体穴揿针联合耳穴压豆治疗中老年心脾两虚型原发性失眠的临床研究

Clinical study on the body point pressing needle combined with ear point pressing bean in the treatment of primary insomnia with deficiency both of heart and spleen in middle and old age

目的观察体穴揿针联合耳穴压豆治疗中老年心脾两虚型原发性失眠的临床效果。方法选取2023年1月至6月九江市中医医院收治的60例中老年心脾两虚型原发性失眠症患者作为研究对象,按照随机数字表法分为治疗组(n=30)和对照组(n=30)。治疗组采用体穴揿针联合耳穴压豆进行治疗,对照组采用口服艾司唑仑片进行治疗。比较两组患者匹兹堡睡眠质量指数(PSQI)评分、总有效率以及不良反应发生率。结果治疗组PSQI评分低于对照组,差异有统计学意义(P<0.05);治疗组治疗总有效率高于对照组,差异有统计学意义(P<0.05);治疗组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论体穴揿针联合耳穴压豆能够有效改善中老年心脾两虚型原发性失眠患者失眠症状,且安全无副作用,疗效显著,值得在临床上推广应用。

Objective To observe the clinical effect of body point pressing needle combined with ear point pressing bean in the treatment of insomnia with deficiency both of heart and spleen in middle and old age.Methods A total of 60 patients in middle and old age with primary insomnia with deficiency both of heart and spleen from January to June 2023 in Jiujiang Traditional Chinese Medicine Hospital were selected as the research objects,and divided into treatment group(n=30)and control group(n=30)according to random number table method.The treatment group was treated with body point pressing needle combined with ear point pressing bean,and the control group was treated with Oral Esazolam Tablets.Pittsburgh sleep quality index(PSQI)score,total response rate and incidence of adverse reactions were compared between the two groups.Results The PSQI score of the treatment group was lower than that of the control group,and the difference was statistically significant(P<0.05).The total effective rate of treatment group was higher than that of control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the treatment group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Body point pressing needle combined with ear point pressing bean can effectively improve the symptoms of insomnia in middle and old age patients with primary insomnia with deficiency both of heart and spleen,and it is safe without side effects,and the effect is significant,which is worthy of clinical application.