摘要
目的:观察百合地黄汤联合针刺治疗阴虚体质失眠的临床疗效。方法:选择2021年12月-2023年6月就诊于内蒙古自治区中医医院治未病科及针灸科的80例经《中医体质分类与判定量表》评分后判定为阴虚体质的失眠患者,依据随机对照法分为方药联合针刺组及西药组各40例,方药联合针刺组予百合地黄汤联合普通针刺治疗,西药组每晚睡前口服艾司唑仑1片治疗,两组连续治疗4周,对比两组治疗前后的各项临床指标及匹兹堡睡眠指数评分(PSQI)。结果:中药联合普通针刺组对阴虚体质失眠总有效率显著高于西药组(P<0.05);针药组在治疗后的PQSI评分(8.0042±1.946)明显低于西药组的(8.654±1.432);针药组的精神状态评分显著高于西药组,差异有统计学意义(P<0.05),两组睡眠质量、进食状态及生理功能差异无统计学意义(P>0.05)。结论:百合地黄汤联合针刺治疗阴虚体质失眠疗效确切,值得推广。
Objective:To observe the clinical efficacy of Baihe Dihuang decoction combined with acupuncture in the treatment of insomnia due to Yin deficiency.Methods:From December 2021 to June 2023,80 insomnia patients who were diagnosed as Yin deficiency physique were selected from the Department of traditional Chinese Medicine Hospital of Inner Mongolia Autonomous region and the Department of Acupuncture and moxibustion.According to the method of random contrast,they were randomly divided into prescription medicine combined acupuncture group(n=40)and western medicine group(n=40).The prescription combined with acupuncture group was treated with Baihe Dihuang decoction combined with general acupuncture,and the western medicine group was treated with estazolam before going to bed every night.The two groups were treated continuously for 4 weeks,and the clinical indexes and Pittsburgh sleep index score(PSQI)of the two groups before and after treatment were compared.Results:The total effective rate of Yin deficiency constitution insomnia in the traditional Chinese medicine combined with general acupuncture group was significantly higher than that in the western medicine group(P<0.05),and the PQSI score in the acupuncture group(8.0042±1.946)was significantly lower than that in the western medicine group(8.654±1.432).The score of mental state in the acupuncture group was significantly higher than that in the western medicine group(P<0.05),but there was no significant difference in sleep quality,eating state and physiological function between the two groups(P>0.05).Conclusion:Baihe Dihuang decoction combined with acupuncture is effective in the treatment of insomnia due to Yin deficiency,which is worth popularizing.
作者
李多
张国清
岳媛
LI Duo;ZHANG Guo-qing;YUE Yuan(Inner Mongolia Medical University,Hohhot 010000,China;Treatment Department of Traditional Chinese Medicine Hospital of Inner Mongolia Autonomous Region Hohhot,Hohhot 010000,China)
出处
《内蒙古中医药》
2024年第2期11-13,共3页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
百合地黄汤
针刺
失眠
Baihe Dihuang decoction
Acupuncture
Insomnia
