较,差异有统计学意义(P<0.05),而在睡眠效率和睡眠障碍方面比较差异无统计学意义(P>0.05)。结论:穴位埋线治疗心脾两虚型失眠疗效显著,且治疗效果优于药物治疗。

Objective：To observe the clinical effects of acupoint catgut implantation on insomnia due to heart and spleen deficien- cy. Methods：Totally 60 patients with insomnia due to heart and spleen deficiency treated in this hospital between January. 2015 and March 2016 were randomized into catgut implantation group and drug group,30 cases in each group. Drug group were given Spleen-Restoring Pill combined with Jujube Mind-Calming Capsules while catgut implantation group were given catgut implanta- tion treatment. Results：The TCM signs and scores of PSQI in each period in both groups after treatment had significant difference compared with those before treatment （ P 〈 0.05）. The TCM signs and scores of PSQI in catgut implantation group were superior to those in drug group （ P 〈 0.05 ）. The differences in sleeping quality, time of falling asleep ,sleeping time and daytime functional disorder between the two groups had statistical significance （P 〈 0. 05 ）,but the difference in sleeping efficiency and sleep disor- der between the two groups had no statistical significance （ P 〉 0. 05）. Conclusion： Acupoint catgut implantation has significant therapeutic effects on insomnia due to heart and spleen c deficiency,and the effeet is better than that of drugs.