穴位贴敷辅助治疗心脾两虚型失眠临床研究
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R246.6

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Clinical Study on Point Application for Insomnia of Dual Deficiency of the Heart- Spleen Type
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    摘要:

    目的:观察穴位贴敷辅助治疗心脾两虚型失眠的临床疗效。方法:选取心脾两虚型失眠患者86 例,按随机数字表法分为对照组和研究组各43 例。对照组给予地西泮治疗,研究组在对照组基础上增加穴位贴敷。评价2 组临床疗效,比较2 组治疗前后血清脑源性神经营养因子(BDNF) 水平、睡眠质量。结果:研究组总有效率为90.70%,高于对照组74.42%,差异有统计学意义(P<0.05)。治疗前,2 组血清BDNF 水平比较,差异无统计学意义(P>0.05)。治疗后,2 组血清BDNF 水平均高于治疗前(P<0.05),且研究组血清BDNF 水平高于对照组(P<0.05)。治疗前,2 组匹茨堡睡眠质量指数量表(PSQI) 各条目评分与总分比较,差异无统计学意义(P>0.05)。治疗后,2 组PSQI 各条目评分与PSQI 总分均低于治疗前(P<0.05),且研究组PSQI 各条目评分与PSQI 总分均低于对照组(P<0.05)。结论:穴位贴敷能调节心脾两虚型失眠患者血清BDNF 水平,改善睡眠质量,增强疗效。

    Abstract:

    Abstract:Objective:To observe the clinical effect of point application for insomnia of dual deficiency of the heart-spleen type. Methods:A total of 86 cases of patients with insomnia of dual deficiency of the heart-spleen type were divided into the control group and the study group according to the random number table method,with 43 cases in each group. The control group was treated with diazepam,and the study group was additionally treated with point application based on the treatment of the control group. The clinical effects in the two groups were evaluated. Before and after treatment, the levels of brain- derived neurotrophic factor(BDNF) in serum and the sleep quality in the two groups were compared. Results:The total effective rate was 90.70% in the study group,higher than that of 74.42% in the control group,the difference being significant(P<0.05). Before treatment,there was no significant difference being found in the comparison of BDNF levels in serum between the two groups(P>0.05). After treatment, the BDNF levels in serum in the two groups were higher than those before treatment(P<0.05),and the BDNF level in serum in the study group was higher than that in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparison of scores of each item and the total scores of Pittsburgh Sleep Quality Index(PSQI) between the two groups(P>0.05). After treatment, the scores of each item and the total scores of PSQI in the two groups were lower than those before treatment(P<0.05), and the scores of each item and the total score of PSQI in the study group were lower than those in the control group(P<0.05). Conclusion: Point application can regulate the BDNF levels in serum in patients with insomnia of dual deficiency of the heart- spleen type, improve their sleep quality and increase the curative effect.

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陈芳,金小燕,许萍萍.穴位贴敷辅助治疗心脾两虚型失眠临床研究[J].新中医,2022,54(13):196-199

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  • 在线发布日期: 2022-07-07
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