杵针治疗失眠疗效观察

目的:评价杵针治疗失眠的临床疗效.方法:将60例患者随机分为杵针组和针刺组,其中杵针组30例,予以杵针治疗,选取八阵穴(百会八阵、风府八阵、神道八阵)和河车路(大椎至命门段);针刺组30例,予以针刺治疗,选取百穴、四神聪等穴.两组均为每日治疗1次,每周治疗5次,疗程均为4周,于治疗结束后3个月随访.采用睡眠质量改善有效率、匹兹堡睡眠质量指数评分来进行疗效评定.结果:治疗后两组睡眠质量改善有效率、匹兹堡睡眠质量指数总评分、各因子评分比较,差异均无统计学意义(均P＞0.05).随访两组睡眠质量改善有效率杵针组85.2%,针刺组78.6%,两组比较差异有统计学意义(P＜0.05),匹兹堡睡眠质量指数总评分及睡眠效率、睡眠障碍因子评分差异均有统计学意义(均P＜0.05).结论:杵针疗法能够提高失眠患者远期的睡眠质量改善有效率,降低匹兹堡睡眠质量指数评分,提高患者的生活质量.

Observation on therapeutic effect of Chuzhen therapy on insomnia

Objective To evaluate the therapeutic effect of Chuzhen therapy on insomnia through clinical randomized controlled trials. Methods Sixty cases of insomnia were randomly divided into a Chuzhen group (n = 30) and an acupuncture group (n = 30). Acupoints of Bazhen (Baihui Bazhen, Fengfu Bazhen, Shendao Bazhen) and Hechelu from Dazhui (GV 14) to Mingmen (GV 4)] in the Chuzhen group, and Baihui (GV 20) , Sishencong (EX-HN 1), etc. in the acupuncture group were selected, respectively. Four weeks treatments were carried out in the two groups, once daily for 5 times on week days. Three months after treatment, they were followed up and the therapeutic effects were assessed by the effective rate of sleep improvement and Pittsburgh Sleep Quality Index (PSQI). Results After treatment, the sleep quality in the two groups was improved, but there were no differences in the effective rate of sleep improvement and PSQI between the two groups (all P>0. 05). Three months after treatment, the total effective rate of 85. 2% in the Chuzhen group was better than 78. 6% in the acupuncture group (P<0. 05). The total cumulative score of PSQI, sleep effectiveness and the factors of sleep obstacle in the Chuzhen group were significantly different from those in the acupuncture group (all P<0. 05). Conclusion Chuzhen therapy can increase long-term sleep quality and living quality through improving the effective rate of sleep and reducing the score of PSQI in the patients of insomnia.