纳子法结合大接经浅刺治疗慢性失眠  

Effect of shallow needing following the earthly branch-prescription of point selection combined with the Dajiejing point selection method in the treatment of chronic insomnia

作　　者：张圣宏[1] 张琰彬 陈跃来 ZHANG Shenghong;ZHANG Yanbin;CHEN Yuelai(Sleep Center,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China;Department of Traditional Chinese Medicine,Shanghai Kongjiang Hospital,Shanghai 200093,China)

机构地区：[1]上海中医药大学附属龙华医院睡眠中心,上海200032 [2]上海杨浦区控江医院中医科,上海200093

出　　处：《吉林中医药》2023年第8期975-979,共5页Jilin Journal of Chinese Medicine

基　　金：第一批国家临床中心培育项目(GY202201);上海中医药大学附属龙华医院项目(YW005.009)。

摘　　要：目的比较纳子法结合大接经浅刺与常规针刺法对慢性失眠的临床疗效差异。方法将76例慢性失眠患者随机分为观察组和对照组,各38例,对照组2例脱落。观察组采用纳子法结合大接经浅刺干预,取穴:合谷、丰隆、公孙、神门、后溪、申脉、照海、内关、外关、足临泣、太冲;对照组采用常规取穴干预,取穴:神门、安眠、百会、三阴交、申脉、照海,结合辨证加减。2组每次留针20 min,隔日1次,均干预8周。观察2组患者干预前后匹兹堡睡眠质量指数(PSQI)、失眠严重指数(ISI),并评价2组临床疗效,记录针刺感受度及不良反应。结果观察组和对照组的总有效率分别为89.47%、73.68%,差异无统计学意义(P>0.05);总有效率为89.47%,73.68%,差异具有统计学意义(P<0.05)。2组干预后PSQI各项评分及总分均明显下降;2组干预后ISI各项评分及总分均明显下降(P<0.05),且观察组睡眠维持困难、对其担忧的改善优于对照组(P<0.05);2组干预后观察组针刺感受度各项评分低于对照组(P<0.05)。2组各出现3例轻度不良反应。结论纳子法结合大接经浅刺能显著改善失眠症状,综合疗效优于常规针刺,且其刺激小,疼痛轻,更易被患者所接受。Objective To compare the effect of shallow needing manipulations following the earthly branchprescription of point selection combined with the Dajiejing point selection method with normal acupuncture manipulations in the treatment of chronic insomnia.Methods A total of 76 patients with chronic insomnia were randomly divided into an observation group and a control group,with 38 patients in each group.In the control group,2 cases dropped off later.The observation group was intervened with shallow needing manipulations following the earthly branch-prescription of point selection combined with the Dajiejing point selection method,selecting points of Hegu,Fenglong,Gongsun,Shenmen,Houxi,Shenmai,Zhaohai,Neiguan,Waiguan,Zulinqi and Taichong,while the control group was intervened with routine acupuncture manipulations,selecting points of Shenmen,Anmian,Baihui,Sanyinjiao,Shenmai,Zhaohai,which could be modified based on a syndrome differentiation.The two groups were treated for 8 weeks by retaining the needles for 20 minutes each time and once every other day.The Pittsburgh Sleep Quality Index(PSQI)and Insomnia Severity Index(ISI)were observed before and after treatment in the two groups,the clinical efficacy of the two groups was evaluated,and the acupuncture sensitivity and adverse reactions were collected.Results The total effective rates of the observation group and the control group were 89.47%(34/38)and 73.68%(28/36),respectively,with no statistically significant difference(P>0.05),while their significant effective rates were respectively 84.21%(32/38)and 55.56%(20/36),with a statistically significant difference(P<0.05).After the intervention,all the index scores and the total scores of PSQI were decreased significantly in the two groups(P<0.05),and all the index scores and the total scores of ISI were decreased significantly in the two groups(P<0.05),and the improvement of sleep maintenance difficulty and anxiety in the observation group was better than that in the control group(P<0.05).After treatment,the scores of

关 键 词：纳子法 大接经法 慢性失眠 浅刺 

分 类 号：R256.23[医药卫生—中医内科学]