归脾汤加减联合针灸对帕金森病患者失眠的改善作用

Improvement of Insomnia due to Parkinson’s Disease by Modified Guipi Decoction Plus or Minus Acupuncture and Moxibustion

目的探讨归脾汤加减联合针灸对帕金森病患者失眠的改善作用。方法选取辽阳市中心医院新城医院2017年2月至2019年2月收治的帕金森病失眠患者81例作为研究对象,按照随机数字表法将其分为对照组(40例)和试验组(41例)。对照组给予常规治疗,试验组在对照组基础上给予归脾汤加减联合针灸治疗,比较两组的治疗效果、症状积分和睡眠质量。结果试验组治疗有效率为92.68%,与对照组75.00%比较,差异有统计学意义(P<0.05);两组治疗前症状积分、睡眠质量评分比较,差异无统计学意义(P>0.05),治疗后两组上述指标评分均低于治疗前,且试验组症状积分、睡眠质量评分均低于对照组,差异有统计学意义(P<0.05)。结论针对帕金森病失眠患者,归脾汤加减联合针灸治疗可改善患者临床症状,促进病情恢复,提高睡眠质量。

Objective To explore the effects of Guipi Decoction plus or minus acupuncture on insomnia in patients with Parkinson’s disease.Methods A total of 81 patients with Parkinson’s disease insomnia admitted to Xincheng Hospital of Liaoyang Central Hospital from February 2017 to February 2019 were selected as the research objects.And they were divided into control group(40 cases)and experimental group(41 cases),according to random number expression method.The control group was given routine treatment,and the experimental group was given Guipi Decoction plus or minus combined with acupuncture treatment on the basis of the control group.The therapeutic effects,symptom score and sleep quality were compared between the 2 groups.Results The effective rate of treatment in the experimental group was 92.68%,which was significantly different from that in the control group of 75.00%(P<0.05).There was no significant difference in symptom score and sleep quality score between the 2 groups before treatment(P>0.05).After treatment,the scores of the above indexes in the 2 groups were lower than those before treatment,and the scores of symptoms and sleep quality in the experimental group were lower than those before treatment(P<0.05).Conclusion For insomniacs with Parkinson’s disease,Guipi Decoction plus or minus acupuncture and moxibustion can improve the clinical symptoms,promote the recovery of the disease and improve the quality of sleep.