八段锦结合针刺法对失眠(肝郁脾虚型)影响的研究

Influence research of Baduanjin combined with acupuncture in insomnia(deficiency type of liver depression and spleen)

目的探讨八段锦结合针刺法对失眠(肝郁脾虚型)的影响。方法选取本院2015年12月～2017年12月诊治的失眠(肝郁脾虚型)患者146例,采用随机数字表法分为两组,对照组患者73例实施针刺治疗,观察组患者73例实施八段锦结合针刺治疗,于治疗前后行匹兹堡睡眠质量评分,比较两组患者的治疗效果与复发情况。结果两组患者治疗后匹兹堡睡眠质量评分(睡眠质量、入睡时间、睡眠时间、睡眠效率、催眠药物、睡眠障碍、日间功能、总评分)较治疗前显著降低,差异有统计学意义(P <0.05)。观察组患者治疗后匹兹堡睡眠质量评分(睡眠质量、入睡时间、睡眠时间、睡眠效率、催眠药物、睡眠障碍、日间功能、总评分)低于对照组,差异有统计学意义(P <0.05)。观察组患者总有效率高于对照组(P <0.05)。观察组患者治疗1、3、6个月复发率低于对照组(P <0.05)。结论八段锦结合针刺法治疗失眠(肝郁脾虚型)的疗效显著,能显著改善患者的睡眠质量,降低复发率。

Objective To investigate influence of Baduanjin combined with acupuncture in insomnia (deficiency type of liver depression and spleen). Methods 146 patients with insomnia (deficiency type of liver depression and spleen) who selected in hospital from December 2015 to December 2017 were divided into observation group and control group by random number table method.73 patients treated acupuncture as control group.73 patients treated Baduanjin combined with acupuncture as observation group.All patients evaluated by Pittsburgh sleep quality index scale (PSQI).The efficacy and recurrence of the two groups were compared. Results After treatment,PSQI score(sleep quality,start time,sleep time,sleep efficiency, hypnotic drugs,sleep disorders,daytime function, total score) decreased significantly in the groups.PSQI score (sleep quality,start time,sleep time,sleep efficiency,hypnotic drugs,sleep disorders,daytime function,total score) in the observation group was significantly lower than control group(P<0.05).Total efficiency in observation group was significantly higher than the control group(P<0.05).The recurrence rates of patients in the observation group at 1,3 and 6 months after treatment were lower than that in the control group (P<0.05). Conclusion Baduanjin combined with acupuncture have significant effect in treatment for insomnia (liver depression and spleen deficiency),which can significantly improve sleep quality and reduce recurrence rate.