针刺结合放松功治疗轻中度失眠患者的脑电图及相关量表分析  

Electroencephalogram and related scale analysis of acupuncture combined with Fangsong Gong in treatment of mild and moderate insomnia

作　　者：张雪亮 陈昌乐 郑会丽 邱琦 ZHANG Xue-liang;CHEN Chang-le;ZHENG Hui-li;QIU Qi(Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Shanghai Qigong Research Institute Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200030,China)

机构地区：[1]上海中医药大学,上海201203 [2]上海市气功研究所,上海200030

出　　处：《中华中医药杂志》2022年第9期5526-5529,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：上海中医药大学研究生创新能力项目(No.Y2019074)。

摘　　要：目的:观察针刺结合放松功治疗失眠的临床疗效。方法:将60例轻中度失眠患者随机分为试验组30例(针刺结合放松功)和对照组30例(针刺)。对比分析治疗前及治疗4、8周后患者的匹兹堡睡眠质量指数量表(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及脑电图变化。结果:与本组治疗前比较,对照组治疗4、8周后睡眠效率,日间功能障碍及PSQI总分下降(P<0.01,P<0.05);试验组治疗4、8周时除睡眠障碍外PSQI各项评分及总分均下降(P<0.01,P<0.05)、SAS评分下降(P<0.05,P<0.01),治疗8周后SDS评分下降(P<0.05),脑电β波升高、θ波降低(P<0.05)。治疗8周后,试验组睡眠质量、PSQI总分及SAS评分优于同期对照组(P<0.05)。试验组治疗8周时总有效率显著高于同期对照组(P<0.05)。结论:针刺结合放松功治疗失眠效果显著,优于单纯针刺疗法。Objective: To observe the clinical effect of acupuncture combined with Fang song gong in the treatment of insomnia. Methods: Sixty patients with mild to moderate insomnia were randomly divided into experimental group(30 cases)was given acupuncture treatment combined with Fang song gong exercise and the control group(30 cases) was given acupuncture treatment only. Pittsburgh sleep quality index(PSQI), self-rating anxiety scale(SAS), self-rating depression scale(SDS) scores and electroencephalogram(EEG) were analyzed of two groups before treatment, 4 and 8 weeks after treatment were observed.Results: Compared with that before treatment, sleep efficiency, daytime dysfunction, and PSQI total score of the control group decreased after 4 and 8 weeks of treatment(P<0.01, P<0.05). At 4 and 8 weeks of treatment, the scores of PSQI and total score of experimental group except sleep disorder were decreased(P<0.01, P<0.05), and SAS score was decreased(P<0.05, P<0.01). After 8 weeks of treatment, the SDS score decreased(P<0.05), and the average power of brain β wave and θ wave decreased(P<0.05).The sleep quality, total PSQI score and SAS score of the experimental group were better than those of the control group after 8weeks of treatment(P<0.05). After 8 weeks of treatment, the total effective rate of experimental group was significantly higher than that of control group(P<0.05). Conclusion: Acupuncture combined with Fang song going is effective in treating insomnia,better than acupuncture therapy only.

关 键 词：失眠 放松功 针刺 脑电图 匹兹堡睡眠质量指数量表 

分 类 号：R740[医药卫生—神经病学与精神病学]