血管舒缩区平刺联合肝俞穴刺络放血对顽固性失眠肝旺脾虚证患者皮质醇激素、睡眠质量的影响  

Effect of horizontal Insertion of Needling in Vasomotor Area Combined with Pricking Bloodletting at Ganshu Acupoint on Cortisol Hormones and Sleep Quality for Patients with Intractable Insomnia of Liver Hyperactivity and Spleen Deficiency Syndrome

作　　者：唐冰霜 TANG Bingshuang(Bishan District Hospital of Traditional Chinese Medicine,Chongqing,402760,China)

机构地区：[1]重庆市璧山区中医院,重庆402760

出　　处：《四川中医》2021年第9期200-203,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察血管舒缩区平刺联合肝俞穴刺络放血治疗顽固性失眠肝旺脾虚证的临床疗效。方法:选取2020年5月~2021年1月于我科就诊的顽固性失眠肝旺脾虚证患者为观察对象,随机分为联合组和对照组各31例,对照组采用肝俞穴刺络放血进行治疗,联合组在对照组基础上追加双侧血管舒缩区平刺进行治疗,比较两组患者治疗后的临床疗效、中医症候积分、睡眠质量评分、负性情绪及血清皮质醇激素水平。结果:治疗后,联合组患者总有效率为96.77%,显著高于对照组总有效率80.65%(P<0.05);两组患者各方面症状积分和总分均较治疗前显著降低(P<0.05),其中联合组中心烦不寐积分、多梦易醒积分、头晕目眩积分及症候总分均显著低于对照组(P<0.05);两组患者PSQI各因子及总分均较治疗前显著降低(P<0.05),其中联合组中睡眠质量因子、入睡时间因子、日间功能障碍因子及PSQI总分均显著低于对照组(P<0.05);两组患者SAS评分和SDS评分均较治疗前显著降低(P<0.05),且联合组较对照组降低更显著(P<0.05);两组患者血清Cor、CRH和ACTH水平均较治疗前显著降低(P<0.05),且联合组显著低于对照组(P<0.05)。结论:血管舒缩区平刺联合肝俞穴刺络放血可显著降低顽固性失眠肝旺脾虚证患者中医症候,提高患者睡眠质量,有效改善其负性情绪和血清皮质醇激素水平,临床疗效显著。Objective:To explore the clinical efficacy of horizontal insertion of needling in vasomotor area combined with pricking bloodletting at Ganshu acupoint in the treatment of intractable insomnia of liver hyperactivity and spleen deficiency syndrome.Methods:The patients with intractable insomnia of liver hyperactivity and spleen deficiency syndrome who were treated in the department of acupuncture and moxibustion of our hospital from May 2020 to January 2021 were selected as the observation subjects,and they were randomly divided into a combined group and a controlled group,with 31 cases in each group.The controlled group applied pricking bloodletting at Ganshu acupoint,and the combined group was additionally given horizontal insertion of needling in bilateral vasomotor area on the basis of the controlled group.The clinical efficacy,TCM syndromes scores,sleep quality score,negative emotions and levels of serum cortisol hormones were compared between the two groups after treatment.Results:After treatment,the total effective rate of patients in the combined group was significantly higher than that in the controlled group(96.77%vs 80.65%)(P<0.05).The scores of various syndromes and the total score of the two groups were significantly decreased compared with those before treatment(P<0.05),and the scores of vexation and sleeplessness,dreaminess and restless sleep and dizziness and the total syndrome score of the combined group were significantly lower than those of the controlled group(P<0.05).The scores of factors and the total score of PSQI in the two groups were significantly reduced compared with those before treatment(P<0.05),and the scores of factors such as sleep quality,time to fall asleep and daytime dysfunction and the total score of PSQI scale in the combined group were significantly lower than those in the controlled group(P<0.05).The SAS score and SDS score of the two groups were significantly lower than those before treatment(P<0.05),and the decreases of the combined group were more significant than those o

关 键 词：血管舒缩区 平刺 肝俞穴 刺络放血 顽固性失眠 皮质醇激素 睡眠质量 

分 类 号：R246.1[医药卫生—针灸推拿学]