电子艾灸联合中药治疗阳虚型失眠症的临床观察

Effect of Electronic Moxibustion combined with Chinese Herbal Decoction on Insomnia of Yang Deficiency Type

目的:观察电子艾灸联合中药治疗阳虚型失眠的临床疗效,比较电子艾灸与传统艾灸的作用差别。方法:将82例阳虚型失眠患者随机分为3组,治疗组采用电子灸疗涌泉穴+中药四逆合桂枝加龙骨牡蛎汤加减治疗,对照1组采用传统灸疗涌泉穴+中药四逆合桂枝加龙骨牡蛎汤加减治疗,对照2组采用艾司唑仑片口服治疗。结果:在睡眠总疗效、中医证候疗效方面,治疗组、对照1组均优于对照2组,差异均有统计学意义(P<0.05),治疗组与对照1组之间差异不明显;治疗后3组患者PSQI总分、SRSS及中医证候评分均降低(P<0.05),治疗组与对照1组治疗后PSQI总分SRSS及中医证候评分均较对照2组下降明显(P<0.05),治疗组与对照1组之间差异不明显(P>0.05);治疗组和对照1组在改善睡眠质量、睡眠时间、睡眠效率、睡眠障碍以及日间功能障碍方面,均优于对照2组(P<0.05),而治疗组与对照1组比较,差异无统计学意义(P>0.05)。结论:电子艾灸联合中药能够有效治疗阳虚型失眠症,且电子艾灸与传统艾灸疗效相当。

Objective:To explore the clinical effect of electronic moxibustion combined with Chinese herbal decoction on insomnia of Yang deficiency type,and to compare the difference between electronic moxibustion and traditional moxibustion.Methods:82 patients with insomnia of Yang deficiency type were randomly divided into three groups,the treatment group was treated with electronic moxibustion at Yongquan(KI1)point+Sini Decoction with Guizhi and Longgu Muli Decoction(四逆合桂枝加龙骨牡蛎汤),the control group 1 was treated with traditional moxibustion at Yongquan(KI1)point+Sini Decoction with Guizhi and Longgu Muli Decoction,and the control group 2 was treated with estazolam tablet.Results:In terms of the total sleep effect and TCM syndrome effect,the treatment group and the control group 1 were superior to the control group 2,the difference was statistically significant(P<0.05),there was no significant difference between the treatment group and the control group 1.After treatment,the three groups could reduce the PSQI total score,SRSS and TCM syndrome score(P<0.05),and the scores of the treatment group and the control group 1 were significantly lower than the control group 2 after treatment,the difference was significant statistically significant(P<0.05),there was no significant difference between the treatment group and the control group 1(P>0.05).The treatment group and the control group 1 were better than the control group 2 in improving sleep quality,sleep time,sleep efficiency,sleep disorders and daytime dysfunction(P<0.05),there was no statistically significant difference between the treatment group and the control group 1(P>0.05).Conclusion:Electronic moxibustion combined with Chinese herbal decoction can effectively treat insomnia of Yang deficiency type,and it has the same effect as traditional moxibustion.