针灸“相对穴”治疗老年慢性失眠症30例  

Acupuncture and Moxibustion on Complementary Acupoints for 30 Cases of Senile Intractable Insomnia

作　　者：朱恒康 李海燕[1] 王培新 任立群[1,2] 杨志新 ZHU Hengkang;LI Haiyan;WANG Peixin;REN Liqun;YANG Zhixin(Department of Traditional Chinese Medicine,Chengde Medical University,Chengde 067000,China;Hebei Key Laboratory of Nerve Injury and Repair,Chengde 067000,China)

机构地区：[1]承德医学院,承德067000 [2]河北省神经损伤与修复重点实验室,承德067000

出　　处：《世界睡眠医学杂志》2022年第3期432-434,共3页World Journal of Sleep Medicine

基　　金：河北省自然科学基金面上项目(H2021406015);河北省科技厅创新引导专项;河北省高等学校科学技术研究重点项目(ZD2019085);河北省中医药管理局项目(2018160);承德医学院科研项目(202116)。

摘　　要：目的:观察针灸“相对穴”对老年慢性失眠症的临床疗效。方法:选取2019年11月至2021年3月河北省沧州中西医结合医院针灸科门诊就诊的老年慢性失眠患者30例,采用“相对穴”针灸治疗,以内关与外关为主穴,艾灸命门、神阙穴;1次/d,6 d为1个疗程,休息1 d后,继续下个疗程。治疗4周后观察失眠严重指数(ISI)评分、匹兹堡睡眠质量指数(PSQI)评分情况,治疗结束后3个月进行随访。结果:针灸“相对穴”改善老年慢性失眠症的有效率为90%,治疗后患者的ISI评分及PSQI评分较治疗前有明显降低(P<0.05);随访的有效率为86.67%,与治疗前比较随访期患者的ISI评分及PSQI评分仍有明显降低(P<0.05)。结论:“相对穴”针灸能有效治疗老年慢性失眠,提高老年人的睡眠质量。Objective:To explore the clinical effect of acupuncture and moxibustion on Complementary Acupoints to senile intractable insomnia.Methods:A total of 30 elderly patients selected and admitted to the outpatient department of Acupuncture Department of Cangzhou Integrated Traditional Chinese and Western Medicine Hospital,Hebei Province from November 2019 to March 2021 was treated with acupuncture from PC 6(nèi guān)to SJ 5(wài guān)and moxibustion at RN8(shén quē),DU4(mìng mén).All patients were treated once a day,six times a week for four weeks in total.Follow ups were conducted at the third months after the end of treatment.The scores of insomnia severity index(ISI)and Pittsburgh sleep quality index(PSQI)were observed after 4 weeks of treatment,and followed up 3 months after the end of treatment.Results:After treatment,the total effective rate was 90%,compared with before treatment.The patient′s ISI scores and PSQI scores were significantly decreased(P<0.05).The effective rate of follow-up was 86.67%.Compared with that before treatment,the ISI score and PSQI score of patients in follow-up period were still significantly lower(P<0.05).Conclusion:Acupuncture and moxibustion on Complementary Acupointscan effectively treat intractable insomnia in the elderly and improve their sleep quality.

关 键 词：老年顽固性失眠 相对穴 阴阳相济 针灸 

分 类 号：R246.1[医药卫生—针灸推拿学]