艾箱灸百会、引气归元法对失眠患者睡眠状况的影响

Clinical study on the improvement of sleep condition in patients with insomnia by moxa Box Moxibustion Baihui and Yinqiguiyuan Method

目的:探讨艾箱灸百会、引气归元法对失眠患者睡眠状况的影响。方法:研究对象为2018年11月20日至2019年1月10日在广东省中医院住院的失眠患者,将60例患者按随机数字表法分为观察组和对照组各30例。对照组给予常规助眠药物治疗,观察组在对照组治疗基础上行艾箱灸百会、引气归元治疗。采用匹茨堡睡眠质量指数(PSQI)、PSQI各因子评分(睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍)评价治疗前后两组患者睡眠质量。结果:观察组患者总有效率为93.33%,对照组为86.67%,差异具有统计学意义(P <0.05);两组患者治疗后PSQI总分和各项评分均较治疗前下降,差异具有统计学意义(P <0.05);两组患者治疗后PSQI总分、睡眠质量、入睡时间、睡眠时间、日间功能障碍比较,差异具有统计学意义(P <0.05)。结论:艾箱灸百会、引气归元联合药物治疗失眠具有增效作用。

Objective To observe the clinical treatment effects of moxa box moxibustion baihui and yinqiguiyuan to treat insomnia.Methods From November 20,2018 to February 28,2019 patients with insomnia hospitalized were reviewed retrospectively.60 elderly patients with hypertension were randomly divided into two groups,the 30 cases in each group.Patients were classified into observation group and control group.The sleep quality of Pittsburgh(PSQI),PSQI factor score(sleep quality,sleep time,sleep time,sleep efficiency,sleep disorder,hypnotic drug,daytime dysfunction)count as observation index.Result A total of 193 patients were enrolled in the study,53 of them were incomplete,21 of them got lost to follow-up.The observation group and control group contained 60 and 59 respectively.The total effective rate of observation group was 93.33%,and the control group was 86.67%,the difference was statistically significant(P<0.05);Intra-group comparison:there was significant difference between the scores of PSQI and PSQI factors in the two groups before and after the treatment(P<0.05).Inter-group comparison:There were significant differences in PSQI score,sleep quality,sleep time,sleep time,daytime dysfunction and total score between the two groups after treatment(P<0.05).Conclusion Moxa box moxibustion baihui and yinqiguiyuan with medicine to treat insomnia has synergistic effect.