呼吸补泻针法调节营卫不和型失眠患者昼夜节律的临床观察  

Clinical observation of respiratory reinforcement and reduction acupuncture on the adjustment of circadian rhythm of yingwei disharmony insomnia patients

作　　者：徐一菲 汤立新[2] 戴宁[1] 王雪娇[1] 李杰[1] 张炜悦[1] 何青鋆 李峰[1] XU Yi-fei;TANG Li-xin;DAI Ning;WANG Xue-jiao;LI Jie;ZHANG Wei-yue;HE Qing-yun;LI Feng(Beijing University of Chinese Medicine,Beijing 100029,China;Department of Acupuncture and Moxibustion,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东直门医院针灸科,北京100700

出　　处：《中华中医药杂志》2021年第8期4642-4646,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：北京自然科学基金项目(No.7162124);北京中医药大学校级重点攻关项目(No.2020-JYBZDGG-010)。

摘　　要：目的:观察呼吸补泻针法对营卫不和型失眠患者睡眠质量及昼夜节律的调节作用。方法:将58例原发性失眠患者(营卫不和型)随机分为呼吸补泻组29例和常规针法组29例,针刺干预1个月(共12次),观察治疗前后匹兹堡睡眠质量量表(PSQI)、睡眠-觉醒时间、抑郁自评量表(SDS)、焦虑自评量表(SAS)变化。结果:与常规针法组比较,治疗12次后呼吸补泻组PSQI评分显著降低(P<0.01),睡眠质量、入睡时间、睡眠时长、睡眠效率与睡眠障碍情况显著改善(P<0.05,P<0.01)。与治疗前比较,两组SAS、SDS评分均显著下降(P<0.01)。呼吸补泻组总有效率为96.6%(28/29),显著优于常规针法组的72.4%(21/29)(P<0.01)。结论:呼吸补泻针法对营卫不和型失眠患者昼夜节律的调节作用优于常规针法,在睡眠质量及睡眠-觉醒周期调节方面改善显著。Objective:To observe the regulation of sleep quality and circadian rhythm in yingwei disharmony insomnia patients with respiratory reinforcement and reduction acupuncture.Methods:A total of 58 patients with primary insomnia were randomly divided into a respiratory reinforcing group(29 cases)and conventional acupuncture group(29 cases)and given acupuncture intervention in a month(12 times).Pittsburgh sleep quality scale(PSQI),sleep-wake time,depression self rating scale(SDS),and self-evaluation of anxiety scale(SAS)scores were observed.Results:Compared with the conventional acupuncture group,the PSQI score of the respiratory reinforcing group decreased significantly after 12 times of treatment(P<0.01),sleep quality,sleep duration,sleep time,sleep efficiency and sleep disorders improved significantly(P<0.05,P<0.01).SAS and SDS scores in both groups were significantly decreased after treatment(P<0.01).The total effective rate was 96.6%(28/29)in the respiratory reinforcing group,which was significantly better than that in the conventional acupuncture group[72.4%(21/29)](P<0.01).Conclusion:The effects of respiratory reinforcement and reduction acupuncture is better than conventional needling in the regulation of circadian rhythm in patients with yingwei disharmony insomnia.Significant improvement is found in sleep quality and sleep-wake cycle regulation.

关 键 词：呼吸补泻 失眠 针刺 昼夜节律 申脉 照海 

分 类 号：R246.6[医药卫生—针灸推拿学]