柴胡加龙骨牡蛎汤加减联合耳穴电探测贴压及中药足浴治疗少阳枢机不利型失眠的临床效果OA
Clinical Effect of Modified Chaihu Plus Longgu Muli Decoction Combined with Auricular Point Electric Detection and Pressing and Traditional Chinese Medicine Foot Bath in the Treatment of Insomnia with Shaoyang Pivot Disadvantageous Type
目的:探讨少阳枢机不利型失眠患者治疗中应用柴胡加龙骨牡蛎汤加减联合耳穴电探测贴压及中药足浴的临床效果.方法:纳入 2025 年 1-9 月佛山大学附属第三医院收治的少阳枢机不利型失眠患者,合计 120 例,将其以随机数字表法分组,对照组、观察组样本量均为 60 例.对照组治疗方案为柴胡加龙骨牡蛎汤加减+温水足浴,观察组治疗方案为在柴胡加龙骨牡蛎汤加减的基础上,联合耳穴电探测贴压及中药足浴,两组均持续治疗 28 d.比较两组中医证候积分、匹兹堡睡眠质量指数(PSQI)、睡眠状态自评量表(SRSS)、Epworth 嗜睡量表(ESS)、睡眠日记(睡眠效率、睡眠质量自评、总睡眠时间、日常功能状态)、不良反应发生率.结果:治疗后,两组中医证候积分较治疗前降低,且观察组低于对照组(P<0.05).治疗后,两组 PSQI、SRSS、ESS 评分较治疗前降低,且观察组较对照组低(P<0.05).治疗后,两组总睡眠时间较治疗前延长,观察组较对照组长,两组睡眠效率、睡眠质量自评及日间功能状态评分较治疗前高,且观察组较对照组高(P<0.05).两组不良反应总发生率比较,差异无统计学意义(P>0.05).结论:对少阳枢机不利型失眠患者予以柴胡加龙骨牡蛎汤加减联合耳穴电探测贴压及中药足浴治疗,可改善患者睡眠状态和睡眠质量,且安全性高.
Objective:To explore the clinical effect of modified Chaihu plus Longgu Muli Decoction combined with auricular point electric detection and pressing and traditional Chinese medicine foot bath in the treatment of insomnia with Shaoyang pivot disadvantageous type.Method:A total of 120 patients with insomnia with Shaoyang pivot disadvantageous type admitted to the Third Affiliated Hospital of Foshan University from January to September 2025 were included.They were divided into groups using the random number table method,with 60 cases in each of the control group and the observation group.The treatment plan for the control group was modified Chaihu plus Longgu Muli Decoction+warm water foot bath.The treatment plan for the observation group was auricular point electric detection and pressing combined with traditional Chinese medicine foot bath on the basis of the modified Chaihu plus Longgu Muli Decoction.Both groups received continuous treatment for 28 days.The TCM syndrome scores,Pittsburgh sleep quality index(PSQI),self-rating scale of sleep(SRSS),Epworth sleepiness scale(ESS),sleep diary(sleep efficiency,sleep quality self-assessment,total sleep time,daily functional status),and the incidence of adverse reactions of the two groups were compared.Result:After treatment,the TCM syndrome scores of both groups decreased compared with those before treatment,and that in the observation group was lower than that in the control group(P<0.05).After treatment,the scores of PSQI,SRSS and ESS of both groups decreased compared with those before treatment,and those in the observation group were lower than those in the control group(P<0.05).After treatment,the total sleep time of both groups increased compared with that before treatment,and that in the observation group was longer than that in the control group,the sleep efficiency,the scores of sleep quality self-assessment and daytime functional status of both groups were higher than those before treatment,and those in the observation group were higher than those in the control group(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:For patients with insomnia with Shaoyang pivot disadvantageous type,the modified Chaihu plus Longgu Muli Decoction combined with auricular point electric detection and pressing and traditional Chinese medicine foot bath treatment can improve their sleep condition and quality,and it is also highly safe.
陈思;罗坚文;秦华佗;冯冠华;杨文安
佛山大学附属第三医院(佛山市南海区第六人民医院)中医科 广东 佛山 528248佛山大学附属第三医院(佛山市南海区第六人民医院)中医科 广东 佛山 528248佛山大学附属第三医院(佛山市南海区第六人民医院)中医科 广东 佛山 528248佛山大学附属第三医院(佛山市南海区第六人民医院)中医科 广东 佛山 528248佛山大学附属第三医院(佛山市南海区第六人民医院)脑科 广东 佛山 528248
柴胡加龙骨牡蛎汤加减耳穴电探测贴压中药足浴少阳枢机不利型失眠
Modified Chaihu plus Longgu Muli DecoctionAuricular point electric detection and pressingTraditional Chinese medicine foot bathShaoyang pivot disadvantageous typeInsomnia
《中国医学创新》 2026 (11)
23-27,5
2025年度佛山市卫生健康局医学科研项目(20250419)
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