引气归元针法治疗原发性失眠的临床观察  

Effect of “Yinqi Guiyuan” needling on primary insomnia

作　　者：关天翔 徐颖芬 林松俊[1] 秦秀德[1] 李晋芳[1] 黄彬青 虢周科[1] GUAN Tian-xiang;XU Ying-fen;LIN Song-jun;QIN Xiu-de;LI Jin-fang;HUANG Bin-qing;GUO Zhou-ke(Department of Encephalopathy,Shenzhen Hospital of Traditional Chinese Medicine,Shenzhen 518000,Guangdong Province,China;Bipolar Disorder Department,Coming Hospital of Shenzhen,Shenzhen 518000,Guangdong Province)

机构地区：[1]深圳市中医院脑病心理科,广东深圳518000 [2]深圳市康宁医院双相障碍科,广东深圳518000

出　　处：《针刺研究》2019年第11期840-842,853,共4页Acupuncture Research

基　　金：深圳市科技研发资金知识创新计划基础研究重点项目(No.JCYJ20160428174825490)

摘　　要：目的:观察引气归元针法治疗原发性失眠的临床疗效。方法:将原发性失眠患者随机分为对照组39例和试验组40例。对照组每晚口服1~2片艾司唑仑,试验组予引气归元针法治疗,选择中脘、下脘、气海、关元、百会等穴,每周3次,均持续治疗4周。观察两组患者治疗前后匹兹堡睡眠质量指数(PSQI)、失眠严重指数(ISI)评分,并比较临床疗效。结果:与本组治疗前比较,两组PSQI各因子评分及总分、ISI评分均明显降低(P<0. 05)。治疗后,与对照组比较,试验组催眠药物、日间功能评分及PSQI总分明显降低(P<0. 05);两组ISI评分比较差异无统计学意义(P>0. 05)。试验组总有效率为92. 50%(37/40),对照组总有效率为89. 74%(35/39),两组临床疗效比较差异无统计学意义(P>0. 05)。结论:引气归元针法改善睡眠效果与艾司唑仑相当,且具有避免催眠药物应用及改善日间功能的优势。Objective To observe the clinical effect of"Yinqi Guiyuan"needling in the treatment of primary insomnia.MethodsA total of 79 primary insomnia outpatients were randomly divided into treatment group(n=40)and control group(n=39). The patients in the control group were given oral Estazolam tablets once a day,for successive 4 weeks. For patients of the treatment group,Zhongwan(CV12),Xiawan(CV10),Qihai(CV6),Guanyuan(CV4),Baihui(GV20),etc.,were punctured with filiform needles for 30 min. The treatment was conducted three times per week for 4 successive weeks. The sleep quality(sleeping quality,falling asleep time,sleep duration,sleep efficiency,sleep disorders,hypnotic and daytime dysfunction,0 to 21 points) was evaluated by using Pittsburgh Sleep Quality Index(PSQI). The severity of insomnia(self-perception,sleep satisfaction,daytime function damage,sensibility change,and concern for sleep problems,0 to 28 points)was assessed using insomnia severity index(ISI)score. The therapeutic effect was evaluated according to the PSQI score reduction rate =(pre-treatment PSQI score-post-treatment PSQI score)/pre-treatment PSQI score ×100%.ResultsAfter treatment,the total score of PSQI,ISI and the score of each item were all significantly reduced in the two groups relevant to their own pre-treatment(P<0. 05). The total score,and scores of hypnotic and daytime dysfunction were significantly lower in the treatment group than in the control group(P<0. 05). Of the 40 and 39 cases in the treatment and control groups,5(12. 50%)and 4(10. 25%)were cured,20(50. 00%)and 18(46. 15%)experienced marked improvement,12(30. 00%)and 13(33. 33%)were effective,and 3(7. 50%)and 4(10. 25%)ineffective,with the total effective rate being 92. 50% and 89. 74%,respectively. No significant difference was found between the two groups in the effective rate(P>0. 05).Conclusion"Yinqi Guiyuan"needling and Estazolam are comparable in treatment primary insomnia,and the former is superior to the latter in avoiding hypnotic drug use and in improving daytime functio

关 键 词：原发性失眠 引气归元针法 艾司唑仑 

分 类 号：R245.31+1[医药卫生—针灸推拿学]