调任通督针法治疗卒中后失眠的临床效果  

Clinical efficacy on insomnia after stroke treated by techniques of needling in Ren and Du meridians for adjustment and smoothing

作　　者：马晓明[1] 杨卓欣[1] 于海波[1] 李晶晶[2] 张少芸[1] 

机构地区：[1]广东省深圳市中医院针灸科,广东深圳518033 [2]广东省深圳市宝安区中医院针灸临床应用中心,广东深圳518133

出　　处：《中国医药导报》2016年第11期150-154,共5页China Medical Herald

基　　金：广东省中医药局科研课题(20151074)

摘　　要：目的探讨调任通督法治疗卒中后失眠的临床效果。方法研究对象来源于2014年7月-2015年10月深圳市中医院住院部符合纳入标准和排除标准的卒中后失眠患者,共120例。采用随机数字表法将患者分为调任通督针刺组（治疗组）、常规针刺组（对照组A）和西药组（对照组B）,每组各40例。在常规基础治疗的基础上,治疗组以百会、神庭、关元、气海、神门、三阴交为主穴进行针刺,对照组A予以常规神门、三阴交、四神聪针刺治疗,两组均每天治疗1次,每次留针30 min;对照组B每晚口服艾司唑仑1 mg,总疗程为4周。比较治疗前后、疗程结束后1、3个月患者睡眠质量、负性情绪、不良反应情况及治疗效果。结果治疗后,三组匹兹堡睡眠质量指数问卷（PSQI）、激惹、抑郁和焦虑自评量表（IDA）评分均较治疗前降低,差异有高度统计学意义（P〈0.01）,其中,治疗组在降低PSQI评分方面优于其余两组（P〈0.05或P〈0.01）;治疗组和对照组A在改善IDS量表中患者抑郁、焦虑、内向激惹方面优于对照组B（P〈0.05或P〈0.01）。治疗组、对照组A的不良反应发生率均明显低于对照组B,差异有高度统计学意义（P〈0.01）。三组疗效评定,治疗组有效率为92.5%,对照组A有效率为87.50%,对照组B有效率为87.50%,差异无统计学意义（P〉0.05）。结论通任调督针法作为一种不良反应少、效优的中医特色治疗,能够更大程度地改善脑卒中失眠患者睡眠质量、抑郁、焦虑、激惹状态,提升生存质量,促进病情恢复。Objective To investigate the clinical effects of techniques of needling in Ren and Du meridians for adjustment and smoothing for insomnia after stroke. Methods Total 120 patients with insomnia after stroke in accordance with include and exclude, hospitalized in Shenzhen Traditional Chinese Medical Hospital from July 2014 to October2015 were randomized into the regulating and unblocking acupuncture group（treatment group, n =40）, the traditional acupuncture group（control group A, n=40） and the western medicine group（control group B, n=40）. Based on the conventional treatment, 40 cases of treatment group were treated with techniques of needling in Ren and Du meridians for adjustment and smoothing. Baihui, Shenting, Guanyuan, Qihai, Shenmen, Sanyinjiao were selected as the major points.The control group A was treated with acupuncture. Shenmen, Sanyinjiao, Sishencong were selected as the major points.Both groups treated once a day for 30 min. The control group B were treated with Estazolam once a day. The courses were 4 weeks. The scores of PSQI, IDA were evaluated before and after 4 weeks of the therapy, during follow-up at 1and 3 months after therapy, the TESS and therapeutic effect were compared. Results After treatment, the scores of PSQI and IDA were lower in each group compared with before treatment, with statistically significant differences（P〈0.01）. The scores of PSQI in the treatment group were lower than those of other control groups（P〈0.05, P〈0.01）.The levels of depression, anxiety, irritability introversion relieved in the treatment group and control group A were better than those in the control group B（P〈0.05, P〈0.01）. Incidences of adverse effect of the control group A and the treatment group were lower than that of the control group B, with statistically significant difference（P〈0.01）. The clinical effective rate in the treatment group was92.5%, the control group A was 87.50% and the control group B was 87.50%, with no statistically significant difference（P〈0.

关 键 词：调任通督针法 针灸 脑卒中 失眠 

分 类 号：R256.23[医药卫生—中医内科学]