“督脉导气针法”联合艾司唑仑治疗失眠症:随机对照研究  

“Governor vessel daoqi method of acupuncture” combined with estazolam for insomnia: a randomized controlled trial

作　　者：丁莉 王骏 杨澔侠 俞君 DING Li, WANG Jun, YANG Haoxia, YU ,lun(Department of Rehabilitation Medicine, Wuxi City Ninth People＇s Hospital. Wuxi 214000. Jiangsu Province, Chin)

机构地区：[1]无锡市第九人民医院康复医学科,江苏无锡214000

出　　处：《中国针灸》2018年第5期463-467,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较"督脉导气针法"联合艾司唑仑与单纯艾司唑仑治疗失眠症的临床疗效差异。方法:将70例失眠患者随机分为观察组和对照组,各35例。对照组予口服艾司唑仑,每次2 mg,睡前30 min口服;观察组在此基础上予"督脉导气针法"治疗,选取督脉胸腰段阳性反应点、百会,每次留针30 min,隔日治疗1次,两组均治疗4周。观察两组患者治疗前后的匹兹堡睡眠质量指数(PSQI)及多导睡眠图(PSG)相关参数,并评价两组的临床疗效,记录不良反应。结果:观察组和对照组的总有效率分别为94.3%(33/35)、82.9%(29/35),差异无统计学意义(P>0.05);观察组愈显率为71.4%(25/35),优于对照组的42.9%(15/35,P<0.05)。观察组治疗后PSQI各分项评分及总分均明显下降(均P<0.05),对照组治疗后入睡时间、睡眠时间、睡眠效率评分及PSQI总分明显下降(均P<0.05);治疗后,观察组睡眠时间、睡眠障碍、日间功能评分及PSQI总分明显低于对照组(均P<0.05)。治疗后PSG相关参数比较,观察组总睡眠时间、睡眠潜伏期、觉醒次数、睡眠效率均明显改善(均P<0.05),对照组总睡眠时间、觉醒次数、睡眠效率亦有改善(均P<0.05);治疗后,观察组总睡眠时间、睡眠潜伏期、觉醒次数、睡眠效率均明显优于对照组(均P<0.05)。观察组与对照组分别出现4例和3例轻度不良反应。结论:"督脉导气针法"联合艾司唑仑能显著改善失眠症状,综合疗效优于单纯艾司唑仑治疗。Objective To compare the clinical efficacy differences between ＂governor vessel daoqi method of acupuncture＂ combined with estazolam and estazolam alone for insomnia. Methods Seventy patients of insomnia were randomly divided into an observation group and a control group, 35 cases in each one. The patients in the control group were treated with oral administration of estazolam, 2 mg each time; the estazolam was taken 30 min before sleeping. The patients in the observation group were treated with ＂governor vessel daoqi method of acupuncture＂ combined with estazolam; the positive reaction points along governor vessel and Baihui（GV 20） were selected as the main points. The acupuncture was given for 30 min per treatment, once every two days. Both groups were treated for four weeks. Pittsburgh sleep quality index（PSQI） and polysomnography（PSG） were observed before and after treatment. Clinical efficacy was assessed between the two groups and adverse reactions were recorded. Results The total effective rate was 94.3%（33/35） in the observation group, which had no significant difference with 82.9%（29/35） in the control group（P〈0.05）. The cured and markedly effective rate was 71.4%（25/35） in the observation group, which was superior to 42.9%（15/35） in the control group（P〈0.05）. Each item score and total score of PSQI were decreased obviously after treatment in the observation group（all P〉0.05）, while the score of sleep latency, sleep duration and sleep efficiency as well as total score of PSQI were decreased obviously after treatment in the control group（all P〈0.05）. The scores of sleep duration, sleep disturbance and day dysfunction due to sleepiness as well as total score of PSQI in the observation group were lower than that in the control group（all P〈0.05）.After treatment, the PSG-related parameters of total sleeping duration, sleeping latency, sleeping arousal and sleeping efficiency were improved significantly in the observation group（all P〈0.05）

关 键 词：失眠 督脉 阳性反应点 针刺 艾司唑仑 随机对照试验 

分 类 号：R246.1[医药卫生—针灸推拿学]