基于"心脑共调"理论针刺联合艾灸治疗长病程失眠症疗效评价OA

Objective:To evaluate the clinical efficacy and safety of a combined therapy involving spirit-calming and sleep-promoting acupuncture and moxibustion,based on the heart-brain co-regulation theory,in patients with long-term insomnia.Methods:A randomized controlled trial was conducted with 72 patients diagnosed with chronic insomnia(dura-tion≥1 year),who were randomly assigned to either a treatment group(n=36)or a control group(n=36).The control group received comprehensive nursing care,while the treatment group received spirit-calming and sleep-promoting acupuncture combined with moxibustion in addition to the treatment provided to the control group.Both interventions lasted for four weeks.The Pittsburgh sleep quality index(PSQI),insomnia severity index(ISI),Hamilton anxiety scale(HAMA),Hamilton de-pression scale(HAMD)scores,and total effective rate were compared between the two groups before and after treatment.Results:Before treatment,there were no statistically significant differences(P>0.05)in PSQI,ISI,HAMA,and HAMD scale scores between the two groups.After treatment,PSQI,ISI,HAMA,and HAMD scores decreased in both groups,with all scores in the treatment group being significantly lower than those in the control group(P<0.01).The total effective rate in the treatment group(78%,28/36)was significantly higher than that in the control group(55%,20/36),with a sta-tistically significant difference(P<0.01).No serious adverse reactions were reported in either group.Conclusion:The inte-grative therapy of acupuncture and moxibustion guided by the heart-brain co-regulation theory demonstrates significant effi-cacy in improving sleep quality and alleviating anxiety and depression in patients with long-term insomnia,with a favorable safety profile.This approach may serve as an effective clinical option for managing chronic insomnia.