肝胆经原穴热敏灸治疗肝郁气滞型失眠症的疗效观察

目的:观察肝胆经原穴热敏灸与药物治疗肝郁气滞型失眠症的疗效差异。方法:将60例肝郁气滞型失眠症患者随机分为热敏灸组(n=30)及药物治疗组(n=30)。热敏灸组予热敏灸太冲、丘墟,药物组予艾司唑仑片1mg睡前1h口服,均每日1次,连续15d。观察两组的匹兹堡睡眠质量指数(PSQI)及疗效。结果:治疗后,两组PSQI评分均较治疗前明显下降(P<0.05),但组间比较差异无统计学意义(P>0.05)。热敏灸组总有效率为86.67%(26/30),药物治疗组总有效率为63.33%(19/30),热敏灸组高于药物治疗组(P<0.05)。结论:肝胆经原穴热敏灸可以更好地改善肝郁气滞型失眠症患者的睡眠质量,提高治疗效果。

柴胡疏肝散联合右佐匹克隆片治疗肝郁气滞型失眠症的临床体会

探究肝郁气滞型失眠症患者应用柴胡疏肝散联合右佐匹克隆片的临床治疗效果。方法:随机抽选我院2019年1月-2019年12月收录的62例肝郁气滞型失眠患者作为研究样本,依据计算机表法将患者均等分为31例对照组(右佐匹克隆片治疗方案)、31例实验组(柴胡舒肝散+右佐匹克隆片治疗方案),对比两组患者临床治疗有效率、睡眠质量、睡眠时间等指标。结果:实验组临床治疗有效率、睡眠质量、睡眠时间等指标数值明显高于对照组,组间差异以P<0.05表示。结论:肝郁气滞型失眠症患者联合采用右佐匹克隆片与柴胡疏肝散治疗方案,可以有效改善患者的睡眠质量,缩短患者的睡眠时间,确保取得最佳的治疗效果。

Effect comparason of thermosensitive moxibustion and estazolam on anxiety and depression in the patients of insomnia differentiated as liver qi stagnation

Objective： To observe the effect of thermosensitive moxibustion on anxiety and depression in the patients of insomnia differentiated as liver qi stagnation.Methods： From January 2015 to January 2017, 60 patients of insomnia differentiated as liver qi stagnation were collected in Shijiazhuang Municipal Chinese Medicine Hospital. According to the random number table, the patients were randomized into a moxibustion group（30 cases） and an estazolam group（30 cases）. In the moxibustion group, the thermosensitive moxibustion was adopted alternatively to the bilateral yuan-source points of the liver and gallbladder meridians. In the estazolam group, estazolam, 1 mg was prescribed for oral administration before sleep every day. After 15-day treatments, the sleep quality, the severity of anxiety and depression and the therapeutic effects were observed before and after treatment in the two groups.Results： Before treatment, the differences were not significant in the scores of Pittsburgh sleep quality index（PSQI）, the self-rating anxiety scale（SAS） and the self-rating depression scale（SDS） between the two groups（all P〉0.05）. After treatment, the scores of PSQJ, SAS and SDS were all reduced remarkably as compared with those before treatment in the two groups（all P〈0.05）. PSQI score was（6.72 ±2.311）points in the moxibustion group and was（5.37 ±2.621） points in the estazolam group. SAS score was（31.76 ± 6.511） points in the moxibustion group and was（39.62 ± 4.371） points in the estazolam group.SDS score was（35.98 ±5.161） points in the moxibustion group and was（46.38 ±4.971） points in the estazolam group. After treatment, the scores of PSQI, SAS and SDS in the moxibustion group were reduced more remarkably as compared with the estazolam group, indicating the significant differences（all P 〈0.05）. After treatment, the scores of sleep efficacy and TCM symptoms were（72.65 ± 14.36） points and（69.36 ±4.28） points respectively in the moxibustion group, better than the estazolam group, indicating the significant differences（all P〈0.05）.Conclusion： The thermosensitive moxibustion at the yuan-source points of the liver and gallbladder meridians significantly improves the sleep quality, relieves the symptoms of anxiety and depression and enhances the therapeutic effects in the patients of insomnia differentiated as liver qi stagnation. Hence,this therapy deserves to be recommended in clinical practice.