耳穴揿针治疗老年原发性失眠临床观察  

Clinical Observations on the Therapeutic Effect of Ear Acupoint Thumbtack Needle Embedding on Senile Primary Insomnia

作　　者：梁肖媚 

机构地区：[1]杭州市中医院,杭州310007

出　　处：《上海针灸杂志》2017年第6期719-722,共4页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察耳穴揿针治疗老年原发性失眠的临床疗效。方法将70例患者按随机数字表法分为观察组和对照组,每组35例。观察组予耳穴揿针治疗,左右耳交替取穴;对照组予艾司唑仑片,每次1 mg,睡前口服。两组均隔日治疗1次,治疗30 d。观察治疗前后匹兹堡睡眠质量指数(PSQI)评分及失眠严重程度指数(ISI)评分,并评价临床疗效。结果观察组和对照组总有效率分别为91.4%、82.9%,观察组高于对照组,差异有统计学意义(P<0.05);治疗后观察组睡眠质量、睡眠效率、日间功能障碍评分及总分比治疗前低(P<0.05),对照组睡眠时间、睡眠效率评分及总分比治疗前低(P<0.05)。治疗后两组间比较,观察组睡眠障碍、日间功能障碍评分及总分低于对照组(P<0.05),对照组睡眠时间评分低于观察组(P<0.05);治疗后两组ISI评分较治疗前下降(P<0.05),观察组下降更明显,差异有统计学意义(P<0.05)。结论耳穴揿针治疗老年原发性失眠疗效确切,并能改善患者睡眠障碍,提高日间功能状态,降低失眠严重程度。Objective To investigate the clinical efficacy of ear acupoint thumbtack needle embedding in treating senile primary insomnia. Method Seventy patients were allocated, using a random number table, to observation and control groups, 35 cases each. The observation group received ear acupoint thumbtack needle embedding with alternate selections of left and right ear acupoints and the control group took estazolam tablets, 1 mg once before bedtime. Both groups were treated once every other day, for 30 days. The Pittsburgh Sleep Quality Index （PSQI） score and the Insomnia Severity Index （ISI） score were recorded before and after treatment. The clinical therapeutic effects were evaluated. Result The total efficacy rate was 91.4% in the observation group and 82.9% in the control group. It was higher in the observation group than in the control group; there was a statistically significant difference （P〈0.05）. In the observation group, the sleep quality, sleep efficiency and daytime dysfunction scores and the total score were lower after treatment than before （P〈0.05）. In the control group, the sleep duration and sleep efficiency scores and the total score were lower after treatment than before （P〈0.05）. After treatment, the sleep disturbance and daytime dysfunction scores and the total score were lower in the observation group than in the control group （P〈0.05） and the sleep duration score was lower in the control group than in the observation group （P〈0.05）. In both groups, the ISI score was lower after treatment than before （P〈0.05）. It decreased more significantly in the observation group than in the control group; there was a statistically significant difference （P〈0.05）. Conclusion Ear acupoint thumbtack needle embedding has a definite therapeutic effect on senile primary insomnia. It can reduce sleep disturbances, improve daytime function and decrease insomnia severity in the patients.

关 键 词：失眠症 皮内针疗法 揿针 耳穴 PSQI ISI 

分 类 号：R246.6[医药卫生—针灸推拿学]