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铜砭刮痧联合认知行为疗法治疗原发性失眠的临床观察 被引量:2

Clinical Observation of Copper Scraping Combined with Cognitive Behavioral Therapy in the Treatment of Primary Insomnia
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摘要 目的:观察铜砭刮痧联合认知行为疗法治疗原发性失眠患者的临床效果。方法:选取常德市第一中医医院2020年1月-2021年12月收治的原发性失眠患者60例为研究对象。按照随机数字表法分为药物组(n=30,予以艾司唑仑片治疗)和联合组(n=30,予以铜砭刮痧联合认知行为疗法治疗)。观察两组治疗前后匹兹堡睡眠质量指数(PSQI)评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、中医症候评分及总有效率。结果:治疗后,联合组PSQI、HAMA、HAMD评分及中医症候评分均低于药物组,总有效率高于药物组(P<0.05)。结论:铜砭刮痧联合认知行为疗法治疗原发性失眠效果显著,能改善患者的临床症状和情绪障碍,提高睡眠质量。 Objective:To observe the clinical effect of copper scraping combined with cognitive behavioral therapy in the treatment of patients with primary insomnia.Method:A total of 60 patients with primary insomnia in Changde First Hospital of Traditional Chinese Medicine from January 2020 to December 2021 were selected as the research objects.They were divided into a medication group(n=30,treated with Estazolam Tablets)and a combination group(n=30,treated with copper scraping combined with cognitive behavioral therapy)according to the random number table method.Pittsburgh sleep quality index(PSQI)scores,Hamilton anxiety scale(HAMA)scores,Hamilton depression scale(HAMD)scores,TCM symptoms scores and total effective rate were observed before and after treatment in the two groups.Result:After treatment,the scores of PSQI,HAMA,HAMD and TCM symptoms in the combination group were lower than those in the medication group,and the total effective rate was higher than that in the medication group(P<0.05).Conclusion:Copper scraping combined with cognitive behavioral therapy is effective in the treatment of primary insomnia,which can improve the clinical symptoms and emotional disorders of patients and improve the quality of sleep.
作者 刘畅 沈杰 胡鹏 黄剑涛 王宇星 唐艳 杨斌赫 陈心怡 LIU Chang;SHEN Jie;HU Peng;HUANG Jiantao;WANG Yuxing;TANG Yan;YANG Binhe;CHEN Xinyi(Changde First Hospital of Traditional Chinese Medicine,Hunan Province,Changde 415000,China)
出处 《中国医学创新》 CAS 2023年第13期90-93,共4页 Medical Innovation of China
基金 湖南中医药大学校级科研基金项目(2019XJJJ120)。
关键词 原发性失眠 铜砭刮痧 认知行为疗法 Primary insomnia Copper scraping Cognitive behavioral therapy
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