针罐治疗老年心脾两虚型失眠的近期临床疗效观察

Recent Clinical Observation of Acupuncture and Cupping in the Treatment of Insomnia due to Deficiency of Heart and Spleen

目的:观察针刺联合走罐对老年心脾两虚型失眠患者的近期临床疗效。方法:采用随机数字表法将2019年5月—2019年11月在北京市隆福医院门诊就诊的120例心脾两虚型失眠老年患者分为实验组60例和对照组60例。实验组应用针刺穴位联合背部走罐,对照组应用艾司唑仑治疗。比较两组患者在治疗4周后的匹兹堡睡眠质量评分(PSQI)、失眠严重程度指数评分(ISI)、两组患者日常生活能力评定量表(ADL)评分。结果:两组PSQI评分与ISI评分与治疗前比较均下降,且实验组评分低于对照组,差异有统计学意义(t=3.572、14.215,P<0.05);实验组和对照组的生活质量评分提高,且实验组优于对照组,差异有统计学意义(t=13.688,P<0.05)。结论:老年心脾两虚型失眠患者给予针刺联合走罐可以提高患者睡眠质量和生活质量。

Objective:To observe the recent clinical effect of acupuncture combined with moving cupping on elderly patients with insomnia due to deficiency of heart and spleen.Methods:120 elderly patients with insomnia due to deficiency of heart and spleen were divided into experimental group(60 cases)and control group(60 cases).Acupuncture points were used in the experimental group combined with back moving tank,and estazolam was used in the control group.Pittsburgh sleep quality Score(PSQI),insomnia severity index(ISI)and quality of life(ADL)were compared between the two groups 4 weeks after treatment.Results:PSQI score and ISI score in both groups decreased compared with that before treatment,and the score of the experimental group was lower than that of the control group,with statistically significant difference(t=3.572,14.215,P<0.05).The quality of life scores of the experimental group and the control group were improved,and the experimental group was better than the control group,with statistically significant difference between the two groups(t=13.688,P<0.05).Conclusion:Acupuncture combined with cupping can improve the quality of sleep and life in elderly patients with insomnia due to deficiency of heart and spleen.