CAJ | 학술논문

目的:探讨针刺结合穴位注射治疗心脾两虚型失眠的临床疗效,为临床治疗提供依据.方法:回顾性分析心脾两虚型失眠患者60例的临床资料,根据治疗方法分为观察组(30例)和对照组(30例),观察组采用针刺结合穴位注射治疗,对照组仅给予针刺治疗,比较两组的临床疗效.结果:观察组治疗前PSQI评分(14.6±2.0)分,治疗后(7.5±1.7)分,治疗后显著低于治疗前(P<0.01);对照组治疗前PSQI评分(14.3±2.2)分,治疗后(9.6±1.9)分,治疗后显著低于治疗前(P<0.01);两组治疗后比较,差异有统计学意义(P<0.01).观察组治愈12例,占40.0%;显效10例,占33.3%;有效7例,占23.3%;无效1例,占3.3%;观察组治愈7例,占23.3%;显效6例,占20.0%;有效13例,占43.3%;无效4例,占13.3%.两组临床疗效比较,差异有统计学意义(P<0.05).观察组总有效率为96.7%,对照组总有效率86.7%,两组比较,差异无统计学意义(P>0.05).结论:针刺结合穴位注射治疗心脾两虚型失眠能够显著提高临床疗效.
목적:탐토침자결합혈위주사치료심비량허형실면적림상료효,위림상치료제공의거.방법:회고성분석심비량허형실면환자60례적림상자료,근거치료방법분위관찰조(30례)화대조조(30례),관찰조채용침자결합혈위주사치료,대조조부급여침자치료,비교량조적림상료효.결과:관찰조치료전PSQI평분(14.6±2.0)분,치료후(7.5±1.7)분,치료후현저저우치료전(P<0.01);대조조치료전PSQI평분(14.3±2.2)분,치료후(9.6±1.9)분,치료후현저저우치료전(P<0.01);량조치료후비교,차이유통계학의의(P<0.01).관찰조치유12례,점40.0%;현효10례,점33.3%;유효7례,점23.3%;무효1례,점3.3%;관찰조치유7례,점23.3%;현효6례,점20.0%;유효13례,점43.3%;무효4례,점13.3%.량조림상료효비교,차이유통계학의의(P<0.05).관찰조총유효솔위96.7%,대조조총유효솔86.7%,량조비교,차이무통계학의의(P>0.05).결론:침자결합혈위주사치료심비량허형실면능구현저제고림상료효.
Objective: To investigate the clinical effect of acupuncture combined with acupoints injection in the treatment of heart and spleen deficiency type insomnia in order to provide the clinical reference.Methods: The clinical records of 60 cases with heart and spleen deficiency type insomnia were retrospectively analyzed and divided into an observation group with 30 cases and a control group with 30 cases.The observation group was treated with acupuncture combined with acupoint injection,while the control group was treated with acupuncture.The effects of the two groups were compared.Results: The PSQI scores were (14.3±2.2) before treatment and (9.6±1.9) after treatment,and the score before treatment was lower than that after treatment(P<0.01);the difference had statistically significance between the two groups (P<0.01).There were 12 cases cured in the observation group accounting for 40.0%,10 excellently effective cases accounting for 33.3%,7 effective cases accounting for 23.3%,1 cases invalid accounting for 3.3%; there were 7 cases cured in the control group accounting for 23.3%,6 excellently effective cases accounting for 20.0%,13 effective cases accounting for 43.3%,4 cases invalid accounting for 13.3%.The difference had statistically significance between the two groups(P<0.05).The total effective rate of the observation group was 96.7%,while that of the control group was 86.7% without statistical difference(P>0.05).Conclusion: Acupuncture combined with acupoints injection can significantly improve the clinical efficacy.