五脏俞加膈俞刺络放血配合常规针刺治疗顽固性失眠的效果观察  

Observation on Effect of Wuzangshu Combined with Geshu Pricking and Bloodletting Combined with Conventional Acupuncture on Intractable Insomnia

作　　者：林赟[1] 廖琼[1] 李娇[1] LIN Yun;LIAO Qiong;LI Jiao(Pingxiang People’s Hospital,Jiangxi Province,Pingxiang 337000,China;不详)

机构地区：[1]江西省萍乡市人民医院,江西萍乡337000

出　　处：《中国医学创新》2022年第24期6-10,共5页Medical Innovation of China

基　　金：江西省中医药管理局科技计划项目(2021B563)。

摘　　要：目的:探讨五脏俞加膈俞刺络放血配合常规针刺治疗顽固性失眠的临床效果。方法:选取2019年6月-2021年12月萍乡市人民医院治疗的60例顽固性失眠患者,随机将其分为对照组与治疗组,每组30例。对照组患者采用常规针刺治疗,治疗组患者在常规针刺的基础上给予五脏俞加膈俞刺络放血。比较两组患者的匹兹堡睡眠质量指数(PSQI)、治疗前后睡眠质量症状积分、临床疗效及安全性。结果:治疗组患者治疗后PSQI量表中入睡时间、睡眠效率、催眠药物、睡眠障碍、睡眠时间、睡眠质量、日间功能障碍评分及总分均低于对照组,治疗组患者治疗后的入睡时间、睡眠时间、夜醒次数、做梦情况、醒后状态、睡眠评价症状积分均低于对照组,治疗组患者的总有效率高于对照组,差异均有统计学意义(P<0.05)。但两组患者的安全性比较,差异无统计学意义(P>0.05)。结论:采用五脏俞加膈俞刺络放血配合常规针刺治疗顽固性失眠,能够有效缓解患者的症状严重程度,促使其睡眠质量得到提高,增强临床治疗效果,且安全性好。Objective:To explore the clinical effect of Wuzangshu combined with Geshu pricking blood and conventional acupuncture on intractable insomnia.Method:A total of 60 patients with intractable insomnia treated in Pingxiang People’s Hospital from June 2019 to December 2021 were selected,they were randomly divided into control group and treatment group,with 30 patients in each group.The control group was treated with conventional acupuncture,and the treatment group was treated with pricking blood in Wuzangshu combined with Geshu on the basis of conventional acupuncture.Pittsburgh sleep quality index(PSQI),symptom scores of sleep quality before and after treatment,clinical efficacy and safety were compared between the two groups.Result:After treatment,the sleep time,sleep efficiency,sleep drugs,sleep disorder,sleep time,sleep quality,daytime dys function scores and total score of PSQI scale in the treatment group were lower than those in the control group,the sleep latency,sleep time,night waking times,dreaming situation,waking state and sleep evaluation symptom scores in the treatment group were lower than those in the control group,and the total effective rate in the treatment group was higher than that in the control group,with statistical significance(P<0.05).However,there was no significant difference in safety between the two groups(P>0.05).Conclusion:The treatment of intractable insomnia with Wuzangshu combined with Geshu pricking blood and conventional acupuncture can effectively alleviate the severity of symptoms,improve the sleep quality and enhance the clinical treatment effect,and has good safety.

关 键 词：顽固性失眠 针刺 刺络放血 五脏俞 膈俞 睡眠质量 

分 类 号：R246.6[医药卫生—针灸推拿学]