皮内针联合子午流注五音疗法对心脾两虚型不寐症患者的疗效观察

文章信息/Info

• Title:皮内针联合子午流注五音疗法对心脾两虚型不寐症患者的疗效观察

• 卷期:2024年22卷4期

• 作者:安云霞，蒋涛，崔艳菊

• 天水市中医医院 脾胃病科，甘肃 天水，741000)

• Author(s):AN yunxia，JIANG tao，CUI yanju

• Department of Spleen and Stomach Diseases，Tianshui Hospital of Traditional Chinese Medicine，Tianshui，Gansu，741000

• 关键词心脾两虚型不寐症；皮内针；子午流注；五音疗法

• Keywords: Insomnia of heart and spleen deficiency; Intradermal needle; Meridian flow timing five-tone therapy

• 摘要:目的  探讨皮内针联合子午流注五音疗法对心脾两虚不寐症患者的临床效果。方法  选择天水市中医医院脾胃病科2021年5月～2021年10月入住的符合中医心脾两虚不寐症诊断标准的患者100例，根据随机数字表分为对照组50，观察组50例，对照组给与皮内针干预，观察组在皮内针基础上给与子午流注五音疗法干预，2周后将两组有效率、PSQI得分进行比较。结果  观察组有效率为94%高于对照组的74%，有统计学意义（P﹤0.05）；对照组干预前PSQI得分为12±1.050，干预后为8.27±2.033，观察组干预前为11.97±0.932，干预后为5.47±1.995，两组干预后PSQI得分较干预前均下降，有统计学意义（P﹤0.01），且观察组干预后PSQI得分低于对照组，有统计学意义（P﹤0.01）。结论  皮内针联合子午流注五音疗法能有效改善心脾两虚型不寐症患者的睡眠质量，值得临床推广应用。                                                                                                                                                                                

• Abstract: To obsever therapy in the treatment of patients with insomnia due to deficiency of heart and spleen. Methods  One hundred patients who were admitted to the Department of Spleen and Stomach Diseases of Tianshui Hospital of Traditional Chinese Medicine from May 2021 to October 2021 and met the diagnostic criteria of insomnia due to deficiency of heart and spleen were selected. According to the random number table, they were divided into control group (50 cases) and observation group (50 cases). The control group was given intradermal needle intervention, and the observation group was given meridian flow injection on the basis of intradermal needle intervention. After 2 weeks, the effective rate and PSQI scores of the two groups were compared.  Results  The effective rate of observation group was 93.3% higher than that of control group with 73.3% (P<0.05). The PSQI score of the control group was 12±1.050 before intervention and 8.27±2.033 after intervention, and that of the observation group was 11.97±0.932 before intervention and 5.47±1.995 after intervention. The scores of the two groups were lower than those before intervention (P<0.01), and the PSQI score of the observation group was lower than that of the control group after intervention statistically significant (P<0.01) Conclusion  Intradermal needle combined with meridian flow injection of five tone therapy can effectively improve the sleep quality of patients with insomnia due to deficiency of heart and spleen, which is worthy of clinical application.

  中医称失眠为“不寐”，是由于机体内外致病因素导致五脏六腑失去正常功能，从而影响睡眠；严重时出现疲惫困倦、对周围环境反应降低等[1]，而临床以心脾两虚证最为多见。不寐使机体无法得到正常休息，可引起免疫功能下降、内分泌功能失调，甚至加重原发病病情[2]。