摘要
目的观察舒神汤联合神门、三阴交穴位拔罐治疗慢性顽固性失眠的临床效果。方法选择100例病程6个月以上的慢性顽固性失眠患者。双盲随机分成治疗组与对照组。对照组行常规治疗,采用安眠类西药;治疗组应用舒神汤,联合神门、三阴交穴位拔罐。两组治疗4周,观察治疗效果。结果治疗组治愈率64.0%(32/50)高于对照组的8.0%(4/50),总有效率100.0%(50/50)高于对照组的66.0%(33/50),差异均有统计学意义(P<0.05)。治疗后,治疗组汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分较治疗前明显降低,且治疗组低于对照组,差异有统计学意义(P<0.05);治疗组匹兹堡睡眠质量指数(PSQI)评分较治疗前明显降低,且治疗组低于对照组,差异有统计学意义(P<0.05);治疗组健康状况调查问卷(SF-36)评分较治疗前明显升高,差异有统计学意义(P<0.05),且治疗组高于对照组,差异有统计学意义(P<0.05)。对照组不良反应总发生率为46.0%(23/50),高于治疗组的2.0%(1/50),差异有统计学意义(P<0.05)。结论舒神汤联合神门、三阴交穴位拔罐治疗慢性顽固性失眠安全性高、有显著效果。
Objective To observe the clinical effect of Shushen decoction combined with Shenmen(HT7)and Sanyinjiao(SP6)acupoint cupping therapy on chronic intractable insomnia.Methods A total of 100 patients with chronic intractable insomnia with a course of more than 6 months were selected.They were randomly divided into treatment group and control group.The control group received routine treatment,and used Western medicine.The treatment group applied Shushen decoction,combined with Shenmen(HT7)and Sanyinjiao(SP6)acupoint cupping.The two groups were treated for 4 weeks and the therapeutic effect was observed.Results The cure rate of the treatment group was 64.0%(32/50),which was higher than that of the control group(8.0%,4/50),and the total effective rate of 100.0%(50/50),which was was higher than that of the control group(66.0%,33/50),and the difference was statistical significance(P<0.05).After treatment,HAMA and HAMD scores in the treatment group were significantly reduced compared with those before treatment,the treatment group was lower than the control group,and the difference was statistically significant(P<0.05).The PSQI score of the treatment group was significantly lower than that before treatment,the treatment group was lower than the control group,and the difference was statistically significant(P<0.05).The SF-36 score in the treatment group was significantly higher than that before treatment,and the difference was statistically significant(P<0.05).The treatment group was higher than the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in control group was 46.0%(23/50),which was higher than that in treatment group(2.0%,1/50),and the difference was statistically significant(P<0.05).Conclusion Shushen decoction combined with Shenmen(HT7)and Sanyinjiao(SP6)acupoint cupping therapy in the treatment of chronic intractable insomnia has high safety and significant effect.
作者
刘宏平
付筱涵
LIU Hongping;FU Xiaohan(Department of Internal Medicine,Liaoyuan Hospital of Traditional Chinese Medicine,Jilin Province,Liaoyuan 136200,China)
出处
《中国中医药现代远程教育》
2025年第2期118-121,共4页
Chinese Medicine Modern Distance Education of China
关键词
不寐
慢性顽固性失眠
疏肝化瘀
养心安神法
舒神汤
穴位拔罐
sleeplessness
chronic intractable insomnia
soothing the liver and removing blood stasis
nourishing the mind and calm-ing the mind method
Shushen decoction
acupoint cupping therapy
