| 韦周娜,文爱斌,张宁,粟龙.壮医火针治疗心肾不交型慢性失眠(嫩卟吻)34例疗效观察[J].,2025,34(1):82-86 |
| 壮医火针治疗心肾不交型慢性失眠(嫩卟吻)34例疗效观察 |
| Clinical Observation of 34 Cases of Chronic Insomnia Treated with Cardio - renalIncompatibility with Zhuang Medicine Fire Acupuncture |
| 投稿时间：2024-04-01 |
| DOI： |
| 中文关键词: 壮医火针 假针 失眠 睡眠 觉醒 |
| 英文关键词: Zhuang Medicine Fire Acupuncture False Needle Insomnia Sleep A wakening |
| 基金项目:广西自治区中医药管理局科研课题（GXZYC20230597） |
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| 中文摘要: |
| 目的：探讨壮医火针治疗心肾不交型慢性失眠(嫩卟吻）的临床疗效观察。方法：以心肾不交型慢性失眠患者为研究对象，将符合研究标准的78名患者随机分为观察组和对照组，共治疗4周。通过匹兹堡睡眠指数（PSQI）、阿森斯失眠量表（AIS）、过度觉醒量表（HAS）以及多导睡眠监测（PSG）观察壮医火针疗法对睡眠状态以及认知过度觉醒的改善程度。结果：治疗后和随访后，各组PSQI、AIS、HAS评分均较治疗前显著下降（P<0.05），且观察组的PSQI、AIS、HAS评分下降程度显著高于对照组（P<0.05）；治疗后和随访后，总入睡时间、浅睡眠时间、深睡眠时间增加，睡眠效率、清醒次数下降（P<0.05），且观察组总入睡时间、浅睡眠时间、深睡眠时间增加幅度均高于对照组(P<0.05），观察组睡眠效率、清醒次数下降幅度均高于对照组（P<0.05)。结论：壮医火针疗法能以改善心肾不交型慢性失眠患者的失眠症状以及认知觉醒状态，可以增加睡眠时长，提高睡眠效率，减少清醒次数，增加深睡眠比例，维持睡眠持续状态，调整睡眠结构，且改善情况能持续到治疗结束后4周。 |
| 英文摘要: |
| Objective To observe the clinical effect of Zhuang medicine fire acupuncture in treating chronic insomnia (tender por-phyrokisses) with heart –kidney disharmony. Methods 78 patients with chronic insomnia with cardio – renal incompatibility were ran-domly divided into observation group and control group for a total of 4 weeks. Pittsburgh Sleep Index (PSQI), Parsons Insomnia Scale(AIS), Hyperarousal Scale (HAS) and Polysomnimetric sleep monitoring (PSG) were used to observe the improvement of sleep statusand cognitive hyperarousal. Results After treatment and follow - up, PSQI, AIS and HAS scores of all groups were significantly de-creased compared with those before treatment (P<0.05), and PSQI, AIS and HAS scores of observation group were significantly low-er than those of control group (P <0.05) . After treatment and follow – up, the total sleep time, light sleep time and deep sleep timeincreased, and the sleep efficiency and wake times decreased (P <0.05) . The increase rate of total sleep time, light sleep time anddeep sleep time in the observation group was higher than that in the control group (P <0.05), and the decrease rate of sleep efficiency and wake times in the observation group was higher than that in the control group (P <0.05) . Conclusion Zhuang medicine fire acupuncture therapy can improve the insomnia symptoms and cognitive awakening state of patients with cardio – renal incompatibility chronic insomnia, increase sleep duration, improve sleep efficiency, reduce wake times, increase the proportion of deep sleep, maintaincontinuous sleep state, adjust sleep structure, and the improvement can last until 4 weeks after the end of treatment. |
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