针刺结合穴位注射治疗心脾两虚型失眠的临床研究

针刺结合穴位注射治疗心脾两虚型失眠的临床研究

　付斌  刘梅香

（焦作市中医院，河南  焦作，454000）

　中图分类号：R245.116   文献标识码：A   文章编号：1674-7860(2015)30-0021-03  

【摘  要】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。

【关键词】针刺治疗；穴位注射治疗；心脾两虚；失眠

【Abstract】Objective:To investigate the clinical effect of acupuncture combined with acupointsinjection in the treatment of heart and spleen deficiency type insomnia inorder to provide the clinical reference. Methods: The clinical records of 60cases with heart and spleen deficiency type insomnia were retrospectivelyanalyzed and divided into an observation group with 30 cases and a control groupwith 30 cases. The observation group was treated with acupuncture combined withacupoint injection, while the control group was treated with acupuncture. Theeffects of the two groups were compared. Results: The PSQI scores were 14.3±2.2 before treatment and 9.6±1.9 aftertreatment, and the score before treatment was lower than that after treatment（P＜0.01）；thedifference had statistically significance between the two groups (P＜0.01).There were 12 cases cured in the observation group accounting for 40.0%, 10excellently effective cases accounting for 33.3%, 7 effective cases accountingfor 23.3%, 1 cases invalid accounting for 3.3%; there were 7 cases cured in thecontrol group accounting for23.3%, 6 excellently effective cases accounting for20.0%, 13 effective cases accounting for 43.3%, 4 cases invalid accountingfor13.3% .The difference had statistically significance between the two groups（P＜0.05）. Thetotal effective rate of the observation group was 96.7%, while that of thecontrol group was 86.7% without statistical difference（P＞0.05）. Conclusion: Acupuncture combined withacupoints injection can significantly improve the clinical efficacy.

【Keywords】Acupuncture;Acupoints injection; Heart and spleen deficiency; Insomnia

doi:10.3969/j.issn.1674-7860.2015.30.011