CAJ | 학술논문

目的：观察原络配穴治疗心肾不交型失眠症的临床疗效，为针灸治疗失眠提供新的方法及证据。方法将100例心肾不交型失眠症患者随机分为治疗组和对照组，每组50例。治疗组采用原络配穴针刺治疗，对照组采用常规针刺治疗。比较两组治疗前后匹兹堡睡眠质量指数(PSQI)评分、Zung焦虑自评量表(SAS)评分、Zung抑郁自评量表(SDS)评分及临床疗效。结果两组治疗后PSQI各项评分比较，差异均具有统计学意义(P＜0.05)。治疗组治疗后睡眠质量、睡眠时间、睡眠效率及总分与对照组比较，差异均具有统计学意义(P＜0.05)。两组治疗后SAS、SDA评分与同组治疗前比较，差异均具有统计学意义(P＜0.05)。治疗组治疗后SAS、SDA评分与对照组比较，差异均具有统计学意义(P＜0.05)。治疗组治疗后治愈率和总有效率分别为26.0%和92.0%，对照组分别为12.0%和86.0%。两组治愈率比较，差异具有统计学意义(P＜0.05)。结论原络配穴是一种治疗心肾不交型失眠症的有效方法。
목적：관찰원락배혈치료심신불교형실면증적림상료효，위침구치료실면제공신적방법급증거。방법장100례심신불교형실면증환자수궤분위치료조화대조조，매조50례。치료조채용원락배혈침자치료，대조조채용상규침자치료。비교량조치료전후필자보수면질량지수(PSQI)평분、Zung초필자평량표(SAS)평분、Zung억욱자평량표(SDS)평분급림상료효。결과량조치료후PSQI각항평분비교，차이균구유통계학의의(P＜0.05)。치료조치료후수면질량、수면시간、수면효솔급총분여대조조비교，차이균구유통계학의의(P＜0.05)。량조치료후SAS、SDA평분여동조치료전비교，차이균구유통계학의의(P＜0.05)。치료조치료후SAS、SDA평분여대조조비교，차이균구유통계학의의(P＜0.05)。치료조치료후치유솔화총유효솔분별위26.0%화92.0%，대조조분별위12.0%화86.0%。량조치유솔비교，차이구유통계학의의(P＜0.05)。결론원락배혈시일충치료심신불교형실면증적유효방법。
Objective To observe the clinical efficacy of combining Yuan-Primary and Luo-Connecting points in treating insomnia due to imbalance between heart and kidney, for providing novel method and evidence for the treatment of insomnia with acupuncture-moxibustion.Method Totally 100 insomnia patients due to imbalance between heart and kidney were randomized into a treatment group and a control group, 50 in each. The treatment group was intervened by acupuncture at Yuan-Primary and Luo-Connecting points, while the control group was by conventional acupuncture. The Pittsburgh Sleep Quality Index (PSQI), self-rating anxiety scale (SAS), and self-rating depression scale (SDS) were observed before and after intervention for efficacy evaluation.Result The PSQI item scores were significantly changed after intervention in both groups (P<0.05). The SAS and SDS scores were significantly different from that before treatment in both groups (P<0.05). After treatment, the SAS and SDS scores of the treatment group were significantly different from that of the control group (P<0.05). The recovery rate and total effective rate were 26.0% and 92.0% in the treatment group versus 12.0% and 86.0% in the control group, and there was a significant difference in comparing the recovery rate (P<0.05).Conclusion Combining use of Yuan-Primary and Luo-Connecting points is an effective approach in treating insomnia due to imbalance between heart and kidney.