加味菖蒲郁金汤联合针灸对心肾不交型失眠症睡眠质量及抑郁、焦虑状态的影响

Effects of Jiawei Changpu Yujin Decoction Combined with Acupuncture on Sleep Quality,Depression and Anxiety in Cardio-renal Incompatibility Insomnia

【目的】探讨加味菖蒲郁金汤联合针灸治疗对心肾不交型失眠症患者的睡眠质量及焦虑、抑郁状态的影响。【方法】回顾性分析2022年1月至2023年6月本院收治的150例心肾不交型失眠症患者的临床资料,根据治疗方法不同将其分为对照组(接受常规西药联合针灸治疗)和观察组(在对照组的基础上给予加味菖蒲郁金汤治疗),每组75例。两组持续治疗3个疗程,比较两组临床疗效、中医证候积分、睡眠质量[匹兹堡睡眠质量指数(PSQI)评分、睡眠潜伏期、快速动眼睡眠时间、睡眠总时间]、焦虑状态[焦虑自评量表(SAS)评分]、抑郁状态[抑郁自评量表(SDS)评分]。【结果】观察组临床总有效率高于对照组,差异有统计意义(P<0.05)。治疗后,两组彻夜不寐、寐而易醒、五心烦热、腰膝酸软评分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组睡眠潜伏期、快速动眼睡眠时间短于治疗前,PSQI总分低于治疗前,睡眠总时间长于治疗前,且观察组与对照组比较,差异均有统计学意义(P<0.05);两组SAS评分、SDS评分低于治疗前,且观察组低于对照组(P<0.05)。【结论】加味菖蒲郁金汤联合针灸治疗可有效改善患者的睡眠质量,减轻焦虑、抑郁症状。

【Objective】To investigate the effects of Jiawei Changpu Yujin Decoction combined with acupuncture on sleep quality,anxiety and depression in patients with cardio-renal incompatibility insomnia.【Methods】The clinical data of 150 patients with cardio-renal in conformal insomnia admitted to our hospital from January 2022 to June 2023 were retrospectively analyzed.According to the treatment methods,they were divided into the control group(receiving conventional western medicine combined with acupuncture treatment)and the observation group(on the basis of the control group,receiving Jiawei Changpu Yujin Decoction treatment),with 75 cases in each group.The two groups were treated continuously for 3 courses,and the clinical efficacy,TCM syndrome score,sleep quality[Pittsburgh Sleep Quality Index(PSQI)score,sleep latency,rapid eye movement sleep time,total sleep time],anxiety state[Self-rating Anxiety Scale(SAS)score]and depression state[Self-rating Depression Scale(SDS)score]were compared between the two groups.【Results】The total clinical effective rate of observation group was higher than that of the control group,the difference was statistically significant(P<0.05).After treatment,the scores of sleepless all night,easy to wake up after sleeping,five upset heat,waist and knee tenderness were lower than before treatment,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).The sleep latency and REM sleep time of the two groups were shorter than before treatment,the total PSQI score was lower than before treatment,and the total sleep time was longer than before treatment,and the differences between the observation group and the control group were statistically significant(P<0.05).The SAS scores and SDS scores of the two groups were lower than before treatment,and the observation group was lower than the control group(P<0.05).【Conclusion】Jiawei Changpu Yujin Decoction combined with acupuncture treatment can effectively improve the sleep quality of patients and alleviate the symptoms of anxiety and depression.