摘要
目的：评价穴位埋线结合加味交泰丸与六味地黄丸对心肾不交型失眠症的疗效。方法将符合入选标准的110例患者按随机数字表法分为2组各55例。中药组口服六味地黄丸和交泰丸；埋线组在中药组的基础上施以穴位埋线。经2个月治疗后，采用匹兹堡睡眠质量指数（Pittsburgh Sleep Quality Index, PSQI）评价疗效。结果埋线组总有效率为89.1%（49/55）、中药组为67.3%（37/55），2组比较差异有统计学意义（χ2＝7.674，P＝0.006）。治疗后，埋线组睡眠时间[（0.86±1.11）分比（1.29±0.88）分， t＝2.251]、睡眠效率[（0.13±0.71）分比（0.43±0.55）分，t＝2.477]、催眠药物[（0.93±0.77）分比（1.41±0.81）分，t＝3.185]、日间功能障碍[（1.14±0.61）分比（1.59±0.60）分，t＝3.900]及PSQI总评分[（6.71±3.55）分比（8.32±2.48）分，t＝2.757]均低于中药组（P＜0.01或 P＜0.05）。结论穴位埋线结合加味交泰丸与六味地黄丸可延长心肾不交型失眠症患者的睡眠时间，疗效优于单纯中药治疗。
Objective To investigate the effects on catgut embedding therapy combined with traditional Chinese medicine on the patients with insomnia and TCM pattern of no connection of heart and kidney.Methods One hundred and ten patients with insomnia and TCM pattern of no connection of heart and kidney were were divided into the catgut embedding therapy group and traditional Chinese medicine group （n=55, repectively）. Traditional Chinese medicine group was treated by theLiuwei-Dihuang pills andJiaotaipills, while the catgut embedding therapy group was treated with catgut embedding therapy based on the treatement of TCM groups. Pittsburgh Sleep Index （PSQI） was the outcome for analysis.Results The total effect rate （89.09%vs. 67.27%,χ2=7.674,P〈0.01） in catgut embedding therapy group was significantly higher than that in traditional Chinese medicine group. The catgut embedding therapy group were significantly better than the traditional Chinese medicine group in the total score of PSQI （6.71 ± 3.55vs.8.32 ± 2.48,t=2.757,P〈0.05）, sleep time （0.86 ± 1.11vs. 1.29 ± 0.88,t=2.251,P〈0.05）, sleep efficiency （0.13 ± 0.7vs. 0.43 ± 0.55,t=2.477,P〈0.05）, hypnotic drugs （0.93 ± 0.77vs. 1.41 ± 0.81,t=3.185,P〈0.05） and daytime dysfunction（1.14 ± 0.61vs. 1.59 ± 0.60,t=3.900,P〈0.05）. Conclusion Catgut embedding combining traditional Chinese medicine showed better effect than the TCM alone on the patients with insomnia and TCM pattern of no connection of heart and kidney.
出处
《国际中医中药杂志》
2016年第7期621-623,共3页
International Journal of Traditional Chinese Medicine
关键词
失眠症
心肾不交
穴位埋线结扎
中医药疗法
Insomnia
Heart-Yang Kidney-Yin incoordination
Thread-embedding acupoint ligation
Traditional Chinese medicine therapy
