针刺四神聪穴治疗失眠的多中心随机对照研究  

Multicentre Randomized Controlled Study on Acupuncture at Sishencong (EX-HN1) for Insomnia

作　　者：张璞璘[1] 高希言[1] 魏玉龙[2] 李星锐[3] 马巧琳[1] 王俊伏 张海杰[5] 赵欣纪[1] 

机构地区：[1]河南中医学院针灸推拿学院,郑州市金水路1号450003 [2]北京中医药大学针灸学院 [3]河南省中医药研究院 [4]河南省开封市中医院 [5]河南省中医院

出　　处：《中医杂志》2008年第8期712-714,共3页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局<中华人民共和国针灸穴典>专项临床研究课题(03XDLB09)

摘　　要：目的观察针刺四神聪穴治疗失眠的疗效,为腧穴主治提供临床依据。方法将246例失眠患者采用多中心随机对照方法分为四神聪组(124例)、足三里组(122例)。四神聪组采用针刺四神聪穴治疗,每日1次;足三里组针刺足三里穴,每日1次;共治疗15次,30天后随访评价。结果四神聪组临床痊愈79例,显效15例,有效8例,无效22例;足三里组痊愈63例,显效11例,有效8例,无效40例。针刺四神聪组疗效优于足三里组(P<0.05)。治疗结束1个月后随访,两组在晨起体力恢复和中医症状改善方面,四神聪组疗效优于足三里组(P<0.01)。结论针刺四神聪穴能有效改善睡眠质量,减少抑郁和焦虑。Objective To observe the effect of acupuncture at Sishencong （EX-HN1） on insomnia to provide clinical evidence for points＇ indications. Methods The 246 insomnia patients were randomized into Sishencong （EX-HN1） group with 124 cases in it and Zusanli （ST 36） group with 122 cases in it. The former was treated by puncturing Sishencong while the latter by puncturing Zusanli, once daily, 15 times of treatment totally. One month later, the evaluation was made in the follow-up. Results Of the Sishencong group, 79 were clinically cured, 15 remarkably improved, 8 improved, and 22 ineffective. Of the Zusanli group, 63 were clinically cured, 11 remarkably improved, 8 improved, and 40 ineffective. The effect of Sishencong group was better than that of Zusanli group （P〈0.05）. In the follow-up one month later, there found a better result in physical strength restore and symptom relieve in Sishencong group than in Zusanli group （P〈0.01）. Conclusion Puncturing Sishencong can improve the sleep quality of insomnia patients, relieve depression and anxiety and decrease relapse rate.

关 键 词：失眠 四神聪 足三里 

分 类 号：R246.1[医药卫生—针灸推拿学]