坐式八段锦联合埋针治疗肝郁化火型失眠的临床观察

Clinical Observation of Sitting Baduanjin Combined with Buried Needle in Treatment of Insomnia of Liver Depression Transforming Fire Type

目的 观察坐式八段锦联合埋针治疗肝郁化火型失眠患者的临床疗效及作用机制。方法 本研究是按照前瞻性、随机、对照试验设计原则,将符合肝郁化火型失眠的患者随机分为试验组、对照组(3组)各30例。对照组(舒眠组),每日给予舒眠胶囊口服,对照组(单纯埋针组)每日埋针一次(双侧交替),对照组(单纯坐式八段锦组):每天晚上6:00—7:00练习一次坐式八段锦;实验组(坐式八段锦联合埋针):坐式八段锦的练习方法同对照组(单纯坐式八段锦组)一样,埋针方法同对照组(单纯埋针组)一样。疗程为14d。试验前后按照西医疾病综合疗效(匹兹堡睡眠质量指数、躯体化症状自评量表、9条目患者健康问卷、GAD-7自评量表)、中医证候疗效等标准判断该试验方法的疗效、进行统计学分析。结果 治疗组与对照组在失眠临床疗效方面的比较有统计学差异(P<0.05);治疗组及对照组组间及组内PSQI总分有统计学差异(P<0.05),治疗组及对照组在PSQI各项积分中睡眠时间、睡眠效率、睡眠障碍、日间功能障碍4项积分有统计学差异(P<0.05);治疗组与各对照组在躯体化症状自评量表方面的比较有统计学差异(P<0.05)。结论 治疗组与对照组均能改善患者的睡眠质量指数及减轻患者的心理情绪问题,但治疗组更优于对照组。

Objective To observe the clinical efficacy and mechanism of sitting Baduanjin combined with buried needle in the treatment of insomnia of liver depression transforming fire type.Methods According to the principles of prospective,randomized and controlled trial design,the patients with insomnia of liver depression and fire type were randomly divided into treatment group and three control groups(30 cases in each group).The control group 1(Shumian group)was given Shumian Capsule(舒眠胶囊)orally every day.The control group 2(simple needle embedding group)was given needle embedding once a day(bilateral alternation).The control group 3(simple sitting Baduanjin group)practiced sitting Baduanjin once every night from 6 to 7 pm.The treatment group(sitting Baduanjin combined with needle embedding)used the practice method of sitting Baduanjin as that of the control group 2(simple sitting Baduanjin group),and the needle embedding method as that of the control group 3(simple needle embedding group).The course of treatment was 14 days.Before and after the test,the efficacy was judged and statistically analyzed according to the comprehensive efficacy of Western Medicine Diseases(Pittsburgh sleep quality index,somatization symptom self-assessment scale,9-item patient health questionnaire,GAD-7 self-assessment scale),TCM syndrome efficacy and other standards.Results There was significant difference in the clinical efficacy of insomnia among the treatment group and the three control groups(P<0.05).There was significant difference in the total score of PSQI among and within the treatment group and the three control groups(P<0.05).There was significant difference in the scores of sleep time,sleep efficiency,sleep disorder and daytime dysfunction among the treatment group and the three control groups(P<0.05).There was significant difference in somatization symptom checklist among the treatment group and the three control groups(P<0.05).Conclusion The treatment group and the three control groups can improve the sleep quality index and reduce the psychological and emotional problems of patients,but the treatment group is better than the three control groups.