CAJ | 학술논문

目的：观察宁心安神中药组方联合针灸推拿对失眠患者睡眠质量的改善作用，以期为失眠的治疗提供借鉴。方法：选取在2010年4月至2012年6月来我院就诊的符合纳入标准的失眠患者为研究对象，将患者随机分为三组，中药组、针刺组、联合组，中药组予以宁心安神中药组方，1剂／d，针刺组予以针刺四神聪、印堂、安眠、太阳穴，1次／3 d，4次为1个疗程，联合组予以宁心安神中药组方联合针刺四神聪、印堂、安眠、太阳穴，治疗方法同中药组及针刺组，治疗2个疗程，疗程间隔3 d。观察治疗前后匹兹堡睡眠质量指数（PSQI），评价疗效。结果：我们发现：联合组有效率100％，高于中药组及针刺组，通过秩和检验，三组比较，χ2＝7．493，P ＝0．024＜0．05，差异有统计学意义；联合组与针刺组比较，Z ＝-2．579，P ＝0．009＜0．05，差异有统计学意义，说明联合组优于针刺组；余比较，P ＞0．05，差异无统计学意义；治疗前 PSQI 各项评分比较无统计学意义，P ＞0．05；治疗后，入睡时间、入睡时间、睡眠时间、睡眠效率、睡眠暂碍、日间功能、总分，进行方差分析后，P ＜0．05，说明三组比较 PSQI 各项评分，有差异，差异有统计学意义；联合组与中药组比较，P ＜0．05；联合组与针刺组比较，P ＜0．05；中药组与针刺组比较，P ＞0．05。说明，联合组治疗后 PSQI 各项评分优于中药组及针刺组。结论：宁心安神中药组方及针刺治疗均能均能显著改善患者的睡眠，但是二者联合优于单纯中药或针刺方法。
목적：관찰저심안신중약조방연합침구추나대실면환자수면질량적개선작용，이기위실면적치료제공차감。방법：선취재2010년4월지2012년6월래아원취진적부합납입표준적실면환자위연구대상，장환자수궤분위삼조，중약조、침자조、연합조，중약조여이저심안신중약조방，1제／d，침자조여이침자사신총、인당、안면、태양혈，1차／3 d，4차위1개료정，연합조여이저심안신중약조방연합침자사신총、인당、안면、태양혈，치료방법동중약조급침자조，치료2개료정，료정간격3 d。관찰치료전후필자보수면질량지수（PSQI），평개료효。결과：아문발현：연합조유효솔100％，고우중약조급침자조，통과질화검험，삼조비교，χ2＝7．493，P ＝0．024＜0．05，차이유통계학의의；연합조여침자조비교，Z ＝-2．579，P ＝0．009＜0．05，차이유통계학의의，설명연합조우우침자조；여비교，P ＞0．05，차이무통계학의의；치료전 PSQI 각항평분비교무통계학의의，P ＞0．05；치료후，입수시간、입수시간、수면시간、수면효솔、수면잠애、일간공능、총분，진행방차분석후，P ＜0．05，설명삼조비교 PSQI 각항평분，유차이，차이유통계학의의；연합조여중약조비교，P ＜0．05；연합조여침자조비교，P ＜0．05；중약조여침자조비교，P ＞0．05。설명，연합조치료후 PSQI 각항평분우우중약조급침자조。결론：저심안신중약조방급침자치료균능균능현저개선환자적수면，단시이자연합우우단순중약혹침자방법。
Objective:To investigate the effect of Ningxin Anshen prescription combined with acupuncture and massage on the sleep quality of insomnia patients,serving to provide reference for the treatment of insomnia.Methods:Insomnia patients treated in our hospital from April 201 0 to June 201 2 who met the inclusion criteria were selected as study objects.Patients were randomly di-vided into three groups,traditional Chinese Medicine (TCM)Group,Acupuncture Group,Combination Group.Patients in the TCM group were treated with Ningxin Anshen prescription once a day.Patients in acupuncture group received acupuncture on Sish-encong,Yintang,Anmian,Taiyang;one treatment every three days,and four times per course of treatment.The Combination Group applied Ningxin Anshen prescription combined with acupuncture in Sishencong,Yintang,Anmian,Taiyang,and treatment method was the same with TCMgroup and acupuncture group.Two courses of treatment were given with treatment interval of three days.Before and after treatment,Pittsburgh Sleep Quality Index (PSQI)was evaluated.Results:The effective rate of combination group was 1 00%,which was significantly higher than that of the TCMgroup and acupuncture group (by rank sum test,the three groups,χ2 =7.493,P =0.024 <0.05);comparing combination group and acupuncture group,Z =-2.579,P =0.009 <0.05, and the difference was statistically significant,indicating that the combination group was better than the acupuncture group;the PSQI score before treatment was with no significant difference,P >0.05;after treatment,sleep time,sleep time,sleep efficiency, sleep temporarily hinder,daytime function,scores,analysis of variance,P <0.05,illustrating the three groups PSQI score,there were significant differences;the combination group and TCMgroup,P <0.05;combination group and acupuncture group,P <0. 05;TCMgroup and acupuncture group,P >0.05.After treatment,PSQI score of combination group was better than TCM group and the acupuncture group.Conclusion:Ningxin Anshen prescription and acupuncture can both significantly improve patients’ sleep,but the combination of the two is superior.