针刺捻转补法治疗心脾两虚抑郁症失眠的临床观察

Clinical Observation on Acupuncture Twist-reinforcing Therapy in Treating Depression Type Insomnia with Deficiency of both Heart and Spleen

目的比较常规针刺法和针刺捻转补法治疗心脾两虚抑郁症失眠患者的疗效差异。方法将60例心脾两虚抑郁症失眠患者随机分为常规针刺组和针刺捻转补法组,各30例,2组取穴相同,每日治疗1次,10次为1疗程,共治疗2个疗程。观察治疗前后患者组内、组间匹兹堡睡眠指数量表(PSQI)、汉密尔顿抑郁量表(HAMD)和抑郁自评量表(SDS)评分,比较2组疗效。结果治疗后2组各评分均低于治疗前(均P<0.05),且针刺捻转补法组优于常规针刺组(P<0.05)。结论常规针刺法和针刺捻转补法均可有效治疗心脾两虚抑郁症失眠患者,明显改善该病的临床症状,且针刺捻转补法优于常规针刺法。

Objective To compare the therapeutic effects of conventional acupuncture and acupuncture twist-reinforcing therapy on depression type insomnia patients with deficiency of heart and spleen.Methods 60 cases of depression type insomnia patients with heart-spleen deficiency were randomly divided into routine acupuncture group and conventional acupuncture twist-reinforcing therapy group,with 30 cases in each one.Two groups took the same acupoint,1 time per day,10 times as a course of treatment,2 courses of treatment.The scores of the Pittsburgh sleep index scale(PSQI),the Hamilton Depression Scale(HAMD)and the self-rating Depression Scale(SDS)were compared before and after the treatment.The Results were compared between the two groups.Results After treatment,the scores of the two groups were lower than those before treatment(P<0.05),and the routine acupuncture combined with twist-reinforcing therapy group was better than the routine acupuncture group(P<0.05).Conclusion Conventional acupuncture combined with twist-reinforcing therapy can effectively treat the depression type insomnia patients with heart-spleen deficiency,and it also shows the significant improvement in the clinical symptoms of the disease,and the routine acupuncture combined with twist-reinforcing therapy on depression type insomnia patients with deficiency of heart and spleen group is better than the conventional acupuncture group.