皮内针治疗老年失眠症的临床疗效观察  

Clinical curative effect observation of intradermal needle therapy in the treatment of senile insomnia

作　　者：王玺玺 花思炜 唐玲 王振宇 焦巍娜 侯淑涓[2] Wang Xixi;Hua Siwei;Tang ling;Wang Zhenyu;Jiao Weina;Hou Shujuan(Jianguomen Community Health Service Center,Dongcheng District,Beijing 100005;TCM Constitution and Reproductive Medicine Research Center,Beijing University of Chinese Medicine,Beijing 100029)

机构地区：[1]北京市东城区建国门社区卫生服务中心,北京100005 [2]北京中医药大学中医体质与生殖医学研究中心,北京100029

出　　处：《山西中医药大学学报》2022年第6期571-573,577,共4页Journal of Shanxi University of Chinese Medicine

基　　金：北京市东城区卫生科技计划项目(东卫健研[2021]-15);第二批北京中医药高层次人才扎根基层五联动示范工程(京中医政字[2019]94号)。

摘　　要：目的:观察皮内针治疗老年失眠症的临床疗效。方法:将59例老年失眠症患者随机分为对照组和观察组。对照组为常规治疗组,观察组在对照组基础上加用皮内针治疗,选择枕穴(耳穴)及安眠穴(体穴)为主穴,根据辨证选取配穴。1周治疗2次,左右耳交替,连续治疗4周。观察两组患者治疗前后匹兹堡睡眠量表评分(PSQI)及有效率的差异。结果:观察组、对照组临床总有效率分别为96.7%、65.5%,差异有统计学意义(P<0.05)。治疗后,观察组PSQI总分、睡眠质量评分、入睡时间评分、睡眠时间评分和睡眠效率评分与对照组比较,差异均具有统计学意义(P<0.05,P<0.01)。结论:皮内针治疗能改善老年患者睡眠障碍,且无明显不良反应及治疗痛苦,值得临床推广应用。Objective:To observe the clinical curative effect of intradermal needle therapy in the treatment of senile insomnia.Methods:A total of 59 elderly patients with insomnia were randomly divided into control group and observation group.The control group was treated with routine therapy,and the observation group was treated with intradermal needle therapy on the basis of the therapy of the control group.The occipital acupoint(auricular acupoint)and Anmian acupoint(body acupoint)were selected as the main acupoints,and the matching acupoints were selected according to syndrome differentiation.The treatment was given twice a week for 4 consecutive weeks.The Pittsburgh Sleep Quality Index(PSQI)scale score and effective rate were observed between the two groups before and after treatment.Results:The total clinical effective rate of the observation group and the control group were 96.7% and 65.5%,respectively,and the difference was statistically significant(P<0.05).After treatment,the PSQI total score,sleep quality score,sleep latency score,sleep time score and sleep efficiency score of the observation group were compared with those of the control group,and the differences were statistically significant(P <0.05,P <0.01).Conclusion:Intradermal needle therapy can improve sleep disorders in elderly patients without obvious adverse reactions and pain treatment,which is worthy of clinical application.

关 键 词：老年失眠症 皮内针治疗 枕穴 安眠穴 

分 类 号：R740[医药卫生—神经病学与精神病学]