艾灸百会、涌泉穴治疗心肾不交型原发性失眠症的临床疗效观察

中华养生保健 ›› 2025, Vol. 43 ›› Issue (5): 17-20.

艾灸百会、涌泉穴治疗心肾不交型原发性失眠症的临床疗效观察

张蕾¹, 张政¹, 徐海燕², 黄国民¹

1.江西中医药大学附属医院护理部,江西南昌,330006;
2.江西中医药大学临床技能中心,江西南昌,330004

出版日期:2025-03-01 发布日期:2025-03-17
作者简介:张蕾（1989—）,女,汉族,籍贯：江西省南昌市,本科,护师,研究方向：中医特色护理研究。
基金资助:
江西省中医药管理局科技计划（2021B106）

Clinical Effect of Moxibustion at Baihui and Yongquan Acupoints on Patients with Primary Insomnia with Cardio-Renal Incompatibility

ZHANG Lei¹, ZHANG Zheng¹, XU Hai-yan², HUANG Guo-min¹

1. Department of Nursing, Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang Jiangxi, 330006, China;
2. Clinical Skills Centre, Jiangxi University of Chinese Medicine, Nanchang Jiangxi, 330004, China

Online:2025-03-01 Published:2025-03-17

摘要/Abstract

摘要： 目的与常规西药对比,观察艾灸百会、涌泉穴治疗心肾不交型原发性失眠症的临床疗效优势。方法采用随机RCT设计,纳入60例合格受试者,采用随机数表法分为两组。试验组（n=30）：选用艾灸百会、涌泉为主的灸法治疗,1次/d,连续2周;对照组（n=30）：口服艾司唑仑片,1mg/次,1次/d,于睡前0.5 h服药,连续2周。观察指标为匹兹堡睡眠质量指数（PSQI）、抑郁自评量表（SDS）、中医证候积分、临床疗效。结果连续2周治疗后,试验组PSQI总评分显著低于对照组总评分,差异有统计学意义（P<0.05）。试验组SDS总评分显著低于对照组总评分,差异有统计学意义（P<0.05）。试验组中医证候积分显著低于对照组总评分,差异有统计学意义（P<0.05）。临床疗效比较,试验组总有效率高于对照组总有效率,差异有统计学意义（P<0.05）。结论艾灸百会、涌泉穴治疗心肾不交型原发性失眠症的临床疗效优势显著。

关键词: 艾灸, 失眠, 心肾不交, 疗效评价

Abstract: Objective To compare with conventional western medicine, to observe the clinical efficacy advantages of moxibustion at Baihui and Yongquan points in the treatment of primary insomnia of heart-kidney disharmony type. Methods A randomized RCT design was adopted, and 60 qualified subjects were included. Divide into two groups using random number table method. Experimental group (n=30): Acupuncture treatment based on moxibustion Baihui and Yongquan, once a day for 2 weeks; Control group (n=30): Oral estazolam tablets, 1 mg/time, once a day , take the medicine half an hour before going to bed for 2 weeks. Observed indicators were Pittsburgh Sleep Quality Index (PSQI), Self-Rating Depression Scale (SDS) ,Traditional Chinese Medicine Syndrome Score,clinical efficacy. Results After 2 consecutive weeks of treatment, the total PSQI score of the test group was significantly lower than the total score of the control group, and the difference was statistically significant (P<0.05). The total SDS score of the experimental group was significantly lower than the total score of the control group, and the difference was statistically significant (P<0.05). The TCM syndrome score of the experimental group was significantly lower than the total score of the control group, and the difference was statistically significant (P<0.05). Comparing the clinical efficacy, the total effective rate of the test group was 93.33%, and the total effective rate of the control group was 86.67%. The difference was statistically significant (P<0.05). Conclusion Moxibustion at Baihui and Yongquan points has significant clinical efficacy in treating primary insomnia of heart-kidney disharmony type.

Key words: moxibustion, insomnia, heart-kidney disharmony, efficacy evaluation

中图分类号:

R248.1

张蕾, 张政, 徐海燕, 黄国民. 艾灸百会、涌泉穴治疗心肾不交型原发性失眠症的临床疗效观察[J]. 中华养生保健, 2025, 43(5): 17-20.

ZHANG Lei, ZHANG Zheng, XU Hai-yan, HUANG Guo-min. Clinical Effect of Moxibustion at Baihui and Yongquan Acupoints on Patients with Primary Insomnia with Cardio-Renal Incompatibility[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(5): 17-20.

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