温通刮痧疗法联合中草药助眠香囊治疗慢性失眠的临床研究

A Clinical Study on the Combination of Wentong Guasha Therapy and Chinese Herbal Sleeping Sachets for the Treatment of Chronic Insomnia

目的观察温通刮痧疗法联合中草药助眠香囊治疗慢性失眠的临床疗效。方法选取2023年8~12月于株洲市中医伤科医院门诊招募的慢性失眠志愿者共30例,随机分为试验组和对照组,每组15例。对照组予以基础治疗,试验组在对照组基础上配合温通刮痧疗法和中草药助眠香囊治疗,治疗周期为4周,治疗前后采用阿森斯失眠量表(AIS)、广泛性焦虑障碍量表(GAD-7)及中医证候积分进行评价,并分析治疗总有效率。结果治疗4周后,两组的AIS评分、GAD-7评分及中医证候积分均较治疗前有显著下降(P<0.05),且试验组AIS评分、GAD-7评分及中医证候积分均较对照组下降更为显著(P<0.05);试验组患者的治疗总有效率明显高于对照组(100.00%vs 73.33%),差异有统计学意义(P<0.05)。结论温通刮痧疗法结合中药助眠香囊可改善慢性失眠患者的睡眠,从心理上缓解患者的焦虑情绪,是一种治疗慢性失眠的有效方法。

Objective To observe the clinical efficacy of Wentong Guasha therapy combined with Chinese herbal sleeping sachets in the treatment of chronic insomnia.Methods A total of 30 chronic insomnia subjects recruited from the outpatient department of Zhuzhou Traditional Chinese Medicine Traumatology Hospital from August to December 2023 were randomly divided into an experimental group and a control group,with 15 cases in each group.The control group was given basic treatment,while the experimental group was treated with Wentong Guasha therapy and Chinese herbal sleeping sachets on the basis of the control group.The treatment period was 4 weeks.Before and after treatment,the Asens Insomnia Scale(AIS),Generalized Anxiety Disorder Scale(GAD-7),and Traditional Chinese Medicine Syndrome Score were used to evaluate the total effective rate of treatment.Results After 4 weeks of treatment,the AIS scores,GAD-7 scores,and traditional Chinese medicine syndrome scores of the two groups showed a significant decrease compared to before treatment,and the experimental group showed a more significant decrease in the 3 scores compared to the control group(P<0.05).The total effective rate of treatment in the experimental group was significantly higher than that in the control group(100.00%vs 73.33%),the difference was statistically significant(P<0.05).Conclusion The combination of Wentong Guasha therapy and traditional Chinese medicine sleep aid sachets can improve the sleep of patients with chronic insomnia,alleviate their anxiety from a psychological perspective,which is an effective strategy to treat chronic insomnia.