浅针治疗慢性心力衰竭患者失眠症状临床观察

Superficial Acupuncture for Insomnia Symptoms in Patients with Chronic Heart Failure:A Randomized Controlled Study

目的:观察浅针对慢性心力衰竭伴失眠患者的睡眠治疗、疲劳程度和生活质量的影响。方法:选取慢性心力衰竭伴有失眠症状的患者76例,随机平分为浅针组和艾司唑仑组。浅针组选穴山根、太渊、太溪、大陵穴,采用浅针治疗,30min,10次为1个疗程,共治疗2个疗程。艾司唑仑组给予艾司唑仑口服,1mg/d,睡前服,10次为1个疗程,共治疗2个疗程。于治疗前及全部疗程治疗结束后24h内,检测匹兹堡睡眠质量指数、Spitzer生活质量指数量表、疲劳量表FS-14。结果:治疗后,两组患者匹兹堡睡眠质量指数均较治疗前降低(P<0.05);浅针治疗组患者入睡时间、睡眠效率及日间功能降低幅度大于艾司唑仑组(P<0.05)。两组患者Spitzer生活质量指数量表均较治疗前提高,且浅针治疗组优于艾司唑仑组(P<0.05)。两组患者疲劳量表FS-14量表均较治疗前提高,且浅针治疗组优于艾司唑仑组(P<0.05)。结论:浅针能显著改善CHF患者失眠和疲劳状态,提高患者的生活质量。

Objective:To observe the effects of sleep treatment,fatigue degree,and quality of life of chronic heart failure patients with insomnia.Methods:76patients with chronic heart failure and insomnia who received treatment in our hospital's acupuncture and moxibustion department selected and randomly divided into shallow acupuncture and estazolam groups.Change,Taiyuan,Taixi,and Daling acupoints were chosen for the external acupuncture group,and the treatment was performed 30min,10times as a course of treatment,a total of two courses.Estazolam group was given estazolam,1mg/d,before bed,ten times as a course of treatment,two methods of treatment.Pittsburgh Sleep Quality Index,Spitzer Quality of Life Index,and Fatigue Scale FS-14were measured before treatment and within 24hafter the end of all treatment courses.Results:After treatment,the Pittsburgh sleep quality index of two groups was lower than before treatment(P<0.05);The decrease in sleep time,sleep efficiency,and daytime function in the shallow acupuncture group was more significant than that in the estazolam group(P<0.05).Spitzer's quality of life index of the two groups was improved compared with before treatment,and the shallow needle treatment group was better than the estazolam group(P<0.05).The FS-14fatigue scale in two groups was improved compared with that before treatment,and the superficial acupuncture group was better than the estazolam group(P<0.05).Conclusion:Shallow needles can significantly improve insomnia and fatigue in CHF patients and improve their quality of life.