“镇静安神”针法对心脾两虚型失眠患者匹兹堡睡眠指数的影响  

Effect of "Tranquilization Needling" on the Sleep Quality in Patients with Insomnia of Heart-Spleen Deficiency Type

作　　者：严兴科[1] 张燕[1] 于璐[1] 杨波[1] 陈程[1] 王富春[1] 

机构地区：[1]长春中医药大学针灸推拿学院,长春130117

出　　处：《针刺研究》2010年第3期222-225,共4页Acupuncture Research

基　　金：吉林省教育厅科研基金(吉教科合字2006第227号)

摘　　要：目的:观察"镇静安神"针法与八脉交会配穴对心脾两虚型失眠患者疗效和匹兹堡睡眠指数的影响。方法:将60例患者随机分为镇静安神法组、八脉交会穴组。镇静安神法组针刺四神聪、神门、三阴交;八脉交会穴组选申脉、照海。观察两组患者疗效及针刺前后匹兹堡睡眠指数的变化。结果:镇静安神法组总有效率为93.3%(28/30),八脉交会穴组总有效率为83.3%(25/30),两组疗效比较差异有统计学意义(P<0.05);两组治疗后匹兹堡睡眠指数与治疗前比较均有明显改善(P<0.01,P<0.05),两组间比较,镇静安神法组优于八脉交会穴组(P<0.05)。结论:"镇静安神法"、八脉交会取穴法均能有效改善失眠患者的临床症状和体征,并且"镇静安神法"对失眠患者匹兹堡睡眠指数部分指标的改善优于八脉交会取穴法。Objective To observe the effect of ＂Tranquilization Needling＂ （TN） and acupuncture of ＂Eight Confluence Acupoints＂ （ECA） on Pittsburgh Sleep Quality Index （PSQI） in patients with insomnia of the deficiency type of both heart and spleen. Methods A total of 60 insomnia patients with the deficiency of both heart and spleen were randomly divided into TN group and ECA group. For patients of TN group, Sishencong （EX-HN 1）, Shenmen （HT 7） and Sanyinjiao （SP 6） were punctured, and for those of ECA group, Shenmai （BL 62） and Zhaohai （KI 6） were punctured, once daily for 40 sessions. The PSQI score was used to assess the changes of the patients＇ sleeping quality. Results After the treatment, of the two 30 cases of TN group and ECA group, 12 （40.0%） and 7 （23.3%） were cured, 11 （36.7%） and 10 （33.3%） experienced marked improvement, 5 （16.6 % ） and 8 （26.7 % ） had an improvement, and 2 （6.7 % ） and 5 （16.7 % ） failed, with the total effective rates being 93.3% and 83.3% respectively. The effective rate of TN group was significantly higher than that of ECA group （P〈0.05）. Selfcomparison showed that PSQI scores of the sleeping quality, ramp duration, sleep efficiency and the total PSQI score in these two groups all declined significantly after the treatment （P〈0.05, P〈0.01）, and the scores of ramp duration and the total PSQI score of TN group were evidently lower than those of ECA group （ P〈0.05）. After the treatment, the integrative scores of symptoms of two groups both decreased significantly （P〈0.01）, and the integrative score of TN group was remarkably lower than that of ECA group （P〈0.05）. Conclusion Both TN and acupuncture of ECA can effectively improve insomnia patients＇ clinical symptoms, and the therapeutic effect of TN is more effective than that of ECA in shortening ramp duration and the total PSQI score.

关 键 词：失眠症 心脾两虚 镇静安神针法 八脉交会取穴法 匹兹堡睡眠指数 

分 类 号：R749.71[医药卫生—神经病学与精神病学]