温和灸联合归脾汤治疗心脾两虚型不寐临床疗效观察

Clinical Observation on Mild Moxibustion Combined with Guipi Decoction in the Treatment of Insomnia with Deficiency of Both Heart and Spleen

目的:观察温和灸联合归脾汤改善心脾两虚型不寐患者的临床疗效。方法:将60名符合要求的患者,随机均分为对照组和试验组,每组30例,对照组采用归脾汤治疗,试验组在对照组的基础上增加温和灸治疗,持续治疗4周后比较两组患者的治疗效果。在每组患者一般资料基本相同情况下,比较两组患者治疗前后的中医证候积分、匹兹堡睡眠指数。结果:治疗组治疗不寐的治愈率为90.00%,大于对照组的治愈率73.00%(P<0.05)。一个疗程(4周)结束后,两组患者的中医证候评分和匹兹堡睡眠质量量表评分均显著下降(P<0.05)。结论:温和灸联合归脾汤能改善失眠率、提高睡眠质量。

Objective:To observe the curative effect of mild moxibustion combined with Guipi Tang on insomnia patients with deficiency disease about heart and spleen.Methods:6O patients meeting the level were stochastically separated into compare group(n=30)and untested group(n=30).The compare group selected Guipi Decoction for therapy,and the untested group select mild moxibustion combined with Guipi Decoction.Comparing the curative effects of the two groups behind finished 4 weeks without interrupted therapy.Then under the same sex,age and course of disease,the scores of TCM syndromes and Pittsburgh sleep index before and after therapy were compared between the two groups.Results:The cure rate of mild moxibustion combined with Guipi Decoction in the treatment of insomnia was 9o%,and that of Guipi Decoction alone was 73%(P<0.05).After a series of therapy(4 weeks),the scores of TCM syndromes and Pittsburgh Sleeping quality scale in both groups decreased considerably(P<0.05).Conclusion:Mild moxibustion combined with Guipi Decoction can improve insomnia rate and sleep quality.