腹针结合穴位揉按治疗失眠症的临床观察

Clinical observation of abdominal acupuncture combined with acupoint massage in the treatment of insomnia

目的探究腹针结合穴位揉按治疗失眠症的临床疗效。方法选取2020年6月至2021年10月鹤山市人民医院收治的70例失眠症患者作为研究对象,采用随机数字表法分为观察组与对照组,每组35例。观察组接受腹针结合穴位揉按治疗,对照组接受中药足浴结合口服地西泮治疗,比较两组睡眠质量指标、中医症状积分及临床疗效。结果治疗后,观察组睡眠质量指数、主观睡眠质量、睡眠潜伏期、睡眠持续性、习惯性睡眠效率、睡眠紊乱以及日间功能紊乱评分均低于对照组,差异有统计学意义(P<0.05);治疗后,观察组入睡困难、容易醒、胁肋胀满、胸闷太息、抑郁易怒、神疲食少、心悸、头晕评分均低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为97.14%,高于对照组的82.85%,差异有统计学意义(P<0.05)。结论腹针结合穴位揉按治疗失眠症效果显著,能有效改善患者失眠症状,提高患者睡眠质量。

Objective To explore the clinical efficacy of abdominal acupuncture combined with acupoint massage in the treatment of insomnia.Methods 70 patients with insomnia admitted to Heshan People's Hospital from June 2020 to October 2021 were selected as the research subjects,they were randomly divided into the observation group and the control group using random number table method,with 35 cases in each group.The observation group received abdominal acupuncture combined with acupoint massage treatment,while the control group received Traditional Chinese Medicine foot bath combined with oral diazepam treatment,the sleep quality indicators,Traditional Chinese Medicine symptom scores,and clinical efficacy were compared between the two groups.Results After treatment,the sleep quality index,subjective sleep quality,sleep latency,sleep per-sistence,habitual sleep efficiency,sleep disorder,and daytime functional disorder scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05);after treatment,the scores of difficulty in falling asleep,easy to wake up,abdomi-nal distension,chest tightness,depression and irritability,mental fatigue and little food,palpitation and dizziness in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05);the total effective rate in the observation group was 97.14%,which was higher than 82.85%in the control group,and the difference was statistically significant(P<0.05).Conclusion The abdominal acupuncture combined with acupoint massage has significant therapeutic effect on insomnia,which can effectively improve the symptoms of insom-nia and improve the quality of sleep in patients.