【摘要】 目的 探索背俞穴埋线联合针刺治疗心脾两虚型失眠的时效关系，为该疗法提供临床佐证。方法 选取心脾两虚型失眠患者随机分为治疗组和对照组，各30例。对照组行常规针刺治疗，每周一、三、五各1次；治疗组在对照组基础上联合心俞、脾俞穴埋线，每两周1次。12周后，采用匹兹堡睡眠质量指数（PSQI）进行时效评价，对比治疗前及治疗2、4、8、12周后的PSQI各有效因子评分，分析不同时期的疗效变化。结果 在PSQI睡眠质量因子评分及总分方面，治疗组较对照组疗效更优（P<0.05），尤其在睡眠质量方面差异更显著（P<0.01）。不同时间节点比较，治疗组均优于对照组（P<0.05）。对于以上2个有效因子，治疗组均在治疗2周后开始起效，明显早于对照组，且症状持续改善。结论 心俞、脾俞穴埋线联合针刺治疗心脾两虚型失眠效果确切，能够有效改善患者睡眠质量，且治疗起效时间更早、症状改善更持续，值得推广。更多还原

【Abstract】 Objective To explore the time-effectiveness of catgut embedding at back-shu points combined with acupuncture in the treatment of insomnia of deficiency of both heart and spleen type, so as to provide clinical evidence for this therapy. Methods Patients with insomnia of deficiency of both heart and spleen type were selected and randomly divided into a treatment group and a control group, with 30 cases in each group. The control group received regular acupuncture treatment, once each on Monday, Wednesday, and Friday every week. The treatment group was additionally given catgut embedding at Xinshu(BL15) and Pishu(BL20) points on the basis of the control group once every two weeks. After 12 weeks, the Pittsburgh Sleep Quality Index(PSQI) was used for timeeffectiveness evaluation. The scores of each valid factor of PSQI before treatment and at 2, 4, 8, and 12 weeks after treatment were compared, and the changes in curative effect at different periods were analyzed. Results In terms of the sleep quality factor and the total score of the PSQI scale, the therapeutic effect of the treatment group was better than that of the control group(P<0.05), and the difference was more significant especially in sleep quality(P<0.01). In the comparison of different time points, the treatment group was superior to the control group(P<0.05). Regarding the above two effective factors, the treatment group began to take effect after 2 weeks of treatment, which was significantly earlier than the control group, and the symptoms continued to improve. Conclusion Catgut embedding at Xinshu(BL15) and Pishu(BL20) points combined with acupuncture has a definite effect in treating insomnia of deficiency of both heart and spleen type. It can effectively improve patients’ sleep quality, with an earlier onset of action and more sustained improvement of symptoms, and is worthy of promotion.更多还原