针刺背俞穴治疗失眠的临床研究  

Clinical Study on Insomnia Treated by Acupuncturing Beishu Points

作　　者：高希言[1] 陈岩[1] 陈新旺[1] 吕海江[1] 任珊[1] 马巧琳[1] 

机构地区：[1]河南中医学院,河南郑州450008

出　　处：《中医学报》2011年第10期1264-1266,1269,共4页Acta Chinese Medicine

基　　金：河南省科技厅重点科技攻关计划(编号:072102310081)

摘　　要：目的:观察针刺五脏背俞穴治疗失眠的临床疗效。方法:选取失眠患者64例,随机分为治疗组和对照组,每组32人,治疗组予以针刺背俞穴(神道、心俞、肝俞、脾俞、膈俞)治疗,对照组给予常规针刺(内关、神门、三阴交、百会、四神聪)治疗。10次为1疗程,共治疗3疗程后进行疗效统计。结果:试验组和对照组治疗后结果比较,在睡眠障碍的改善方面有显著性差异,t=2.29,P=0.00(P<0.01,FAS),t=2.18,P=0.00(P<0.01,PPS);在睡眠效率的改善方面有显著性差异,t=0.38,P=0.00(P<0.05,FAS),t=0.38,P=0.00(P<0.05,PPS);中医症状积分在难以入睡方面有显著差异,Z=-2.33,P=0.02(P<0.05,FAS);Z=-2.19,P=0.02(P<0.05,PPS)。结论:针刺背俞穴与常规针刺治疗失眠均有很好的临床疗效;针刺背俞穴组在改善PSQI各项积分中睡眠效率和睡眠障碍、中医症状中难以入睡方面以及远期疗效方面优于常规针刺组。Objective：To observe the clinical effect of insomnia treated by acupuncturing Beishu points of five zang-organs.Methods：64 patients with insomnia were randomly divided into treatment group and control group（32 patients for each group）.The treatment group received the treatment of acupuncturing Beishu points（Shendao,Xinshu,Ganshu,Pishu,Geshu）,while the control group received the routine acupuncture treatment（Neiguan,Shenmen,Sanyinjiao,Baihui,Sishencong）.Curative effect statistics was worked out after 3 courses of treatment,and 10 times as one course of treatment.Results：After the treatment,the comparison of sleep dysfunction results between experimental group and control group showed significant differences：t=2.29,P=0.00（P0.01,FAS）,t=2.18,P=0.00（P0.01,PPS）;the sleep efficiency improvements were significantly different：t=0.38,P=0.00（P0.05,FAS）：t=0.38,P=0.00（P0.05,PPS）;TCM symptom scores in the aspect of having difficulty in going to sleep were significantly different： Z=-2.33,P=0.02（P0.05,FAS）：Z=-2.19,P=0.02（P0.05,PPS）.Conclusion：Acupuncturing Beishu points and routine acupuncture treatment of insomnia are both significantly effective.Acupuncture group in the Beishu points is better than the routine acupuncture group in improving PSQI scores such as sleep efficiency,sleep disorders,difficulty in going to sleep as well as long-term effect.

关 键 词：失眠 针灸疗法 背俞穴 心俞 肝俞 脾俞 膈俞 

分 类 号：R246.1[医药卫生—针灸推拿学]