三才针结合额三针治疗心肾不交型失眠的临床疗效观察OA
Clinical Observation on the Efficacy of Sancai Acupuncture Combined with Frontal-Three-Needles in Treating Insomnia of Heart-Kidney Disharmony Type
目的:探讨三才针结合额三针治疗心肾不交型失眠的临床疗效.方法:按照随机数字表法将2023 年1 月—2024 年2 月蚌埠市中医医院收治的 60 例心肾不交型失眠患者分为对照组和治疗组,每组30 例.对照组采用常规针刺治法,治疗组采用三才针配合额三针治法,两组均治疗 4 周.对比两组患者睡眠质量、中医证候积分、神经递质指标及临床疗效.结果:治疗后,两组匹兹堡睡眠质量指数量表(PSQI)各维度评分及 PSQI 总评分均下降(P<0.05),且治疗组评分低于对照组(P<0.05).治疗后,两组中医证候积分均降低(P<0.05),且治疗组低于对照组(P<0.05).治疗后,两组血清5-羟色胺(5-HT)、多巴胺(DA)、褪黑素(MT)水平均升高(P<0.05),且治疗组高于对照组(P<0.05).治疗后,治疗组总有效率为 93.33%(28/30),明显高于对照组的 73.33%(22/30),差异有统计学意义(P<0.05).结论:三才针结合额三针治疗心肾不交型失眠具有较好疗效,可提高患者睡眠质量及神经递质水平,并有效减轻中医证候积分.
Objective:To explore the clinical efficacy of Sancai acupuncture combined with Frontal-three-needles in treating insomnia of Heart-kidney disharmony Type.Methods:According to the random number table method,60 patients with heart kidney non overlapping insomnia treated at Bengbu TCM Hospital from January 2023 to February 2024 were divided into two groups.The control group of 30 cases received conventional acupuncture treatment,while the treatment group of 30 cases received a combination of Sancai acupuncture and frontal three acupuncture treatment.Both groups were treated for 4 weeks.The sleep quality,TCM syndrome scores,neurotransmitter levels,and clinical efficacy were analyzed.Results:After treatment,the scores of each dimension of PSQI and the total PSQI score in both groups decreased(P<0.05),and the scores in treatment group were lower(P<0.05).After treatment,the scores of traditional Chinese medicine syndrome in both groups decreased(P<0.05),and the scores in treatment group were lower(P<0.05).After treatment,the levels of serum5-HT,DA,and MT increased in both groups(P<0.05),and the indexes in treatment group were higher(P<0.05).The effective rate in treatment group(93.33%)was higher compared with control group(73.33%)(P<0.05).Conclusion:Sancai acupuncture combined with frontal-three-needles has a good therapeutic effect on insomnia of Heart-kidney disharmony type,which can improve sleep quality and neurotransmitter levels,and effectively reduce TCM syndrome scores.
罗嗣祺;汤杰杰;刘雪珂;樊凯徐;张倩;曹奕
蚌埠市中医医院,安徽 蚌埠 230020蚌埠市中医医院,安徽 蚌埠 230020蚌埠市中医医院,安徽 蚌埠 230020蚌埠市中医医院,安徽 蚌埠 230020蚌埠市中医医院,安徽 蚌埠 230020安徽省针灸医院,安徽 合肥 230061
医药卫生
三才针额三针心肾不交型失眠
Sancai acupunctureFrontal-three-needlesHeart-kidney disharmony typeInsomnia
《中医药学报》 2026 (7)
46-50,5
安徽省红十字会中医药传承创新发展研究项目(2022ZYYD07)
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