任脉灸疗法联合十味温胆汤对老年顽固性失眠患者疗效和生活质量的影响

Effects of Ren meridian moxibustion combined with Shiwei Wendan decoction on efficacy and quality of life of elderly patients with refractory insomnia

目的本研究通过分析任脉灸疗法联合十味温胆汤对老年顽固性失眠患者疗效和生活质量的影响,以期为临床诊疗提供新思路。方法回顾性分析2022年1月—2024年1月在遂宁市第三人民医院接受治疗的老年顽固性失眠患者118例的临床资料,依据不同的治疗方式将患者分为联合组(59例)与对照组(59例)。对照组行常规西药治疗,联合组在对照组治疗的基础上应用任脉灸疗法联合十味温胆汤。评估并比较2组的临床疗效、生活质量[采用简明健康状况量表(SF-36)评估]、睡眠质量[采用匹兹堡睡眠质量指数量表(PSQI)评估]。结果联合组治疗有效率高于对照组(94.92%vs 71.19%,P<0.05)。治疗后,两组的总体健康、躯体健康、精力、社会功能、情绪角色、心理健康、身体疼痛、躯体角色评分均高于同组治疗前(P<0.05),且联合组上述评分均高于对照组(P<0.05)。治疗后,对照组睡眠紊乱、入睡时间、睡眠时间、睡眠质量总分低于同组治疗前,联合组日间功能、睡眠质量、睡眠紊乱、入睡时间、睡眠效率、睡眠时间、睡眠质量总分低于同组治疗前,且联合组评分低于对照组,差异均有统计学意义(均P<0.05)。结论任脉灸疗法联合十味温胆汤可提高老年顽固性失眠患者的临床疗效,改善其睡眠质量和生活质量,具有一定的临床应用价值。

Objective To analyze the effects of Ren meridian moxibustion combined with Shiwei Wendan decoction on the efficacy and quality of life of elderly patients with refractory insomnia,and provide new ideas for clinical diagnosis and treatment.Methods The clinical data of 118 elderly patients with refractory insomnia treated in Third People s Hospital of Suining City from January 2022 to January 2024 were retrospectively analyzed.According to different treatment methods,they were divided into combination group(59 cases)and control group(59 cases).The control group was treated with conventional western medicine,and the combination group was treated with Ren meridian moxibustion combined with Shiwei Wendan decoction on the basis of the control group.The clinical efficacy,quality of life[assessed by the Brief Health Status Scale(SF-36)],and sleep quality[assessed by the Pittsburgh Sleep Quality Index(PSQI)]of the two groups were evaluated and compared.Results The effective rate of treatment in the combination group was higher than that in the control group(94.92%vs 71.19%,P<0.05).After treatment,the scores of the overall health,physical health,energy,social function,emotional role,mental health,physical pain,and physical role scores of both groups were higher than those of the same group before treatment(P<0.05),and the above scores of the combination group were higher than those of the control group(P<0.05).After treatment,the total scores of sleep disorders,falling asleep time,sleep time,and sleep quality of the control group were lower than those of the same group before treatment;the total scores of daytime function,sleep quality,sleep disorder,falling asleep time,sleep efficiency,sleep time,and sleep quality of the combination group were lower than those of the same group before treatment,and the scores of the combination group were lower than those of the control group,with statistical significance(all P<0.05).Conclusion The combination of Ren meridian moxibustion and Shiwei Wendan decoction can improve the clinical efficacy of elderly patients with refractory insomnia,improve their sleep quality and quality of life.It has certain clinical application value.