山西中医药大学学报2025，Vol.26Issue(8)：867-872,6.DOI:10.19763/j.cnki.2096-7403.2025.08.07
安神助眠针法治疗心肾不交型老年失眠症临床观察
Clinical observation of calming and sleep-promoting acupuncture for elderly insomnia with heart-kidney non-interaction pattern
摘要
Abstract
Objective:To evaluate the efficacy of calming and sleep-promoting acupuncture for elderly insomnia with heart-kidney non-interaction pattern.Methods:Seventy-two patients treated at Shanxi Acupuncture Hospital from April 2023 to June 2024 were randomly divided into control group(n=36)and treatment group(n=36).Control group received eszopiclone tablets:1.25 mg three times daily for week 1,then 2.5 mg three times daily for weeks 2～4.Treatment group re-ceived additional calming and sleep-promoting acupuncture at Baihui(GV20),Sishencong(EX-HN1),bilateral Shen-men(HT7),Yinxi(HT6),Tongli(HT5),Lingdao(HT4),Daling(PC7),Neiguan(PC6),Taixi(KI3),Zhaohai(KI6),and Zhongmai(KI9).Both groups received treatment for 4 weeks,28 days.Outcomes included TCM syndrome scores,Pittsburgh Sleep Quality Index(PSQI)total and sub-scores,Hamilton Anxiety Scale(HAMA)scores,Hamilton Depression Scale(HAMD)scores,polysomnographic parameters(sleep latency[SL],total sleep time[TST],number of awakenings).Results:The treatment group showed higher efficacy(94%[34/36]vs 89%[32/36],P<0.05),with greater improvements in TST(↑),awakenings(↓),SL(↓),TCM syndrome scores(↓),PSQI total and sub-scores(↓),HAMA scores(↓),and HAMD scores(↓)versus control group(all P<0.05 or P<0.01).Conclusion:Calming and sleep-promoting acupuncture significantly improves sleep quality and alleviates anxiety/depression symptoms in elderly in-somnia with heart-kidney non-interaction pattern.关键词
老年失眠症/安神助眠针法/心肾不交Key words
elderly insomnia/calming and sleep-promoting acupuncture/heart-kidney non-interaction分类
医药卫生引用本文复制引用
周逸潇,陈旭宁,吴红全,陆经霞,杨发明..安神助眠针法治疗心肾不交型老年失眠症临床观察[J].山西中医药大学学报,2025,26(8):867-872,6.基金项目
山西省中医药管理局科研课题(2023ZYYB2029) （2023ZYYB2029）
