摩腹联合针刺疗法治疗心脾两虚型不寐的临床研究及对匹兹堡睡眠质量指数的影响

Clinical Study on the Treatment of Insomnia with Heart and Spleen Deficiency Type by Abdominal Massage Combined with Acupuncture Therapy and Its Effect on Pittsburgh Sleep Quality Index

摘要: 目的：通过临床试验观察摩腹联合针刺疗法治疗心脾两虚型不寐的临床疗效及对匹兹堡睡眠质量指数的影响。方法：将60例心脾两虚型失眠患者按照随机数字表法分为2组，2组均予认知行为疗法治疗，对照组30例予针灸治疗，治疗组30例予摩腹 + 针灸疗法。2组均治疗15 d。比较2组治疗前后PSQI评分，并统计2组疗效。结果：治疗组总有效率90%，对照组总有效率80%，治疗组总有效率高于对照组。2组治疗后PSQI各项评分及总分均较本组治疗前降低(P < 0.05)，而治疗组治疗后睡眠质量、入睡时间、日间功能评分及总分均低于对照组(P < 0.05)。结论：摩腹疗法可以有效治疗心脾两虚型失眠，并且摩腹联合针刺治疗效果要优于针刺治疗。

Abstract: Objective: Observation of the clinical efficacy of abdominal massage combined with acupuncture therapy in treating insomnia of the heart spleen deficiency type and its impact on the Pittsburgh Sleep Quality Index through clinical trials. Method: 60 cases of insomnia with deficiency of both heart and spleen were divided into two groups according to the random number table. Both groups were treated with cognitive behavioral therapy, 30 cases in the control group were treated with acupuncture and moxibustion, and 30 cases in the treatment group were treated with abdominal massage + acupuncture and moxibustion. Both groups were treated for 15 days. The PSQI scores before and after treatment were compared between the two groups, and the efficacy of the two groups was statistically analyzed. Result: The total effective rate of the treatment group was 90%, while the total effective rate of the control group was 80%. The total effective rate of the treatment group was higher than that of the control group. After treatment, the PSQI scores and total scores in both groups decreased compared to before treatment (P < 0.05), while the sleep quality, falling asleep time, daytime function scores and total scores in the treatment group were lower than those in the control group after treatment (P < 0.05). Conclusion: Abdominal massage therapy can effectively treat insomnia of the heart and spleen deficiency type, and the combination of abdominal massage and acupuncture treatment is more effective than acupuncture treatment.