子午流注结合五行音乐疗法治疗心脾两虚型失眠的临床效果观察

金婕; 陈紫君; 林丽华; 周丹瑜; 郑建功

doi:10.16766/j.cnki.issn.1674-4152.002156

子午流注结合五行音乐疗法治疗心脾两虚型失眠的临床效果观察

doi: 10.16766/j.cnki.issn.1674-4152.002156

1.
浙江省立同德医院门诊(内科)，浙江杭州 310012
2.
浙江省立同德医院神经内科，浙江杭州 310012
3.
浙江省立同德医院中医内科，浙江杭州 310012

基金项目:

浙江省中医药科学研究基金项目 2018ZB037

详细信息

通讯作者:
金婕，E-mail：meow783@163.com

中图分类号: R493 R256
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- 被引次数: 0
出版历程
- 收稿日期: 2020-12-11
- 网络出版日期: 2022-02-15

Observation on the clinical effect of meridian flow theory combined with five elements music therapy in treating insomnia with deficiency of heart and spleen

1.
Department of Internal Medicine, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang 310012, China

摘要

摘要: 目的观察子午流注结合五行音乐疗法治疗心脾两虚型失眠的临床疗效。方法选取浙江省立同德医院2019年6月—2020年6月收治的心脾两虚型失眠患者72例，根据随机数字表法随机分为观察组和对照组，每组36例。对照组仅采用五行音乐干预，观察组给予子午流注结合五行音乐干预方法。比较2组患者治疗前后匹兹堡睡眠质量指数(Pittsburgh sleep quality index，PSQI)量表的各项评分和相关心脾两虚型失眠的中医证候评分，并比较2组患者的临床疗效。结果治疗前，2组在主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能、安眠药物及PSQI总分等评分方面比较差异无统计学意义(均P>0.05)；治疗后，2组患者上述指标均有所改善，观察组患者在睡眠质量各方面评分和PSQI总分均明显低于对照组患者(均P < 0.01)。治疗前，2组中医证候评分差异无统计学意义(t=0.191，P>0.05)；治疗后，2组中医证候评分均有所改善，观察组较对照组明显降低(t=26.886, P < 0.01)。观察组临床治疗总有效率显著高于对照组(χ²=8.692，P < 0.01)。结论子午流注结合五行音乐疗法能明显改善心脾两虚型失眠患者的临床症状，提高临床治疗效果，值得在临床上推广和使用。
- 五行音乐 /
- 子午流注 /
- 失眠 /
- 心脾两虚型 /
- 临床效果
Abstract: Objective To observe the clinical effect of meridian flow theory combined with five elements music therapy on insomnia caused by deficiency of heart and spleen. Methods Seventy-two cases of insomnia with deficiency of both heart and spleen in Zhejiang Tongde hospital from June 2019 to June 2020 were selected and randomly divided into observation group and control group according to random number table method, each group of 36 cases. The control group only used the five elements of music intervention, the observation group was given the meridional flow combined with the five elements of music intervention method. The scores of the Pittsburgh Sleep Quality Index (PSQI) scale before and after treatment and the scores of TCM syndromes related to insomnia with deficiency of heart and spleen were compared between the two groups, and the clinical efficacy of the two groups was compared. Results Before treatment, there were no statistically significant differences in subjective sleep quality, sleeping time, sleeping time, sleep efficiency, sleep disorder, daytime function, sleeping drugs and PSQI total score (all P>0.05). After treatment, the above indicators were improved in both groups, and the sleep quality scores and total PSQI scores in the observation group were significantly lower than those in the control group (all P < 0.01). Before treatment, there was no difference in TCM syndrome score between the two groups (t=0.191, P>0.05). After treatment, TCM syndrome scores in both groups were improved, and those in the observation group were significantly lower than those in the control group (t=26.886, P < 0.01). The total effective rate of clinical treatment in the observation group was significantly higher than that in the control group (χ²=8.692, P < 0.01). Conclusion The combination of meridian flow theory and five-element music therapy can obviously improve the clinical symptoms of insomnia patients with deficiency of heart and spleen and improve the clinical treatment effect, which is worthy of clinical promotion and use.
- Five elements music /
- Meridian flow theory /
- Insomnia /
- Deficiency of heart and spleen /
- Clinical effect

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表 1 2组心脾两虚型失眠患者睡眠质量比较(x±s，分)

组别	例数	睡眠质量		入睡时间		睡眠时间		睡眠效率
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
观察组	36	2.73±0.21	1.22±0.18^a	2.35±0.19	1.15±0.12^a	2.27±0.22	1.17±0.21^a	2.41±0.32	1.04±0.15^a
对照组	36	2.68±0.25	2.27±0.19^a	2.38±0.21	2.76±0.17^a	2.21±0.23	1.82±0.25^a	2.42±0.25	1.75±0.13^a
t值		0.919	24.071	0.636	46.423	1.131	11.945	0.148	21.462
P值		0.361	< 0.001	0.527	< 0.001	0.262	< 0.001	0.883	< 0.001

组别	例数	睡眠障碍		日间功能障碍		催眠药物		PSQI总得分
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
观察组	36	1.92±0.03	1.02±0.07^a	2.15±0.22	1.06±0.16^a	1.76±0.17	0.98±0.13^a	15.59±1.36	7.64±1.02^a
对照组	36	1.93±0.07	1.45±0.05^a	2.17±0.26	1.81±0.18^a	1.75±0.27	1.42±0.11^a	15.24±1.55	11.67±1.08^a
t值		0.788	29.992	0.352	18.685	0.188	15.503	1.018	16.277
P值		0.433	< 0.001	0.726	< 0.001	0.851	< 0.001	0.312	< 0.001
注：与同组治疗前比较，^aP < 0.05。

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表 2 2组心脾两虚型失眠患者中医证候评分比较(x±s，分)

组别	例数	治疗前	治疗后
观察组	36	27.25±2.87	9.85±0.81^a
对照组	36	27.12±2.91	14.92±0.79^a
t值		0.191	26.886
P值		0.849	< 0.001
注：与同组治疗前比较，^aP < 0.05。

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表 3 2组心脾两虚型失眠患者临床总有效率比较[例(%)]

组别	例数	痊愈	显效	有效	无效	总有效
观察组	36	10(27.78)	16(44.44)	9(25.00)	1(2.78)	35(97.22)
对照组	36	5(13.89)	11(30.55)	10(27.78)	10(27.78)	26(72.22)
注：2组总有效率比较，χ²=8.692，P=0.003。

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