方氏头皮针联合温针灸配合健康教育治疗气虚质失眠症临床研究
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R246.6

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广州市卫生健康科技项目(穗卫函〔2022〕80号)


Clinical Study on FANG's Scalp Acupuncture Combined with Warming-Needle Moxibustion and Health Education on Insomnia of Qi Deficiency Constitution
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    摘要:

    目的:观察方氏头皮针联合温针灸配合健康教育治疗气虚质失眠症的临床效果。方法:选取从门 诊及社区体检中收集的气虚质失眠伴焦虑患者90例为研究对象,按随机数字表法分为治疗1组、治疗2组和对 照组各30例。对照组采用口服艾司唑仑治疗,治疗1组采用方氏头皮针加温针灸治疗,治疗2组在治疗1组的 基础上配合中医健康教育,3 组均干预4 周。比较3 组临床疗效,并比较3 组治疗前后匹兹堡睡眠质量指 数(PSQI) 评分、焦虑程度及气虚体质积分。结果:治疗后,治疗2组临床总有效率为96.67%,高于治疗1组 80.00%和对照组63.33%(P<0.05);治疗1组总有效率高于对照组(P<0.05)。治疗后,3组入睡时间、睡眠 时间、睡眠效率、睡眠质量、睡眠障碍及日间功能PSQI评分均降低(P<0.05),且治疗2组、治疗1组上述各 PSQI评分低于对照组(P<0.05),治疗2组睡眠时间、睡眠效率、睡眠质量、睡眠障碍PSQI评分低于治疗 1组(P<0.05)。治疗后,3组汉密尔顿焦虑量表(HAMA) 评分及气虚体质积分均降低(P<0.05),且治疗 2组低于治疗1组和对照组(P<0.05),治疗1组低于对照组(P<0.05)。结论:采用方氏头皮针联合温针灸配 合健康教育治疗气虚质失眠症患者可提高总有效率,改善患者睡眠质量及气虚体质,减轻焦虑程度。

    Abstract:

    Objective: To observe the clinical effect of FANG's scalp acupuncture combined with warming-needle moxibustion and health education on insomnia due to qi deficiency constitution. Methods: A total of 90 patients with insomnia and anxiety with qi deficiency constitution who underwent physical examinations in outpatient and community were collected and selected as the research subjects,and were randomly divided into the treatment group 1, the treatment group 2, and the drug control group, with 30 cases in each group. The drug control group was treated with oral administration of Estazolam,and the treatment group 1 was treated with FANG's scalp acupuncture and warming-needle moxibustion,and the treatment group 2 was treated with Chinese medicine health education based on the treatment of the treatment group 1. The three groups were all intervened for four weeks. The Pittsburgh Sleep Quality Index (PSQI),anxiety levels,and scores of qi deficiency constitution before and after treatment,as well as the clinical effects of three groups were compared. Results: After treatment, the total clinical effective rate was 96.67% in the treatment group 2,higher than that of 80.00% in the treatment group 1 and 63.33% in the drug control group (P<0.05);the total effective rate in the treatment group 1 was higher than that in the drug control group (P<0.05). After treatment, the PSQI scores of sleep onset time, sleep time, sleep efficiency, sleep quality, sleep disorders, and daytime function were decreased in all the three groups (P<0.05), and the PSQI scores of the above items in the treatment group 2 and treatment group 1 were lower than those in the drug control group (P<0.05); the PSQI scores of sleep time, sleep efficiency, sleep quality,and sleep disorders in the treatment group 2 were lower than those in the treatment group 1 (P<0.05). After treatment, the Hamilton Anxiety Scale (HAMA) scores and scores of qi deficiency constitution in the three groups were decreased (P<0.05),and the scores in the treatment group 2 were lower than those in the treatment group 1 and the drug control group (P<0.05), and the levels in the treatment group 1 were lower than those in the drug control group (P<0.05). Conclusion:The application of FANG's scalp acupuncture combined with warming-needle moxibustion and health education to treat insomnia patients with qi deficiency constitution can improve the total effective rates,sleep quality and qi deficiency constitution,and reduce anxiety.

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闻哲,黄玲,陈硕,肖晓桃,罗君林,杨勃.方氏头皮针联合温针灸配合健康教育治疗气虚质失眠症临床研究[J].新中医,2024,56(11):108-112

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  • 在线发布日期: 2024-06-17
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