调督安神针刺治疗卒中后失眠的随机对照研究  

Tiaodu Anshen Needling Method in Treating Post-stroke Insomnia:A Randomized Controlled Study

作　　者：曹燕[1] 严寅杰[2] 刘依萍 徐世芬[1] CAO Yan;YAN Yin-jie;LIU Yi-ping;XU Shi-fen(Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai University of TCM,Shanghai 200071,China;Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学附属市中医医院,上海200071 [2]上海中医药大学附属龙华医院,上海200032

出　　处：《上海针灸杂志》2020年第3期280-284,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市进一步加快中医药事业发展三年行动计划项目[ZY(2018-2020)-ZYJS-03];国家中医药管理局国家中医临床研究基地业务建设科研专项课题(JDZX2015024)。

摘　　要：目的观察调督安神针刺法治疗缺血性卒中后失眠的临床疗效。方法72例缺血性卒中后失眠患者随机分为治疗组和对照组,每组36例。治疗组以调督安神针刺法治疗,取百会、神庭、印堂、安眠、神门、三阴交穴;对照组采用假针刺治疗,取穴同治疗组。观察两组治疗前后及随访匹兹堡睡眠指数量表(PSQI)评分变化,采用wActiSleep-BT无线睡眠监测仪检测两组治疗前、治疗中、治疗后及随访实际睡眠总时长(TST)、睡眠率(SE)及睡眠觉醒次数(SA)。结果治疗组治疗后及随访PSQI评分低于治疗前,差异有统计学意义(P<0.01);治疗组治疗后PSQI评分低于对照组,差异具统计学意义(P<0.05)。治疗组治疗中及治疗后SE高于治疗前和对照组,差异有统计学意义(P<0.01,P<0.05);治疗组随访时SE与治疗前和对照组比较,差异无统计学意义(P>0.05)。治疗组治疗后SA低于治疗前和对照组,差异有统计学意义(P<0.05);治疗组治疗中及随访时SA与治疗前和对照组比较,差异无统计学意义(P>0.05)。结论调督安神针刺法可明显改善缺血性卒中后失眠患者的睡眠质量。Objective To observe the clinical efficacy of Tiaodu Anshen(regulating Governor Vessel and calmingmind)needling method in treating insomnia after ischemic stroke.Method Seventy-two patients with insomnia afterischemic stroke were randomized into a treatment group and a control group,with 36 cases in each group.Thetreatment group was intervened by Tiaodu Anshen needling method by selecting Baihui(GV20),Shenting(GV24),Yintang(GV29),Anmian(EX-HN18),Shenmen(HT7)and Sanyinjiao(SP6);the control group was intervened bysham acupuncture at the same acupoints as in the treatment group.The two groups were observed using the PittsburghSleep Quality Index(PSQI)before and after treatment and at the follow-up;before,during and after treatment and at thefollow-up,wActiSleep-BT wireless sleep monitor was used to observe the actual total sleep time(TST),sleep efficiency(SE)and sleep awakenings(SA)in the two groups.Result The PSQI score was lower after treatment and at thefollow-up compared with that before treatment in the treatment group,and the differences were statistically significant(P<0.01);after treatment,the PSQI score was lower in the treatment group than in the control group,and the differencewas statistically significant(P<0.05).The SE was higher during and after treatment compared with that beforetreatment in the treatment group and was higher than that in the control group,all with statistical significance(P<0.01,P<0.05);the SE did not show significant difference at the follow-up compared with that before treatment in the treatment group and the between-group difference at the follow-up was statistically insignificant(P>0.05).After treatment,the SA was lower than that before treatment in the treatment group and lower than that in the control group,with statistical significance(P<0.05);during treatment and at the follow-up,the SA did not show significant difference compared with that before treatment in the treatment group and in the control group(P>0.05).Conclusion Tiaodu Anshen needling method can significantly impro

关 键 词：针刺疗法 调督安神 中风并发症 失眠症 匹兹堡睡眠指数量表 

分 类 号：R246.6[医药卫生—针灸推拿学]