| 引用本文:李泽丽1，华颖2，田青2.揿针结合磁疗对心肾不交型失眠症疗效研究[J].世界中医药,2019,(11):. |
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| 揿针结合磁疗对心肾不交型失眠症疗效研究 |
| Study on the Therapeutic Effect of Thumb-Tack Needle Combined Magnetic Therapy on Insomnia of Non-Interaction between the Heart and Kidney Syndrome |
| 投稿时间：2019-04-10 |
| DOI：10.3969/j.issn.1673-7202.2019.11.051 |
| 中文关键词: 心肾不交型失眠症 揿针 磁疗 多导睡眠图 匹兹堡睡眠质量指数量表 |
| English Keywords:Insomnia of non-interaction between the heart and kidney syndrome Thumb-tack needle Magnetic therapy Polysomnography Pittsburgh sleep quality scale |
| 基金项目:北京中医药大学校级青年教师资助项目(2016-JYB-JSMS-062);北京中医药大学校级自主选题资助项目(2016-JYB-JSMS) |
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| 中文摘要: |
| 目的:通过多导图睡眠图(PSG)监测睡眠结构以及匹兹堡睡眠质量指数量表(PSQI)评分分值变化,探讨揿针结合磁疗对心肾不交型失眠症患者的临床治疗效果。方法:选取2017年9月至2018年8月北京中医药大学第三附属医院收治的心肾不交型失眠症患者64例作为研究对象,按照随机数字表法分为观察组和对照组,每组32例,观察组32例患者采用揿针内关穴结合磁疗涌泉穴疗法,对照组32例患者口服佐匹克隆片,连续治疗2个疗程后观察患者治疗前后睡眠结构及PSQI分值变化,并于4周后进行随访对比2组的治疗效果。结果:PSG结果显示2组患者治疗后均出现睡眠总时长、睡眠效率提高,睡眠潜伏期及觉醒次数下降,观察组变化的幅度更显著;PSQI结果显示2组治疗后各项分值出现不同程度下降,观察组比对照组下降更显著(P<0.05);疗效上:观察组有效率90.3%,对照组仅83.3%(P<0.05)。结论:揿针结合磁疗能有效地改善心肾不交型失眠患者的睡眠质量,且不破坏睡眠结构,临床效果明确,应用更有价值。 |
| English Summary: |
| To investigate the clinical effects of thumb-tack acupuncture combined with magnetic therapy on patients with cardiorenal incompatibility insomnia by monitoring the polysomnography(PSG)and Pittsburgh sleep quality index(PSQI).Methods:A total of 64 insomnia patients of non-interaction between the heart and kidney syndrome in Beijing University of Chinese Medicine Third Affiliated Hospital from September 2017 to August 2018 were selected as research subjects，and were divided into an observation group and a control group according to random number table，with 32 cases in each group.The observation group was given thumb-tack needle Neiguan(PC6)acupuncture combined with magnetic therapy Yongquan(KI1)moxibustion.The control group was given oral Zopiclone treatment.After continuous 2 courses of treatment，the sleeping structure and PSQI scores changes before and after treatment were observed.And the treatment effects of the 2 groups were followed up and compared after 4 weeks.Results:PSG results showed that the patients in both groups showed increased total sleep duration，increased sleep efficiency，decreased sleep latency and number of awakenings after treatment，with more significant changes in the observation group(P<0.05).PSQI score showed that all scores of the 2 groups showed different degrees of decline，which was more significant in the observation group than in the control group(P<0.05).For efficacy，the effective rate in the observation group was 90.3% and 83.3% in the control group(P<0.05).Conclusion:Intradermal needle combined with magnetic therapy can effectively enhance the quality of sleep in patients with insomnia of non-interaction between the heart and kidney syndrome，regulate sleep pattern and worthy of being widely applied in clinic. |
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