安眠穴施用滞针术刮法治疗失眠症:随机对照研究  

Scraping technique of stuck needle at Anmian point in the treatment of insomnia: a randomized controlled trial

作　　者：张全爱[1] 孙晓慧 林家驹[3] 李星凌[3] 

机构地区：[1]浙江中医药大学第三临床医学院,杭州310053 [2]青岛市技术开发区第一人民医院 [3]浙江中医药大学附属第三医院

出　　处：《中国针灸》2013年第6期481-484,共4页Chinese Acupuncture & Moxibustion

基　　金：浙江省高等学校"重中之重"学科针灸学科课题:Y 200907191

摘　　要：目的:比较在安眠穴施用滞针术刮法与常规针刺治疗失眠症的疗效差异。方法:131例患者随机分为安眠穴组(68例)与常规针刺组(63例)。安眠穴组取安眠穴,刺入得气后,采用滞针术,即轻轻单向搓转针体2～3转,待针体紧涩有"滞针"感,用示指轻抵针尾固定针身,拇指由下向上轻轻刮动针柄,留针30min。常规针刺组取三阴交、神门、百会穴,施行捻转平补平泻法,留针30min。两组均每日治疗1次,连续治疗2周后,评定两组患者治疗前后匹兹堡睡眠质量指数(PSQI)量表各因子评分及总分,并评定两组疗效。结果:常规针刺组患者的睡眠质量、入睡时间治疗后较治疗前改善(均P<0.01),睡眠时间、睡眠效率、睡眠紊乱、催眠药物、日间功能障碍改善及PSQI总分与治疗前比较差异无统计学意义(均P>0.05)。治疗后安眠穴组患者PSQI各因子评分及总分较治疗前明显改善(P<0.01,P<0.05),且对以上各项评分的改善均优于常规针刺组(P<0.01,P<0.05)。安眠穴组总有效率为91.2%(62/68),常规针刺组为74.6%(47/63),安眠穴组临床疗效明显优于常规针刺组(P<0.05)。结论:安眠穴施用滞针术刮法治疗失眠症效果优于常规针刺。ABSTRACT Objective To compare the efficacy difference in the treatment of insomnia between scraping tech- nique of stuck needle and conventional acupuncture at Anmian （Extra）. Methods One hundred and thirty one ca- ses were randomized into an Anmian group （68 cases） and a conventional acupuncture group （63 cases）. In the Anmian group, Anmian （Extra） was selected. After arrival of qi, the stuck needling was adopted by rotating the needle gently in single direction, 2--3 rounds till the needle body was stuck tightly. Afterwards, the needle tail was touched gently with the index finger to fix the needle body and the needle handle was scraped gently with the thumbnail from bottom to up. The needle was retained for 30 min. In the conventional acupuncture group, Sanyin- jiao （SP 6）, Shenmen （HT 7） and Baihui （GV 20） were selected and stimulated with reducing technique by rota- ting the needles. The needles were retained for 30 min. The treatment was given once every day, continuously for 2 weeks in both groups. The score of each factor and the total score in Pittsburgh sleep quality index （PSQI） were assessed before and after treatment in the two groups. Additionally, the efficacies of two groups were evaluated. Results For the patients in the conventional acupuncture group, the sleep quality and time of failing into spleen af- ter treatment were improved as compared with those before treatment （all P〈0.01）. The improvement of sleep time, sleep efficiency, sleep disturbance, hypnotic drug and daytime dysfunction, and PSQI total score did not present statistically significant difference as compared with those before treatment （all P〉0.05）. After treatment, for the patients in the Anmian group, the factor score and total score in PSQI were apparently improved as com- pared with those before treatment （P〈0.01, P%0.05）. And the improvements of the above items were superior to the conventional acupuncture group （P〈0.01, P〈0.05）. The total effective rate was 91.2X （

关 键 词：失眠症 安眠穴 滞针术 刮法 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]