择时针刺配伍悬灸隐白穴治疗心脾两虚型失眠35例

Timing Acupuncture Combined with Suspension Moxibustion Yinbai(SP1)in the Treatment of Insomnia with Deficiency of Heart and Spleen for 35 Cases

目的观察择时针刺配伍悬灸隐白穴治疗心脾两虚型失眠的临床效果。方法将符合标准的70例受试者,按就诊顺序,随机分为2组,每组35例。观察组采用择时针刺配伍悬灸隐白穴干预失眠,对照组采用常规针刺治疗失眠,均治疗2个疗程,分别收集治疗前、治疗20 d后2组的匹兹堡睡眠质量指数(PSQI)评分,对比观察2组治疗前后的PSQI评分、并对2组治疗后的临床效果进行数据分析。结果与治疗前相比,2组的PSQI评分均下降且经统计分析差异有统计学意义(P<0.05);2个疗程结束后,观察组的PSQI评分低于对照组(P<0.05),且PSQI差值比较,观察组高于对照组(P<0.05);观察组的愈显率为77.1%(27/35),优于愈显率为62.9%(22/35)的对照组(P<0.05)。结论择时针刺配伍悬灸“隐白”穴治疗心脾两虚型失眠,对失眠的疗效改善明显,且显著优于常规针刺组。

Objective To observe the clinical effect of timing acupuncture combined with suspension moxibustion on Yinbai(SP1)in the treatment of insomnia with deficiency of heart and spleen.Methods 70 patients who met the criteria were randomly divided into two groups according to the order of treatment,with 35 cases in each group.The observation group was treated with timing acupuncture combined with suspended moxibustion Yinbai(SP1)to intervene in insomnia,while the control group was treated with conventional acupuncture for insomnia,with 2 courses of treatment.Pittsburgh Sleep Quality Index(PSQI)scores of the two groups were collected before treatment and 20 days after treatment,respectively.PSQI scores of the two groups before and after treatment were compared and observed,and the clinical effects of the two groups were analyzed.Results Compared with before treatment,PSQI scores of 2 groups were decreased and the difference was statistically significant(P<0.05).After 2 courses of treatment,the PSQI score of the observation group was lower than that of the control group(P<0.05),and the PSQI difference of the observation group was higher than that of the control group(P<0.05).The apparent rate of observation group was 77.1%(27/35),which was better than that of control group(62.9%,22/35)(P<0.05).Conclusion Timing acupuncture combined with suspension moxibustion Yinbai(SP1)in the treatment of insomnia with deficiency of heart and spleen significantly improved the effect,and the therapeutic effect is significantly better than that of the conventional acupuncture.