人参归脾汤联合体针治疗失眠心脾两虚证临床研究

Clinical Study on Renshen Guipi Tang Combined with Body Acupuncture for Insomnia with Heart-Spleen Deficiency Syndrome

目的:观察人参归脾汤联合体针治疗失眠心脾两虚证的临床疗效。方法:将失眠患者78例按随机数字表法分为对照组、观察组,每组均39例。对照组接受艾司唑仑片。观察组给予人参归脾汤内服联合体针治疗。2组连续治疗4周。比较2组匹兹堡睡眠质量指数(PSQI)评分、临床疗效以及多导睡眠监测情况。结果:治疗后,2组PSQI评分减少(P<0.01);与对照组比较,观察组治疗后PSQI评分减少更明显(P<0.01)。观察组总有效率高于对照组(P<0.05)。治疗后,2组睡眠总时间明显增加,睡眠潜伏期、觉醒次数降低(P<0.01);与对照组比较,观察组治疗后睡眠总时间增加更明显,睡眠潜伏期、觉醒次数降低更显著(P<0.01)。结论:人参归脾汤联合体针可明显改善失眠心脾两虚证患者的临床症状,提高临床疗效。

Objective:To observe the clinical effect of Renshen Guipi tang combined with body acupuncture for insomnia with heart-spleen deficiency syndrome.Methods:A total of 78 cases of patients with insomnia were divided into the control group and the observation group according to the random number table method,39 cases in each group.The control group was given estazolam tablets,and the observation group was treated with oral administration of Renshen Guipi tang combined with body acupuncture.Both groups were treated for four weeks.The scores of Pittsburgh Sleep Quality Index(PSQI),the clinical effect and the polysomnography monitoring in the two groups were compared.Results:After treatment,the PSQI scores in the two groups were decreased(P<0.01);the decrease of PSQI score in the observation group was more significant when compared with that in the control group(P<0.01).The total effective rate in the observation group was higher than that in the control group(P<0.05).After treatment,the total sleep time in the two groups was significantly increased,and the sleep latency and the number of wakefulness were decreased(P<0.01);the increase of the total sleep time in the observation group was more significant when compared with that in the control group,and the decreases of the sleep latency and the number of wakefulness were more significant(P<0.01).Conclusion:Renshen Guipi tang combined with body acupuncture can significantly improve the clinical symptoms and clinical effect of patients with insomnia with heart-spleen deficiency syndrome.