针刺对原发性失眠症患者睡眠质量和过度觉醒状态的影响  

Effect of Acupuncture on the Sleep Quality and Hyperarousal State in Primary Insomnia Patients

作　　者：李莉[1] 刘茹 张婷[1] 郭娟[1] 陈红 LI Li;LIU Ru;ZHANG Ting;GUO Juan;CHEN Hong(Hubei Provincial Hospital of Traditional Chinese Medicine/Hubei Instituteof Traditional Chinese Medicine,Wuhan 430000,China)

机构地区：[1]湖北省中医院/湖北省中医药研究院

出　　处：《上海针灸杂志》2019年第9期973-977,共5页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察针刺对原发性失眠症患者睡眠质量和过度觉醒状态的影响。方法将60例原发性失眠症患者随机分为西药组、针刺组和假针刺组,每组20例。3组分别采取西药治疗、针刺治疗及假针刺治疗。治疗4周后,记录并比较3组患者每日觉醒次数、总睡眠时间,采用匹兹堡睡眠质量指数(PSQI)评估患者睡眠质量,采用过度觉醒量表(HAS)评估患者过度觉醒状态,采用生命质量测评量表(FACT-B)评估患者生活质量。结果西药组和针刺组治疗后每日觉醒次数、每日总睡眠时间、PSQI评分、HAS评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。针刺组治疗后每日觉醒次数、每日总睡眠时间、PSQI评分、HAS评分与西药组和假针刺组比较,差异均具有统计学意义(P<0.05)。3组治疗后各维度FACT-B评分及生存质量总分与同组治疗前比较,差异均具有统计学意义(P<0.05)。针刺组治疗后各维度FACT-B评分及生存质量总分与西药组和假针刺组比较,差异均具有统计学意义(P<0.05)。结论针刺可有效降低原发性失眠症患者每日觉醒次数及皮层觉醒水平、延长总睡眠时间,提升睡眠质量及生活质量,治疗效果明显优于西药治疗。Objective To observe the effect of acupuncture on the sleep quality and hyperarousal state in patients with primary insomnia.Method Sixty patients with primary insomnia were randomized into a Western medication group,an acupuncture group and a sham acupuncture group,with 20 cases in each group.The three groups were intervened by Western medication,acupuncture and sham acupuncture,respectively.After 4-week treatment,the daily awaking times and total sleep duration of the three groups were recorded and compared;Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the sleep quality,Hyperarousal Scale (HAS) was taken to estimate the hyperarousal state, and Functional Assessment of Cancer Therapy for Breast Cancer (FACT-B) was used to evaluate the quality of life (QOL).Result The daily awaking times and total sleep duration,PSQI score and HAS score changed significantly after treatment in the Western medication group and acupuncture group (P<0.05).After treatment,the daily awaking times and total sleep duration,PSQI score and HAS score in the acupuncture group were significantly different from those in the Western medication and sham acupuncture groups (P<0.05).The scores of all domains in FACT-B and the total QOL score all showed a significant change after the treatment in the three groups (P<0.05).After treatment,the scores of all domains in FACT-B and the total QOL score in the acupuncture group were significantly different from those in the Western medication and sham acupuncture groups (P<0.05).Conclusion Acupuncture can effectively reduce the daily awaking times and cortical arousal level,prolong the total sleep duration,enhance the sleep quality and QOL,and produce more significant efficacy compared with Western medication.

关 键 词：针刺疗法 失眠症 睡眠质量 过度觉醒状态 

分 类 号：R246.6[医药卫生—针灸推拿学]