Abstract：【Objective】To investigate the effects of Jiawei Changpu Yujin Decoction combined with acupuncture on sleep quality, anxiety and depression in patients with cardio-renal incompatibility insomnia. 【Methods】 The clinical data of 150 patients with cardio-renal in conformal insomnia admitted to our hospital from January 2022 to June 2023 were retrospectively analyzed. According to the treatment methods, they were divided into the control group (receiving conventional western medicine combined with acupuncture treatment) and the observation group (on the basis of the control group, receiving Jiawei Changpu Yujin Decoction treatment), with 75 cases in each group. The two groups were treated continuously for 3 courses, and the clinical efficacy, TCM syndrome score, sleep quality [Pittsburgh Sleep Quality Index (PSQI) score, sleep latency, rapid eye movement sleep time, total sleep time], anxiety state [Self-rating Anxiety Scale (SAS) score] and depression state [Self-rating Depression Scale (SDS) score] were compared between the two groups. 【Results】The total clinical effective rate of observation group was higher than that of the control group, the difference was statistically significant (P<0.05). After treatment, the scores of sleepless all night, easy to wake up after sleeping, five upset heat, waist and knee tenderness were lower than before treatment, and the observation group was lower than the control group, the difference was statistically significant (P<0.05). The sleep latency and REM sleep time of the two groups were shorter than before treatment, the total PSQI score was lower than before treatment, and the total sleep time was longer than before treatment, and the differences between the observation group and the control group were statistically significant (P<0.05). The SAS scores and SDS scores of the two groups were lower than before treatment, and the observation group was lower than the control group (P<0.05). 【Conclusion】Jiawei Changpu Yujin Decoction combined with acupuncture treatment can effectively improve the sleep quality of patients and alleviate the symptoms of anxiety and depression.
姚默, 黎沛环. 加味菖蒲郁金汤联合针灸对心肾不交型失眠症睡眠质量及抑郁、焦虑状态的影响[J]. 医学临床研究, 2024, 41(10): 1568-1570.
YAO Mo, LI Peihuan. Effects of Jiawei Changpu Yujin Decoction Combined with Acupuncture on Sleep Quality, Depression and Anxiety in Cardio-renal Incompatibility Insomnia. JOURNAL OF CLINICAL RESEARCH, 2024, 41(10): 1568-1570.
[1] 李泽丽,华颖,田青.揿针结合磁疗对心肾不交型失眠症疗效研究[J].世界中医药,2019,14(11):3054-3057.
[2] APPLETON S L, REYNOLDS A C, GILL T K, et al. Insomnia prevalence varies with symptom criteria used with implications for epidemiological studies: role of anthropometrics, sleep habit, and comorbidities[J].Nat Sci Sleep,2022,14:775-790.
[3] 李昕蔚,刘云霞,张云舒.脐针治疗心肾不交型失眠症临床研究[J].针灸临床杂志,2022,38(1):22-27.
[4] 袁玉蓉,曹阳,吴政,等. 低阻抗意念导入疗法联合针刺与口服中药治疗心肾不交型慢性失眠症临床研究[J].国际中医中药杂志,2019,41(12):1290-1295.
[5] SATEIA M J. International classification of sleep disorders-third edition: highlights and modifications[J].Chest,2014,146(5):1387-1394.
[6] 刘艳骄,汪卫东.《基于失眠症的传统医学临床实践指南》编写体会[J].中国中医基础医学杂志,2008,14(6):479.
[7] 梁文杰,方朝义,沈莉,等.实验室诊断学在现行《中医病症诊断疗效标准》中的应用分析[J].河北中医药学报,2011,26(2):47-40.
[8] 尹中懿,林宇煌,李长君,等. 子午流注针刺法治疗老年脑卒中后心脾两虚失眠症的临床疗效[J].中国老年学杂志,2023,43(15):3605-3608.
[9] 宋少英,陈诗慧,李东彩,等. 中医系统化护理对失眠症患者临床症状、情绪困扰及睡眠质量的影响[J].齐鲁护理杂志,2023,29(7):57-60.
[10] 牛仁山,孙威风. 慢性失眠症的在线失眠认知行为治疗依从性的危险因素[J].中国实用神经疾病杂志,2023,26(2):221-225.
[11] 陈灿,李智杰,邓长青. 基于数据挖掘的李智杰教授运用加味菖蒲郁金汤治疗不寐用药规律研究[J].中西医结合研究,2023,15(1):18-23.
[12] 万骐,马剑然,高扬,等. 加味菖蒲郁金汤联合针刺对心肾不交型失眠症的临床疗效[J].实用临床医药杂志,2023,27(21):139-143.
[13] 颜玲玲,张雄燕. 心肾调和安眠汤治疗失眠症的临床观察[J].中国中医药科技,2020,27(2):269-270.
[14] 胡亚丹,张德德,周芳,等. 基于气机升降理论温灸刮痧治疗心肾不交型失眠临床研究[J].河北中医,2023,45(11):1863-1866.
2024, Vol. 41 
