《内经》“关刺”联合“合谷刺”治疗不宁腿综合征疗效观察  

Observation of the therapeutic effect of the Inner Classic Joint needling combined with Hegu needling for restless legs syndrome

作　　者：杨文佳[1] 赵娜[1] 于心同[1] 唐琳 高晓林 梁瑞珑 陈云飞[1] YANG Wenjia;ZHAO Na;YU Xintong;TANG Lin;GAO Xiaolin;LIANG Ruilong;CHEN Yunfei(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Shanghai Fourth People’s Hospital,Tongji University,Shanghai 200434,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]同济大学附属上海市第四人民医院,上海200434

出　　处：《上海针灸杂志》2024年第1期47-52,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市科学技术委员会(21Y11923800);上海中医药大学“高原高峰”学科支持临床高层次人才专项。

摘　　要：目的 观察《内经》“关刺”联合“合谷刺”治疗不宁腿综合征(restless legs syndrome, RLS)的临床疗效。方法 将100例RLS患者随机分为治疗组(50例,脱落1例)和对照组(50例,脱落2例)。治疗组给予“关刺”联合“合谷刺”治疗,阳陵泉、膝关、丘墟采用关刺法,伏兔、丰隆、漏谷采用合谷刺法;对照组给予假针刺治疗。治疗前后采用国际RLS评定量表(international restless leg syndrome scale, IRLSS)评价患者不宁腿严重程度,采用RLS生活质量量表(RLS quality of Life, RLSQoL)评价患者生活质量,采用失眠严重指数量表(insomnia severity index, ISI)评价患者的睡眠情况,并比较两组临床疗效。结果 治疗组总有效率为91.8%,显著高于对照组的41.7%(P<0.01)。治疗后,治疗组IRLSS评分低于治疗前和对照组(P<0.01),治疗组RLSQoL评分高于治疗前和对照组(P<0.01),治疗组ISI评分低于治疗前和对照组(P<0.01)。对照组治疗前后各项评分比较,差异无统计学意义(P>0.05)。结论 《内经》“关刺”联合“合谷刺”可显著改善RLS患者临床症状,在中医学理论的指导下拓展了《内经》五刺法的临床应用。Objective To observe the clinical effect of the Inner Classic Joint needling combined with Hegu needling for restless legs syndrome(RLS).Method A total of 100 RLS patients were randomly divided into treatment group(50 cases,1 case dropped off)and control group(50 cases,2 cases dropped off).The treatment group was treated with Joint needling combined with Hegu needling.The Joint needling was applied at Yanglingquan(GB34),Xiguan(LR7)and Qiuxu(GB40),and the Hegu needling was applied at Futu(ST32),Fenglong(ST40)and Lougu(SP7).The control group was treated with sham acupuncture.Before and after treatment,the international restless leg syndrome scale(IRLSS)was used to evaluate the severity of restless leg,and the RLS quality of Life scale(RLSQoL)and insomnia severity index(ISI)were used to evaluate their quality of life and sleep quality,respectively.The clinical efficacy was also compared.Result The total effective rate of the treatment group was 91.8%,which was significantly higher than 41.7%of the control group(P<0.01).After treatment,the IRLSS score of the treatment group was lower than that of the pre-treatment and control groups(P<0.01),the RLSQoL score of the treatment group was higher than that of the pre-treatment and control groups (P<0.01), and the ISI score of the treatment group was lower than that of the pre-treatment and control groups (P<0.01). The difference was not statistically significant when comparing the scores of the control group before and after treatment (P>0.05). Conclusion The combination of Inner Classic Joint needling combined with Hegu needling can significantly improve the clinical symptoms of RLS patients, and the Inner Classic five needling technique is expanded under the guidance of traditional Chinese medicine theory.

关 键 词：针刺疗法 不宁腿综合征 关刺 合谷刺 国际不宁腿综合征评定量表 不宁腿综合征生活质量量表 

分 类 号：R246.6[医药卫生—针灸推拿学]