针灸对肝郁脾虚型失眠患者慢波睡眠时间与快动眼睡眠时间的影响

Effect of acupuncture on slow wave sleep time and rapid eye movement sleep time in patients with liver depression and spleen deficiency type of insomnia

目的探讨针灸对肝郁脾虚型失眠患者慢波睡眠时间、快动眼睡眠时间及临床效率的影响。方法选取2017年1月至2018年12月于昌平区中西医结合医院就诊的120例肝郁脾虚型失眠症患者,采用随机数字表分为两组(各60例),对照组给予四逆散加味中药汤剂治疗,研究组在中药治疗基础上给予针灸治疗。比较两组睡眠质量、慢波睡眠时间、快动眼睡眠时间、临床疗效等情况。结果研究组治疗2、4周后的日间功能、催眠药物、睡眠障碍、睡眠效率、睡眠时间、入睡时间、睡眠质量评分均明显低于对照组(P<0.05)。治疗后,研究组的快动眼睡眠时间、慢波睡眠时间均明显长于对照组(P<0.05),临床有效率明显高于对照组(96.7%vs.78.3%,P<0.05)。结论四逆散加味中药汤剂联合针灸治疗失眠症,可改善日间功能和睡眠时间,提高睡眠效率和睡眠质量,值得临床应用。

Objective To explore the effect of acupuncture on slow wave sleep time,rapid eye movement sleep time and clinical efficiency in the patients with liver depression and spleen deficiency type of insomnia.Methods A total of 120 patients with liver depression and spleen deficiency type of insomnia in Changping District Hospital of Integrated Traditional Chinese and Western Medicine from January 2017 to December 2018 were selected and divided into the two groups by adopting the random number table,60 cases in each group.The control group was given Sini Powder adding Chinese medicine decoction,and the research group was treated with acupuncture on the basis of traditional Chinese medicine.The sleep quality,slow wave sleep time,rapid eye movement sleep time and clinical efficacy were compared between the two groups.Results The day function,hypnotic drugs,sleep disorders,sleep efficiency,sleep time,time to fall asleep and sleep quality score after 2-week and 4-week treatment in the research group were lower than those in the control group(P<0.05);the fast eye movement sleep time and slow wave sleep time after treatment in the research group were significantly longer than those in the control group(P<0.05);the clinical effective rate of the research group was higher than that of the control group(96.7%vs.78.3%,P<0.05).Conclusion Sini Powder adding Chinese medicine decoction combined with acupuncture for treating insomnia can improve the day function and sleep time,increase the sleep efficiency and sleep quality and is worthy of clinical application.