药熨法联合穴位按摩治疗心脾两虚型不寐的效果观察

Effect of Traditional Chinese Medicine ironing therapy combined with acupoint massage in treatment of insomnia of heart-spleen deficiency type

目的 探讨药熨法配合穴位按摩治疗心脾两虚型不寐的效果.方法 心脾两虚型不寐患者30例分为观察组和对照组,各15例.对照组给予常规治疗和护理,观察组在对照组基础上增加药熨法联合穴位按摩.采用阿森斯失眠量表(AIS-8)与匹兹堡睡眠质量指数(PSQI)评估患者睡眠质量,评价临床疗效.结果 治疗4周后,2组AIS-8和PSQI评分较治疗前下降,且治疗后观察组AIS-8和PSQI评分低于对照组,差异有统计学意义(P<0.05).观察组总有效率93.33%(14/15),高于对照组的53.33% (8/15),差异有统计学意义(P<0.05).结论 药熨法联合穴位按摩操作简便、安全,能有效改善心脾两虚型不寐患者的睡眠质量.

Objective To investigate the effect of Traditional Chinese Medicine(TCM)ironing therapy combined with acupoint massage in treatment of insomnia of heart-spleen deficiency type. Methods Totally 30 patients with insomnia of heart-spleen deficiency type were assigned to the observation group(n=15)and the control group(n=15). All patients received routine treatment and nursing, and those in the observation group were given TCM ironing therapy combined with acupoint massage. The sleep quality of patients was evaluated by Athens Insomnia Scale(AIS-8)and Pittsburgh Sleep Quality Index(PSQI). The clinical efficacy of treatment was assessed after 4 courses of treatment. Results The scores of AIS-8 and PSQI were decreased in both two groups at 4 weeks after intervention, and scores of AIS-8 and PSQI in the observation group were lower than those in the control group(P<0.05). The overall effective rate was 93.33%(14/15)in the observation group and 53.33%(8/15)in the control group, with a significant difference(P<0.05). Conclusion The TCM ironing therapy combined with acupoint massage is effective to improve the sleep quality of patients with insomnia of heart-spleen deficiency type.