基于调神理论针刺治疗失眠伴轻度焦虑临床研究  

Clinical Study of Acupuncture in Treating Insomnia with Mild Anxiety Based on Regulating Shen Theory

作　　者：王筱鑫 方思瞳 孙颖哲[2] 孙远征[2] WANG Xiaoxin;FANG Sitong;SUN Yingzhe;SUN Yuanzheng(Heilongjiang University of Chinese Medicine, Harbin 150040, China;The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150001, China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001

出　　处：《针灸临床杂志》2021年第11期10-13,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家中医药管理局全国名老中医药专家传承工作室建设项目,编号:国中医药人教发〔2014〕20号。

摘　　要：目的:观察基于调神理论的针刺治疗失眠伴轻度焦虑的临床疗效。方法:选取64例失眠伴随轻度焦虑的患者,采用随机数字表法分为调神组和对照组,每组32例患者。对照组给予传统针刺治疗,取印堂、四神聪、安眠、神门、照海和申脉;调神组以对照组为基础,加用百会、神庭和本神穴,并在此三穴上施以小幅度频速重复捻转刺激。两组均得气后留针30 min,1次/d,每周治疗6次,连续治疗4周。分别观察两组治疗前后PSQI、HAMA和SRSS的评分变化以评价临床疗效。结果:两组治疗前PSQI、HAMA和SRSS评分比较差异无统计学意义(P>0.05);治疗后两组患者PSQI、HAMA和SRSS评分均较治疗前显著下降,差异具有统计学意义(P<0.05),组间比较调神组较对照组评分显著降低,差异具有统计学意义(P<0.05)。调神组总有效率(93.3%,28/30)高于对照组(76.7%,23/30)。结论:基于调神理论的针刺治疗方法可更有效地改善失眠问题,缓解失眠伴发的焦虑情绪。Objective:To observe the clinical efficacy of acupuncture in the treatment of insomnia with mild anxiety based on the theory of regulating Shen.Methods:64 patients with insomnia accompanied by mild anxiety were randomly divided into the regulating Shen group and the control group,with 32 patients in each group.The control group was treated with conventional needling Yintang(EX-HN3),Sishencong(EX-HN1),Anmian,Shenmen(HT7),Zhaohai(KI6)and Shenmai(BL62);on which basis,the regulating Shen group was also treated with needling Baihui(DU20),Shenting(DU24)and Benshen(GB13),which were stimulated by repeated twisting at a certain speed and frequency.After four weeks of the treatment,the scores of PSQI,HAMA and SRSS were observed before and after the treatment to evaluate the clinical efficacy.Results:There were no statistical differences in the scores of PSQI,HAMA and SRSS between the two groups before the treatment(P>0.05).After the treatment,the scores of PSQI,HAMA and SRSS were significantly decreased compared to those before the treatment in the two groups(P<0.05);of which the decreases in the regulating Shen group were more significant(P<0.05).The total effective rate was 93.3%(28/30)in the regulating Shen group,which was significantly higher than 76.7%(23/30)in the control group(P<0.05).Conclusion:Acupuncture based on the theory of regulating Shen can more effectively improve insomnia and alleviate the associated anxiety.

关 键 词：针刺 调神理论 失眠 轻度焦虑 

分 类 号：R246.6[医药卫生—针灸推拿学]