基于“肝主疏泄”理论针刺调“肝”在治疗肝郁型失眠中的作用

Effect of Acupuncture Regulating"Liver"Based on the Theory of"Liver Controlling Conveyance and Dispersion"in the Treatment of Liver Depression Type Insomnia

目的:探讨基于“肝主疏泄”理论针刺调“肝”在治疗肝郁型失眠中的作用。方法:选取2021年12月—2023年5月福清市医院收治的60例肝郁型失眠患者作为研究对象。根据治疗方法的差异,将其分为常规组和观察组,各30例。常规组采用常规西药治疗,观察组则在常规组基础上基于“肝主疏泄”理论针刺调“肝”。比较两组的临床疗效、睡眠质量及安全性。结果:观察组总有效率为96.67%,显著高于常规组的80.00%,差异有统计学意义(P<0.05)。治疗前,两组匹兹堡睡眠质量指数(PSQI)各项评分比较,差异无统计学意义(P>0.05);治疗后,观察组睡眠质量各项评分明显低于常规组,差异有统计学意义(P<0.05)。两组在治疗期间并无严重不良反应事件发生。结论:基于“肝主疏泄”理论针刺调“肝”治疗肝郁型失眠的临床效果显著,能够有效改善患者睡眠质量,具有较高的安全性。

Objective:To explore the effect of acupuncture regulating"liver"based on the theory of"liver controlling conveyance and dispersion"in the treatment of liver depression type insomnia.Method:A total of 60 patients with liver depression type insomnia admitted to Fuqing City Hospital from December 2021 to May 2023 were selected as the study objects.According to the difference of treatment methods,the patients were divided into routine group and observation group,with 30 cases in each group.The conventional group was treated with conventional western medicine,and the observation group was treated with acupuncture regulating"liver"based on the theory of"liver controlling conveyance and dispersion".The clinical efficacy,sleep quality and safety of the two groups were compared.Result:The total effective rate of observation group was 96.67%,which was significantly higher than 80.00%of conventional group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in scores of Pittsburgh sleep quality index(PSQI)between the two groups(P>0.05).After treatment,the scores of sleep quality in the observation group were significantly lower than those in the conventional group,and the differences were statistically significant(P<0.05).No serious adverse events occurred in the two groups during treatment.Conclusion:Acupuncture regulating"liver"based on the theory of"liver controlling conveyance and dispersion"has a remarkable clinical effect in the treatment of liver depression type insomnia,which can effectively improve the sleep quality of patients and has a high safety.