针刀调整脊柱区带治疗原发性失眠临床随机对照研究  

Clinical Randomized Controlled Study on Needle Knife Regulating Spinal Zone for Primary Insomnia

作　　者：吴轩宜 陈海滨 林楚华 吴倩 林伊旸 袁锋 WU Xuanyi;CHEN Haibin;LIN Chuhua;WU Qian;LIN Yiyang;YUAN Feng

机构地区：[1]暨华医院,广东广州511340 [2]东莞市第五人民医院,广东东莞523000 [3]广州中医药大学第二附属医院,广东广州510120 [4]广州中医药大学,广东广州510006

出　　处：《新中医》2020年第8期134-138,共5页New Chinese Medicine

基　　金：广东省中医药局项目(20171102)。

摘　　要：目的:观察应用针刀调整脊柱区带治疗原发性失眠临床疗效。方法:将122例原发性失眠患者随机分为3组,分别为:针刀治疗组40例、真针刺对照组41例和安慰针对照组41例。针刀治疗组采用针刀调整脊柱区带法,真针刺对照组采用常规针刺法,安慰针对照组采用安慰针法,评价治疗前后匹兹堡睡眠质量指数量表评分、焦虑自评量表评分、贝克抑郁量表评分、总睡眠时间、入睡潜伏期的变化,评价临床疗效。结果:经配对秩和检验,针刀治疗组、真针刺对照组治疗前后焦虑自评量表、贝克抑郁量表、匹兹堡睡眠质量指数量表比较,差异有统计学意义(P<0.05)。安慰针对照组治疗前后焦虑自评量表、贝克抑郁量表比较,差异有统计学意义(P<0.05),匹兹堡睡眠质量指数量表比较,差异无统计学意义(P>0.05)。经多组独立样本秩和检验,治疗后3组间匹兹堡睡眠质量指数比较,差异有统计学意义(P<0.05),而焦虑自评量表、贝克抑郁量表比较,差异无统计学意义(P>0.05)。经两组独立样本秩和检验,匹兹堡睡眠质量指数量表,针刀治疗组与真针刺对照组、针刀治疗组与安慰针对照组、真针刺对照组与安慰针对照组比较,差异均有统计学意义(P<0.0167)。经配对秩和检验,针刀治疗组、真针刺对照组治疗前后入眠潜伏期、总睡眠时间比较,差异均有统计学意义(P<0.05)。安慰针对照组治疗前后入眠潜伏期比较,差异有统计学意义(P<0.05);安慰针对照组治疗前后总睡眠时间比较,差异无统计学意义(P>0.05)。经多组独立样本秩和检验,治疗后3组间入眠潜伏期和总睡眠时间比较,差异均有统计学意义(P<0.05)。经两组独立样本秩和检验,入眠潜伏期和总睡眠时间指标,针刀治疗组与安慰针对照组、真针刺对照组与安慰针对照组比较差异均有统计学意义(P<0.0167)。以匹兹堡睡眠质量指数评价临床疗效,经等级资料多�Objective:To observe the clinical effect of needle knife regulating spinal zone for primary insomnia.Methods:A total of 122 cases of patients with primary insomnia were randomly divided into the needle knife group,the genuine acupuncture group,and the placebo-acupuncture group,40,41 and 41 cases in each group respectively.The needle knife group was treated with needle knife regulating spinal zone,the genuine acupuncture group was given routine acupuncture,and the placebo-acupuncture group was given placebo-acupuncture.Before and after treatment,the changes in the scores of Pittsburgh Sleep Quality Index(PSQI),Self-Rating Anxiety Scale(SAS)and Beck Depression Inventory(BDI),the total sleeping time and the sleep latency,as well as the clinical effect were evaluated.Results:The comparison of PSQI,SAS and BDI before and after treatment between the needle knife group and the genuine acupuncture group showed significance in the difference(P<0.05).The comparison of SAS and BDI before and after treatment in the placeboacupuncture group showed significance in the difference(P<0.05),and the comparison of PSQI showed no significance in the difference(P>0.05).After treatment,the comparison of PSQI in the placebo-acupuncture group showed significance in the difference(P<0.05),and the comparison of SAS and BDI showed no significance in the difference(P>0.05).The comparison of PSQI between the needle knife group and the genuine acupuncture group,between the needle knife group and the placebo-acupuncture group,and between the genuine acupuncture group and the placebo-acupuncture group all showed significance in differences(P<0.0167).The comparison of the sleep latency and the total sleeping time before and after treatment between the needle knife group and the genuine acupuncture group showed significance in differences(P<0.05).The comparison of the sleep latency before and after treatment in the placebo-acupuncture group showed significance in the difference(P<0.05),and the comparison of the total sleeping time before and after

关 键 词：原发性失眠 针刀疗法 脊柱区带 随机对照研究 贝克抑郁量表评分 

分 类 号：R245[医药卫生—针灸推拿学] R256.23[医药卫生—中医临床基础]