头部穴埋线治疗失眠症疗效观察  

Therapeutic Observation of Thread-embedding at Scalp Points for Insomnia

作　　者：丁超[1] 张海峰[2] 

机构地区：[1]浙江中医药大学,杭州310053 [2]浙江中医药大学附属第一医院,杭州310006

出　　处：《上海针灸杂志》2015年第5期418-420,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省教育厅课题(Y201016362);浙江省"重中之重"学科(针灸推拿学)建设经费资助[浙教高科(2008)255号]

摘　　要：目的观察头部穴埋线治疗失眠症的临床疗效。方法将64例失眠症患者随机分为治疗组33例和对照组31例。治疗组采用头部穴埋线治疗,对照组采用口服艾司唑仑片治疗。两组均以4星期为1个疗程,治疗1个疗程后观察两组患者临床疗效及各项指标变化情况。结果治疗组总有效率为90.9%,对照组为90.3%,两组比较差异无统计学意义(P>0.05)。两组治疗后PSQI各项评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗前后入睡时间及日间功能障碍因子评分差值与对照组比较,差异均具有统计学意义(P<0.05)。结论头部穴埋线和口服艾司唑仑片均能改善失眠症患者的临床症状,头部穴埋线改善失眠症患者入睡时间劣于口服艾司唑仑片,而改善日间功能障碍优于口服艾司唑仑片,是一种治疗失眠症的有效方法。Objective To observe the clinical efficacy of thread-embedding at scalp points in treating insomnia.Method Sixty-four insomnia patients were randomized into a treatment group of 33 cases and a control group of 31 cases. The treatment group was intervened by thread-embedding at scalp points, while the control group was by orally taking Estazolam. Four weeks were taken as a treatment course, and the clinical efficacies and changes of indexes were measured after a treatment course.Result The total effective rate was 90.0% in the treatment group versus 90.3% in the control group, and the difference was statistically insignificant （P〉0.05）. The item scores of Pittsburgh Sleep Quality Index （PSQI） were changed significantly after treatment in both groups （P〈0.01）. The changes of sleep latency and daily function disturbance in the treatment group were significantly different from that in the control group （P〈0.05）.Conclusion Thread-embedding at scalp points and oral administration of Estazolam both can improve insomnia symptoms. Thread-embedding at scalp points is inferior to Estazolam in improving sleep latency but is superior to Estazolam in improving daily function.

关 键 词：埋线 失眠症 匹兹堡睡眠质量指数 穴位 头颈部 

分 类 号：R246.6[医药卫生—针灸推拿学]