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引火归元配穴法针刺治疗阴虚火旺型失眠临床疗效观察
陈慧1, 柴铁劬2
1.河南省南阳市第二人民医院康复科, 南阳 473000;2.广州中医药大学针灸康复临床医学院, 广州 510000
摘要:
[目的] 观察引火归元配穴法治疗阴虚火旺型失眠的临床疗效。[方法] 按照随机、对照、单盲的原则将85例失眠患者分为针刺组和对照组。针刺组采用引火归元配穴法针刺治疗,留针30 min,每日1次,10次为1个疗程,每疗程休息1 d,共2个疗程。对照组给予艾司唑仑片口服对照治疗,每晚睡前30 min由患者自行口服,每次1 mg,依患者实际情况,可酌加为2 mg/次,10 d为1个疗程,治疗2个疗程。[结果] 记录两组患者治疗后、治疗后2周睡眠率、匹兹堡睡眠质量指数、阿森斯失眠量表的变化,并对数据进行统计分析。针刺组总有效率为93.02%,对照组总有效率为71.42%。两组患者睡眠率、匹兹堡睡眠质量指数、阿森斯失眠量表组间比较、组内比较经统计学分析,差异有统计学意义(P<0.05)。[结论] 阴虚火旺型失眠,采取引火归元取穴法治疗,可以明显延长睡眠时间,提高睡眠质量,改善日间精神状态,远期疗效较口服镇静药物佳。
关键词:  失眠  引火归元法  阴虚火旺型  针刺疗法
DOI:10.11656/j.issn.1673-9043.2020.03.12
分类号:R256.23
基金项目:
Observations on the therapeutic effect of acupoint selection of Yinhuo Guiyuan on insomnia by the type of yin deficiency and fire hyperactivity
CHEN Hui1, CHAI Tiequ2
1.Rehabilitation department of The Second People's Hospital of Nanyang of Henan province, Nanyang 473000, China;2.Clinical Medical College of Acupunctrue Moxibustion Rehabilitation of Guangzhou University of Chinese Medicine, Guangzhou 510000, China
Abstract:
[Objective] To investigate the therapeutic effect of acupoint selection of Yinhuo Guiyuan in treating insomnia by the type of yin deficiency and fire hyperactivity.[Methods] Eighty-five Patients with insomnia were assigned to acupuncture group and control group according to the principle of simple random,control and blindness. Acupuncture group receive acupuncture therapy. One time one day,a total of two courses of treatment,one course of treatment lasts ten times and one course of treatment rests for one day. Control group take estazolam tablets,1 mg one day,take it before sleep,or 2 mg a day when needed. One time one day,Ten days is a course of treatment. Total 2 courses.[Results] The therapeutic effects were evaluated after treatment and two weeks after treatment. The evaluation of therapeutical criterion include PSQI and AIS and international sleep rate. And then,spss is used to analyze the data. The total efficacy rate was 93.02% in the treatment group and 71.42% in the control group. There was a statistically significant difference between the two groups (P<0.05). There was a significant difference in international sleep rate and PSQI and AIS between the two agroups.[Conclusion] In treating insomnia by the type of imaginary yang floating upward,acupoint selection of Yinhuo Guiyuan have a better therapeutic effect. This therapy treatment can prolong sleep time,improve the sleep quality,improve mental state at day time. Long-term outcomes is superior to receiving sedatives.
Key words:  insomnia  acupoint selection of Yinhuo Guiyuan  yin deficiency-hyperactivity of fire syndrome  acupunctrue
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