中医联合经颅磁刺激治疗失眠症对匹兹堡睡眠质量指数的影响

Clinical Effect Observation of Traditional Chinese Medicine Combined with Transcranial Magnetic Stimulation in Treatment of Insomnia and Its Effect on PSQI

目的观察中医疗法联合经颅磁刺激对失眠症的治疗效果,及对匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index, PSQI)的影响。方法选取2018年5月—2019年8月在该院接受治疗的失眠症患者为研究对象,并根据随机数字表法分为对照组和治疗组,对照组给予怡神助眠汤,观察组给予颈部推拿加经颅磁治疗仪治疗。观察两组患者的治疗效果,比较两组患者治疗前后PSQI指数和满意度的差异。结果观察组治疗的有效率为96.67%(32/33),明显高于对照组的81.82%(27/33),差异有统计学意义(χ^(2)=3.995,P=0.046);两组患者治疗前睡眠质量无差异,治疗后,观察组患者的入睡时间、睡眠时间等PSQI评分低于对照组;两组患者治疗前褪黑素无差异,治疗后,观察组患者的褪黑素水平高于对照组患者,差异有统计学意义(P<0.001);观察组患者治疗满意度为96.97%(32/33),明显高于对照组患者(χ^(2)=5.121,P=0.024)。结论怡神助眠汤、颈部推拿联合经颅磁刺激对失眠症的治疗效果较好,可明显改善患者的PSQI评分,具有良好的应用价值。

Objective To observe the therapeutic effect of TCM combined with transcranial magnetic stimulation in the treatment of insomnia and its effect on PSQI.Methods The patients with insomnia who were treated in our hospital from May 2018 to August 2019 were selected as the research subjects, and were divided into the control group and the treatment group according to the random number table method.The control group was given Yishen Zhumian Decoction(怡神助眠汤) and the observation group was given Tuina and transcranial magnetic stimulation.The treatment effects of the two groups were observed and the differences in PSQI index and satisfaction were compared before and after treatment.Results The effective rate of treatment in the observation group was 96.67%(32/33),which was significantly higher than 81.82%(27/33) in the control group.The difference was statistically significant(χ^(2)=3.995,P=0.046).There was no difference in sleep quality between the two groups.The PSQI scores of patients in the group were lower than those in the control group.There was no difference in melatonin before treatment in the two groups.After treatment, the melatonin level in the observation group was higher than that in the control group.The difference was statistically significant(P<0.001).The treatment satisfaction of the observation group was 96.97%(32/33),which was significantly higher than that of the control group(χ^(2)=5.121,P=0.024).Conclusion Yishen Zhumian Decoction and Tuina combined with transcranial magnetic stimulation have a better effect on insomnia and can significantly improve the PSQI score of patients, with good application value.