贺氏三通法治疗亚急性失眠:随机对照研究  

Subacute insomnia treated with He's three-promotion needling method: a randomized controlled trial

作　　者：洪秋阳 杨惠民[3] 王世广[1] 毛雪文 杨怡 刘晓静 HONG Qiuyang;YANG Huimin?;WANG Shiguang;MAO Xuewen;YANG Yi;LIU Xiaojing(Department of Acupuncture and Moxibustion,Shunyi Branch Hospital of Beijing Chinese Medicine Hospital,Beijing 101300,China;Beijing University of CM,Beijing 100029;Dongzhimen Hospital,Beijing University of CM,Beijing 100700)

机构地区：[1]北京中医医院顺义医院针灸科，北京 101300 [2]北京中医药大学，北京 100029 [3]北京中医药大学东直门医院，北京 100700

出　　处：《中国针灸》2018年第12期1283-1287,共5页Chinese Acupuncture & Moxibustion

基　　金：北京市中医管理局专项资助项目:QN 2016-12

摘　　要：目的:观察贺氏三通法与口服艾司唑仑片对亚急性失眠患者睡眠质量及失眠严重程度的疗效差异。方法:将70例亚急性失眠症患者随机分为三通法组和药物组,每组35例。三通法组采用毫针微通、火针温通、三棱针强通法联合治疗,毫针针刺穴取百会、四神聪、神庭、神门等,隔日1次,每周3次;火针点刺肝俞、心俞、肺俞、脾俞、肾俞、膈俞,隔2d治疗1次,每周2次;三棱针点刺耳尖放血,隔日治疗1次,每周3次。药物组睡前半小时口服艾司唑仑片1 mg,隔日1次。两组均连续治疗4周。分别于治疗前、治疗2周后、治疗4周后及治疗结束后1个月随访时记录两组患者匹兹堡睡眠质量指数(PSQI)评分和失眠严重程度指数(ISI)评分,并评定两组临床疗效。结果:两组在治疗2周、治疗4周后及随访时PSQI总分、ISI评分均较治疗前明显降低(均P<0.05),且三通法组在治疗后各时点PSQI总分下降较药物组更明显(均P<0.05),随访时三通法组ISI评分低于药物组(P<0.05)。三通法组治疗结束后及随访时总有效率分别为97.2%(34/35)和91.4%(32/35),高于药物组的85.7%(30/35)和71.4%(25/35,均P<0.05)。结论:贺氏三通法治疗亚急性失眠能更有效地改善患者的睡眠质量,减轻失眠严重程度,具有良好的近远期疗效。Objective To observe the differences in the sleep quality and the effects on insomnia severity between He's three-promotion needling method and the oral administration of estazolam. Methods A total of 70 patients of subacute insomnia were randomized into a three-promotion needling group and a medication group, 35 cases in each one. In the three-promotion needling group, the mild promotion technique with the filiform needle, the warm promotion technique with the fire needle and the strong promotion technique with the three-edged needle were adopted in combination. The acupuncture with the filiform needle was used at Baihui (GV 20), Sishencong (EX-HN1), Shenting (GV 24), Shenmen (HT 7), etc, The treatment was given 3 times a week, once every 2 days. The pricking technique with fire needle was applied to Ganshu (BL 18), Xinshu (BL 15), Feishu (BL 13), Pishu (BL 20), Shenshu (BL 23) and Geshu (BL 17), once every 3 days, twice a week. The bleeding technique with the three-edged needle was used at the ear apex, once every 2 days, 3 times a week. In the medication group, the estazolam tablets were taken orally before sleep, 1mg once every 2 days. The treatment was given consecutively for 4 weeks in the two groups. Separately, before treatment, in 2-week treatment and in 4-week treatment as well as in 1-month follow-up after treatment, the Pittsburgh sleep quality index (PSQI) and the insomnia severity index (ISI) scores were recorded in the patients of the two groups. The clinical effects were evaluated in the two groups. Results In 2 weeks and 4 weeks of treatment, as well as in the follow-up, PSQI scores and ISI scores were all reduced obviously as compared with those before treatment in the two groups (all P<0.05). In the three-promotion needling group, the PSQI score at each time point was reduced much more obviously as compared with the medication group (all P<0.05). In the follow-up, the ISI score in the three-promotion needling group was lower than the medication group (P<0.05). The total effective rates were 97.

关 键 词：亚急性失眠 贺氏三通法 针刺 火针 放血 艾司唑仑片 

分 类 号：R246.1[医药卫生—针灸推拿学]