【摘要】 目的：观察气交灸联合针刺治疗心肾不交型失眠的临床疗效。方法：将2019年1月1日―2020年12月31日来佛山市中医院针灸科就诊的60例心肾不交型失眠患者随机分为治疗组和对照组各30例，其中治疗组采用气交灸配合常规针刺；对照组予常规针刺治疗（主穴申脉穴、照海穴、四神聪穴、神门穴、安眠穴、三阴交穴，配伍心俞穴、肾俞穴），每周3次，两周为一个疗程，共治疗2个疗程。分别于治疗前、治疗后评估两组患者匹兹堡睡眠质量指数量表（Pittsburgh Sleep Quality Index,PSQI）评分，比较临床疗效。结果：治疗组总有效率为90.0%(27/30)，对照组总有效率为73.3%(22/30)，差异有统计学意义（P <0.05）；治疗组PSQI总评分（6.27±1.41）明显低于对照组的总评分（9.07±1.82)，差异有统计学意义（P <0.05）；治疗组与对照组7个因子评分组间比较，除催眠药物组间比较差异无统计学意义（P> 0.05），其他6个因子评分均低于对照组，差异有统计学意义（P <0.05）。结论：气交灸联合针刺治疗心肾不交型失眠具有较好的临床效果，且操作简便，值得临床及居家保健推广应用。更多还原

【Abstract】 Objective: To observe the clinical effect of Qijiao moxibustion( 气交灸) combined with acupuncture on insomnia with heart-kidney imbalance. Methods: From January 1, 2019 to December 31, 2020, 60 cases of insomnia with heart-kidney imbalance in the Department of Acupuncture and Moxibustion in Foshan Hospital of Traditional Chinese Medicine were randomly divided into the treatment group and the control group, with 30 cases in each group. In the treatment group, Qijiao moxibustion combined with conventional acupuncture was given. The control group received routine acupuncture treatment; major acupoints include Shenmai(BL 62), Zhaohai(KI 6), Sishencong(EX-HN 1), Shenmen(HT 7), Anmian, Sanyinjiao(SP6), which are compatibile with Xinshu(BL 15), Shenshu(BL 23), the treatment was of 3 times a week, 2 weeks were for 1 course of treatment, there was a total of 2 courses of treatment. The Pittsburgh Sleep Quality Index(PSQI) score was used to compare the clinical efficacy in the two groups before and after treatment. Results: The total effective rate was 90.0%(27/30) in the treatment group and 73.3%(22/30) in the control group, and the difference was statistically significant(P<0.05). The total PSQI score in the treatment group,(6.27±1.41), was significantly lower than(9.07±1.82) in the control group, and the difference was statistically significant(P<0.05). Comparison of 7 factors between the treatment group and the control group showed that there was no significant difference between the two groups except hypnotic drugs(P>0.05), and the other 6 factors were lower than the control group, the difference was statistically significant(P<0.05). Conclusion: Qijiao moxibustion combined with acupuncture has a good clinical effect in the treatment of heart-kidney imbalance type insomnia, and the operation is simple, which is worthy of clinical and home health care application.更多还原