肝经俞募穴刺络拔罐治疗肝郁化火型失眠症随机对照研究  

A Randomized Controlled Trial of Treating Insomnia of Fire Derived from Stagnation of Liver-Qi with Blood-letting Puncture and Cupping Back-Shu Point and Front-Mu Point of the Liver

作　　者：王政研[1,2] 丰芬[3] 张巍[2] 

机构地区：[1]成都中医药大学,四川成都610075 [2]四川省中西医结合医院,四川成都610041 [3]成都中医药大学附属医院,四川成都610072

出　　处：《四川中医》2015年第4期160-162,共3页Journal of Sichuan of Traditional Chinese Medicine

基　　金：国家自然科学基金课题(NO.81303057)

摘　　要：目的:观察肝经俞募穴刺络拔罐法治疗肝郁化火型失眠的临床效果。方法:将90例肝郁化火型失眠患者随机分为治疗组、针刺组和火罐组各30例。治疗组选用肝俞、期门穴刺络拔罐的方法,与针刺治疗和单纯火罐治疗对照,4周为1个疗程。治疗后分别对三组疗效、中医证候评分以及睡眠指数(PSQI)各项积分进行比较。结果:治疗组和针刺组的有效率明显高于火罐组(P<0.01),治疗组的愈显率高于针刺组(P<0.05);治疗组对中医证候的改善优于针刺组和火罐组(P<0.05);治疗组中患者入睡时间和睡眠质量的积分改善优于针刺组和火罐组(P<0.05);对伴有情绪障碍的失眠患者,治疗组的愈显率明显优于针刺组(P<0.01)。结论:肝经俞募穴刺络拔罐能有效改善肝郁化火型失眠患者的入睡时间和睡眠质量,对伴有情绪障碍的失眠疗效可靠,治疗依从性高,为肝郁化火失眠症的临床非药物治疗提供了较好选择。Objective： To evaluate the effectiveness of blood-letting puncture and cupping Back-Shu points and Front-Mu points of the liver therapy for insomnia of fire derived from stagnation of liver-Qi. Methods： 90sufferers were randomly divided into treatment group （30cases） and acupuncture group （30cases） and cupping group （30cases）. Patients in the treatment group were treated by the method of blood-letting puncture and cupping Ganshu and Qimen point, to compared with acupuncture therapy and only cupping therapy. Four weeks meaned one treatment course. Then compared the curative effect and the score of TCM syndrome and separated score of PSQI in three groups after treatment course. Results： The effective rate in the treatment group and the acupuncture group were significantly higher than that of the cupping group （ P〈O. O1 ）. The cure and excellence rate of the treatment group was higher than that of the acupuncture group （ P〈0. 05 ） ; the improvement of TCM syndrome, the score of fall asleep time and sleep quality in the treatment group was better than the acupuncture group or the cupping group （P 〈0.05 ） ; As for patients with insomnia accompanied by emotional disorders, the cure and excellence rate of the treatment group was significantly higher than that of the acupuncture group （P〈0. O1 ）. Conclusion： The method of blood-letting puncture and cupping Back-Shu points and Front-Mu points of the liver can efficiently improve fall asleep time and sleep quality of insomnia patients of fire derived from stagnation of liver-Qi, and the curative effects is reliable to insomnia accompanied by emotional dis- orders. This therapy has better therapeutic compliance, provide a better non-drug clinical option for insomnia of fire derived from stagnation of liver-Qi.

关 键 词：失眠症 刺络拔罐 随机对照试验 

分 类 号：R256.23[医药卫生—中医内科学]