脐针治疗心脾两虚型失眠的临床研究

Clinical Study of Umbilical Acupuncture in Treating Heart and Spleen Deficiency Syndrome Type of Insomnia

【目的】观察脐针治疗心脾两虚型失眠的临床疗效。【方法】将60例心脾两虚型失眠患者随机分为治疗组和对照组,每组各30例。治疗组给予脐针针刺治疗,对照组给予常规针刺治疗。每周治疗3次,治疗4周为1个疗程。治疗4周后,评价2组临床疗效,观察2组患者治疗前后匹兹堡睡眠质量指数量表(PSQI)评分的变化情况,以及失眠严重程度指数量表(ISI)评分的情况。比较2组患者治疗前后中医心脾两虚型失眠症状积分量表评分的变化情况。【结果】(1)治疗后,2组患者的PSQI评分明显改善(P<0.05),且治疗组在改善PSQI评分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的ISI评分明显改善(P<0.05),且治疗组在改善ISI评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的中医失眠症状积分明显改善(P<0.05),且治疗组在改善中医失眠症状积分方面明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗组总有效率为93.33%(28/30),对照组为86.67%(26/30)。治疗组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】脐针针刺治疗心脾两虚型失眠,能明显改善患者的临床症状,提高患者的睡眠质量,疗效显著。

Objective To observe the clinical efficacy of umbilical acupuncture in treating heart and spleen deficiency syndrome type of insomnia.Methods Sixty patients with heart and spleen deficiency syndrome type of insomnia were randomly divided into the treatment group and the control group,with 30 cases in each group.The treatment group was given umbilical acupuncture treatment while the control group was given conventional acupuncture treatment.The treatment was given 3 times a week,4 weeks constituted one treatment course.After 4 weeks of treatment,the clinical efficacy of the two groups was evaluated.The changes in the Pittsburgh Sleep Quality Index(PSQI)scores and the Insomnia Severity Index(ISI)scores of the two groups were observed before and after treatment.The changes in the TCM heart and spleen deficiency syndrome type of insomnia symptom scale scores in the two groups were compared before and after treatment.Results(1)After treatment,the PSQI scores of the two groups were significantly improved(P<0.05),and the treatment group was significantly superior to the control group in improving the PSQI scores,the difference being statistically significant(P<0.05).(2)After treatment,the ISI scores of the two groups were significantly improved(P<0.05),and the treatment group was significantly superior to the control group in improving the ISI scores,the difference being statistically significant(P<0.05).(3)After treatment,the TCM insomnia symptom scores of patients in the two groups were significantly improved(P<0.05),and the treatment group was significantly superior to the control group in improving the TCM insomnia symptom scores,the difference being statistically significant(P<0.05).(4)The overall effective rate of the treatment group was 93.33%(28/30)and that of the control group was 86.67%(26/30).The efficacy of the treatment group was superior to that of the control group,and the difference was statistically significant(P<0.05).Conclusion Umbilical acupuncture exerts certain effect in improving the clinical symptoms and sleep quality of the patients with heart and spleen deficiency syndrome type of insomnia,and the therapeutic effect is significant.