体针配合四花穴麦粒灸治疗肝郁脾虚型失眠临床研究

目的：观察体针联合四花穴麦粒灸治疗肝郁脾虚型失眠的临床疗效。方法：60例患者随机分为针灸组30例和西药组30例。针刺组予体针联合四花穴麦粒灸治疗，西药组予口服艾司唑仑治疗。两组分别于治疗前和治疗14 d后进行睡眠率、匹兹堡睡眠质量指数（ PSQI）、世界卫生组织生活质量量表简表（ WHOQOL-BREF）测评，统计疗效和复发率。结果：针灸组有效率为93.33%，近期复发率为10.71%，远期复发率为17.86%，西药组有效率为73.33%，近期复发率为31.82%，远期复发率为40.91%。针刺组睡眠率和PSQI评分的睡眠质量、睡眠时间、睡眠效率及日间功能改善均优于西药组（ P〈0.05），其WHO-QOL-BREF的生理、心理领域评分增幅也高于西药组（P〈0.05）。结论：体针联合四花穴麦粒灸治疗肝郁脾虚型失眠能有效提高睡眠率，改善患者的睡眠质量和生活质量，复发率低。

Clinical Research of Body Acupuncture Combined with Si-hua Point Grain-moxibustion in Treating Insomnia of Liver-stagnation and Spleen-deficiency Syndrome

Objective：To observe the efficacy of body acupuncture combined with Si-hua point Grain-moxibustion in treating insomnia of liver-stagnation and spleen-deficiency syndrome. Methods：Sixty cases were randomly divided into acupuncture group and western medicine group,30 cases in each group. Acupuncture group received treatment of body acupuncture combined with Si-hua point Grain-moxibustion and western medicine group was given Estazolam 2 mg qn. Before and after 14 days treatment sleep efficiency,Pittsburgh Sleep Quality In-dex（ PSQI）and WHOQOL-BREF score were observed. Therapeutic efficacy and recurrence rate of the two groups were compared. Results：The total effective rate was 93. 33% in acupuncture group and the recent recurrence rate was 10. 71% and long-term recurrence rate was 17. 86%. In western medicine group,the total effective rate was 73. 33%,recent recurrence rate was 31. 82% and long-term recurrence rate was 40. 91%. Compared to western medicine group,sleep efficiency of acupuncture group increased much higher（P〈0. 05）. In acu-puncture group the sleep quality,sleep time,sleep efficiency and daytime function of PSQI improved better than that in western medicine group（P〈0. 05）. And so was the physiology and psychology score of WHOQOL-BREF in acupuncture group. Conclusion：The treatment of body acupuncture combined with Si-hua point Grain-moxibustion can effectively increase sleep efficiency and improve sleep quality and life quality of patients with insomnia caused by hepatic stasis and spleen deficiency with lower recurrence rate.