摘要
目的:观察和胃针法治疗失眠伴焦虑状态的疗效评价。方法:将符合纳入标准的110例失眠伴焦虑状态的患者随机分为和胃针法组和常规穴位组,各55例。两组在治疗前后及3个月随访后观察匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)评分的变化以及临床疗效的比较,并对其进行安全性、依从性评价。结果:3个月随访后,与常规穴位组比较,和胃针法组SAS评分改善明显(P<0.05);治疗后及3个月随访后临床症状评分和胃针法组优于常规穴位组(P<0.01)。与治疗前比较,和胃针法组治疗后及3个月随访后PSQI总分、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍及日间功能障碍、SAS评分均显著下降(P<0.01)。和胃针法组治疗后及3个月随访后临床症状评分均显著下降(P<0.01)。结论:和胃针法组和常规穴位组均能改善患者的失眠伴焦虑状态,但在改善睡眠时间和焦虑情绪远期疗效方面,和胃针法组优于常规穴位组。
Objective: To observe and evaluate the efficacy of Hewei-acupuncture manipulation on insomnia with anxiety. Methods: A total of 110 cases of insomnia with anxiety state of patients who met the inclusion criteria were randomly divided into the Hewei-acupuncture manipulation group and the conventional acupuncture point group, with 55 cases in each group. The changes of Pittsburgh sleep quality index(PSQI), self-rating anxiety scale(SAS) score and clinical efficacy were observed between the two groups before and after treatment and after 3 months follow-up, and the safety, the compliance were evaluated. Results: After 3 months of follow-up, compared with conventional acupuncture point group, the SAS score in the Heweiacupuncture manipulation group was significantly improved(P<0.05). The differences in clinical symptom scores between the two groups after treatment and after 3 months of follow-up were statistically significant(P<0.01). Compared with before treatment, the total scores of PSQI, sleep quality, time for falling asleep, sleep time, sleep efficiency, sleep disorders, daytime dysfunction and SAS in the Hewei-acupuncture manipulation group were decreased after treatment and 3 months follow-up(P<0.01). The clinical symptom scores of the Hewei-acupuncture manipulation group decreased after treatment and 3 months follow-up(P<0.01). Conclusion: Both the Hewei-acupuncture manipulation group and the conventional acupoint group could improve the state of patients’ insomnia with anxiety, but the Hewei-acupuncture manipulation group is better than the conventional acupuncture point group in improving the sleep time and the long-term efficacy of anxiety.
作者
马睿杰
陈炜吉
徐霞
何克林
胡梦云
MA Rui-jie;CHEN Wei-ji;XU Xia;HE Ke-lin;HU Meng-yun(The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310053,China;Zhejiang Chinese Medical University,Hangzhou 310053,China;Maternal and Child Health Care Hospital of Yiwu,Yiwu 322000,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2019年第2期834-837,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
浙江省中医药科技计划项目(No.2015ZA115)
浙江省高等学校中青年学科带头人
浙江省中医药重点学科(针灸脑病学)建设项目(No.2017-XK-A18)~~
