靳三针联合重复经颅磁刺激治疗心脾两虚型失眠的临床效果

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Abstract Objective To investigate clinical effect of Jin’s three needles combined with repetitive transcranial magnetism in the treatment of insomnia with syndrome of deficiency of both heart and spleen. Methods One hundred and thirty-four patients with insomnia with syndrome of deficiency of both heart and spleen admitted to the 3rd Affiliated Hospital of Changchun University of Chinese Medicine from October 2017 to October 2018 were divided into two groups. The patients in control group (67 cases) received repetitive transcranial magnetism, and the patients in observation group (67 cases) received Jin’s three needles combined with repetitive transcranial magnetism. Patients in both groups were treated continuously for four courses. The clinical efficacy of the two groups was compared. Before and after treatment, the scores of Pittsburgh sleep quality index (PSQI), self-rating anxiety scale (SAS), self-rating depression scale (SDS), World Health Organization quality of life brief version (WHOQOL-BREF) and traditional Chinese medicine syndromes were evaluated. The improvement of symptoms in the two groups was compared. Results The total effective rate in observation group was higher than control group, and the difference was statistically significant (P ＜ 0.05). After treatment, scores of PSQI (sleep quality, time to fall asleep, sleep efficiency, daytime function, sleep disorder, sleep time, hypnotics, total score), SAS, SDS and TCM syndromes (sleep restlessness, palpitation restlessness, amnesia, spiritlessness and weakness, dizziness, total score) in the two groups were lower than those before treatment, while the scores and total scores of PSQI, scores of SAS, SDS and TCM syndromes in the observation group were lower than those in the control group, and all the differences were statistically significant (P ＜ 0.05). After treatment, the WHOQOL-BREF scores (physiological, psychological, social and environmental fields) in both groups were higher than those before treatment. After treatment, the scores of WHOQOL-BREF in the observation group were higher than those in the control group, and the differences were statistically significant (P ＜ 0.05). After treatment, the time to fall asleep in both groups was shorter than that before treatment, the sleep time was longer than that before treatment, and the number of night wakefulness was less than that before treatment. The time to fall asleep in the observation group was shorter than that in the control group, the sleep time was longer than that in the control group, and the number of night wakefulness was less than that in the control group, with statistically significant differences (P ＜ 0.05). Conclusion Jin’s three needles combined with repetitive transcranial magnetism have significant effect in treatment of insomnia with syndrome of deficiency of both heart and spleen, which can improve patients’ mood, alleviate symptoms, improve life quality and sleep quality.

Key words： Jin’s three needles Repetitive transcranial magnetism Insomnia with syndrome of deficiency of both heart and spleen Quality of life Sleep quality

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	ZHANG Hanyuan1 LIU Yuhuan2 LI Tie2 DUAN Changwei2 LI Hai2

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ZHANG Hanyuan1 LIU Yuhuan2 LI Tie2 DUAN Changwei2 LI Hai2. Clinical effect of Jin’s three needles combined with repetitive transcranial magnetism in the treatment of insomnia with syndrome of deficiency of both heart and spleen[J]. 中国医药导报, 2021, 18(6): 144-148.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I6/144

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