针刺五脏俞穴联合火针治疗心肾不交失眠疗效研究

Comparative Study on Efficacy of Acupuncture at Five Zang-organs Shu Acupoints and Fire Acupuncture in Treatment of Insomnia Patients with Non-Interaction between Heart and Kidney

目的探究联五脏俞穴合火针治疗心肾不交失眠疗效分析。方法选取2019年5月—2022年5月在该院传统疗法中心接受治疗的100例心肾不交失眠患者,根据治疗方式的不同平均分为观察组和对照组各50例,给予对照组患者常规取穴针刺,给予观察组患者针刺五脏俞穴与火针联合干预,比较两组的临床疗效、睡眠质量评分、治疗前后的中医证候积分和睡眠情况、心理状态及治疗满意度。结果观察组患者的临床有效率明显高于对照组(P<0.05);治疗后,两组睡眠情况均改善,且观察组更为明显(P<0.05);治疗后,两组患者的中医证候均改善,且观察组低于对照组(P<0.05);治疗后,两组患者的睡眠情况分值均提高,且观察组更显著(P<0.05);治疗前,两组患者的抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-rating anxiety scale,SAS)评分差异无统计学意义(P>0.05),治疗后,观察组患者的评分明显低于对照组(P<0.05);观察组的治疗满意度明显高于对照组(P<0.05)。结论给予心肾不交失眠患者针刺五脏俞穴与火针联合治疗,可增强患者临床疗效,改善患者的中医证候,提高其睡眠质量,对改善患者焦虑、抑郁情绪,增强治疗满意度具有重要意义,值得临床推广应用。

Objective To investigate the efficacy of acupuncture at five Zang-organs Shu acupoints combined with fire acupuncture in the treatment of insomnia patients due to non-interaction between heart and kidney.Methods A total of 100 patients with insomnia in the hospital from May 2019 to May 2022 were selected.According to different treatment methods,they were divided into an observation group and a control group with 50 cases in each group.The control group was given routine acupuncture.The patients in the observation group were given acupuncture at five Zang-organs Shu acupoints and combined with fire acupuncture.The clinical efficacy,sleep quality score,TCM symptom scores,sleep status,psychological state and treatment satisfaction before and after treatment were compared between the two groups.Results The clinical effective rate of patients in the observation group was significantly higher than that in the control group(P<0.05).After treatment,the sleep conditions of the two groups were improved,and the improvement of the observation group was more obvious(P<0.05).The symptoms of traditional Chinese medicine in the two groups were improved,and the improvement of the observation group was lower than that of the control group(P<0.05).After treatment,the sleep scores of the two groups were improved,and the improvement of the observation group was more significant(P<0.05).Before treatment,the depression of the two groups had no significant difference in anxiety scores(P>0.05).After treatment,the scores in the observation group were significantly lower than those in the control group(P<0.05).The treatment satisfaction in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The combined treatment of acupuncture at five Zang-organs Shu acupoints and fire acupuncture for insomnia patients due to non-interaction between heart and kidney can enhance the clinical efficacy and improve the symptoms of traditional Chinese medicine and the quality of sleep,worthy of clinical application.