脐针治疗痰热内扰型失眠的临床疗效  

Efficacy of navel acupuncture in the treatment of insomnia of phlegm-heat harassing the interior

作　　者：赵文麟[1] 黄洪伟[1] 史术峰 赵文树[3] Zhao Wenlin;Huang Hongwei;Shi Shufeng;Zhao Wenshu(Beijing Drum Tower Hospital of Traditional Chinese Medicine,Beijing 100009;Third Affiliated Hospital of Beijing University of Chinese Medicine;Longhua Hospital Shanghai University of Traditional Chinese Medicine)

机构地区：[1]北京市鼓楼中医医院,北京100009 [2]北京中医药大学第三附属医院 [3]上海中医药大学附属龙华医院

出　　处：《现代中医临床》2020年第3期17-20,共4页Modern Chinese Clinical Medicine

基　　金：北京市鼓楼中医医院苗圃课题(No.GL2019-02)。

摘　　要：目的观察脐针治疗痰热内扰型失眠的临床疗效,探讨神阙穴对痰热内扰型失眠的作用规律。方法选取70例痰热内扰型失眠患者,随机分为对照组和治疗组,每组各35例。对照组口服艾司唑仑治疗,治疗组采用脐针进行治疗。观察并比较2组的匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)和中医证候量表评分。结果治疗后,治疗组患者PSQI总分及各组分均明显改善,与本组治疗前相比,差异均有统计学意义(P均<0.01),对照组除催眠药物方面改善不显著外(P>0.05),其余各项评分均明显降低,差异有统计学意义(P<0.05);治疗组在PSQI总分以及睡眠质量、日间功能、催眠药物、入睡时间和睡眠效率上明显优于对照组,差异有统计学意义(P<0.05);而在睡眠障碍和总的睡眠时间上与对照组相比无明显差异(P>0.05)。治疗后,2组患者中医证候量表评分自身前后对比均明显降低(P<0.05);治疗组明显优于对照组,差异有统计学意义(P<0.05)。结论脐针能明显改善痰热内扰型失眠患者的睡眠质量,提高睡眠效率。Objective To observe the clinical efficacy of navel acupuncture for insomnia of phlegm-heat harassing the interior and to explore the effect patterns of Shenque(CV 8)such diseases.Methods 70 patients with insomnia of phlegm-heat harassing the interior were randomly assigned to the control group and treatment group,with 35 cases in each group.The control group was treated with estazolam,while the treatment group received umbilical acupuncture treatment.Pittsburgh sleep quality index(PSQI)and TCM symptoms rating scale were observed and compared between the two groups.Results After treatment,the total PSQI score and all the components in the umbilical acupuncture group were significantly improved(all P<0.01).In the Western medicine group,except hypnotic drugs(P>0.05),all other scores were significantly lowered(P<0.05).In addition,the acupuncture group was significantly superior to the Western medicine group in PSQI total score,sleep quality,daytime function,hypnotic drugs,sleep time and sleep efficiency(P<0.05).However,there was no significant difference in sleep disturbance and total sleep time,as compared with the Western medicine group(P>0.05).After treatment,the scores of the TCM symptom scale in both groups were significantly lowered(P<0.01),better in the treatment group than in the control group(P<0.01).Conclusions Navel acupuncture has obvious clinical effects on insomnia,which can improve the sleep quality of patients and improve the sleep efficiency.

关 键 词：脐针 神阙 失眠 痰热内扰证 临床疗效 

分 类 号：R256.23[医药卫生—中医内科学]