滚针治疗非器质性慢性失眠症患者90例临床研究  

Clinical Study on Rolling Needle Therapy for Treatment of 90 Cases of Non-organic Chronic Insomnia

作　　者：黄莉莎[1] 王丹琳[1] 王成伟[1] 胡幼平[2] 周建伟[3] 李宁[1] 

机构地区：[1]四川大学华西医院针灸科,成都市国学巷37号610041 [2]成都中医药大学针灸推拿学院 [3]四川省中医药研究院针灸专科医院

出　　处：《中医杂志》2007年第4期331-334,共4页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局诊疗项目课题(2002ZL36)

摘　　要：目的通过对比滚针治疗与西药对症治疗失眠症,评价传统非药物治疗手段——滚针治疗失眠症的临床疗效。方法采用多中心随机、对照的临床研究方法,将180例患者随机分成滚针治疗组和药物对照治疗组。其中滚针组90例,实施滚针治疗;对照组90例,给予氯硝安定4mg(每晚睡前服用)治疗;疗程均为4周。以中医症状疗效与匹兹堡睡眠质量指数评分进行疗效评估,分别在治疗结束后及3个月随访后评价。结果治疗后两组间有效率差异有显著性意义(P<0.05),两组匹兹堡总评分及睡眠质量、睡眠效率、安眠药物、日间功能等4个亚项评分有统计学差异(P<0.05);尽管3个月随访两组有效率差异无显著性意义,但匹兹堡评分中睡眠效率、安眠药物、日间功能等3个亚项评分,两组差异仍有显著性意义(P<0.05)。结论与第二代抗失眠药物比较,传统滚针疗法能够通过调整人体内环境平衡,治疗慢性失眠症具有更好的临床疗效,从而提高患者的生活质量。Objective To evaluate the therapeutic effect of rolling needle therapy,a traditional non-medication treatment,on insomnia by comparison with western medicine. Methods In the multi-central randomized controlled clinical study, 180 cases were randomly divided into two groups including the treatment group treated with rolling needle therapy （n= 90） and the control group （n= 90） treated with clonopin,4mg each night before sleeping. The treatment course was 4 weeks. Therapeutic effects were evaluated by improvement of TCM symptoms and Pittsburg＇s sleep index at the end of the treatment of 4 weeks and after 3 months＇ follow-up. Resuits After treatment,there were significant differences between the two groups in the effective rate（P〈0.05） ,and the total score of Pittsburg＇s sleep quality index and 4 sub-items,i, e. sleep quality, sleep efficiency, soporific and daytime function（P〈0.05）. After 3 months＇ follow-up,no significant difference was found between the two groups in the effective rate,but there were significant differences between the two groups in sleep efficiency,soporific and daytime function of the Pittsburg＇s sleep quality index（P〈0.05）. Conclusion Compared with soporific of the second generation,traditional rolling needle therapy has a better clinical therapeutic effect on chronic insomnia so as to increase life quality of the patient.

关 键 词：失眠症 针灸疗法 刺法 滚针 

分 类 号：R246.1[医药卫生—针灸推拿学]