针灸治疗肿瘤患者失眠的临床随机对照研究  

Clinical Randomized Controlled Study of Using Acupuncture to Treat Tumor Patients with Insomnia

作　　者：宋建蓉[1] 赵以兰 彭晓红[1] 胡幼平[2] 

机构地区：[1]成都市第七人民医院针灸科,四川成都610041 [2]成都中医药大学针灸推拿学院,四川成都610000

出　　处：《四川中医》2015年第4期163-165,共3页Journal of Sichuan of Traditional Chinese Medicine

基　　金：成都市卫生局(201105)基金支持项目

摘　　要：目的:观察针灸治疗肿瘤患者失眠临床疗效。方法:采用随机对照试验的研究方法,将120例肿瘤失眠患者随机分为试验组(60例)和对照组(60例)。试验组采用针刺百会、神庭、印堂、神门、足三里(双)、三阴交(双);艾灸:神阙、关元。对照组采用口服艾司唑仑片治疗。两组均于治疗前、后及1周后随访时观察阿森斯失眠量表、PSQI、MOS—SF36生活质量量表变化情况。结果:1治疗后试验组总有效率83.33%、对照组总有效率93.33%,两组比较P>0.05,无明显统计学意义;随访时试验组总有效率85.00%、对照组总有效率65.00%,两组比较P<0.05,两组之间有统计学意义。2PSQI总分组间比较:治疗前后试验组与对照组比较P>0.05,均无统计学意义;随访时试验组与对照组比较P<0.01,两组之间有明显统计学意义。3PSQI总分组内比较:仅试验组治疗后与随访时比较P>0.05,无统计学意义,其余比较均有明显统计学意义。4MOS—SF36生活质量表组间、组内比较P>0.05,均无统计学意义。结论:针灸治疗肿瘤患者失眠症状疗效同药物治疗相当,但其远期效果较好,无副反应,不宜反复;针灸及药物治疗肿瘤患者失眠均不能明显提高患者的生活质量。Objective： To observe the clinical curative effect of using acupuncture to treat tumor patients with Insomnia. Methods： Adopting the research method of randomized controlled trials, 120cases of tumor patients with insomnia were randomly divided into experimental group （60cases） and controlled group （60cases）. The experimental group was given acupuncture： DU20, DU24, EX-HN3, HT7, ST36 （double）, SP6 （double） and moxibustion： RNS, RNg. The controlled group was treated with oral estazolam tablets. Both groups before treatment, and a week after the follow-up observation after Athens Insom- nia Scale, PSQI, MOS-SF361ife quality scale changes. Results： ①The total effective rate of the treatment group was 83.33% after treatment, the total effective rate of the controlled group was 83.33%, comparing with each other, P〉0. 05, no significant statistical significance; the total effectiveness of the treatment group was 85.00% when follow-up, thus the total effective rate of the controlled group was 65. 00%, comparing the two groups, P〈0. 05, it had statistical significance between the two groups. ②PSQI overall comparison between groups： the experimental group compared with the controlled group before and after the treat- ment, P〉0. 05, no statistical significance; follow-up group when compared with the controlled group, P〈0.01, had obvious statistical significance between the two groups. ③PSQI was： in the total group and the experimental group only after treatment compared with follow-up when P〉0. 05, no statistical significance, the rest all had obvious statistical significance. ④MOS- SF36, group comparison between the quality of life table groups, P〉0. 05, no statistical significance. Conclusion： The curative effect of using acupuncture to treat tumor patients with insomnia is as good as drug treatment, but its long-term effect is better, no side effects, and should not be repeated ; acupuncture and drug treatment of tumor patients with insomnia are not significantly impro

关 键 词：失眠 针灸 PSQI MOS—SF36 随机对照 

分 类 号：R245[医药卫生—针灸推拿学]