岭南头皮针治疗卒中后痰热扰心型失眠的疗效观察  

Clinical observation on post-stroke sleep disorders with pattern of phlegm-heat disturbing the heart treated by Lingnan scalp acupuncture

作　　者：黄春梅[1,2] 麦晓洇 陈韵龙 周泽霖 潘杰 苏利梅[4] 秦敏[1,4] HUANG Chunmei;MAI Xiaoyin;CHEN Yunlong;ZHOU Zelin;PAN Jie;SU Limei;QIN Min(Guangzhou University of Chinese Medicine,Guangzhou 510405,China;The 6th People’s Hospital of Nanhai District,Foshan 528200,China;Nanhai Obstetrics,Gynecology and Children’s Hospital Affiliated to Guangzhou University of Chinese Medicine,Foshan 528200,China;Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510095,China)

机构地区：[1]广州中医药大学,广州510405 [2]佛山市南海区第六人民医院,佛山528200 [3]广州中医药大学附属南海妇儿医院,佛山528200 [4]广东省第二中医院,广州510095

出　　处：《中华中医药杂志》2024年第1期500-504,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：广东省中医药局中医药科研项目(No.20201029,No.20221031);广东省第八批省级非物质文化遗产代表性项目(No.IX-4)。

摘　　要：目的:比较岭南头皮针与常规针刺治疗卒中后痰热扰心型失眠患者的临床疗效。方法:将80例卒中后痰热扰心型失眠患者随机分为岭南头皮针组、常规针刺组,各40例。岭南头皮针组予针刺阳明1组、厥阴2组、厥阴3组、厥阴双侧少阳2组,常规针刺组予针刺照海、申脉、神门、安眠、四神聪、三阴交、行间、丰隆、劳宫等穴,治疗4个疗程后对两组匹兹堡睡眠质量指数(PSQI)、严重失眠程度指数(ISI)及血清5-羟色胺(5-HT)水平变化和临床疗效进行评价。结果:治疗后,两组PSQI评分、ISI评分显著降低(P<0.05),血清5-HT含量显著升高(P<0.05),岭南头皮针组调节幅度均优于常规针刺组(P<0.05)。随访时,两组PSQI评分、ISI评分、血清5-HT值均有所反弹但不明显,岭南头皮针组反弹幅度低于常规针刺组(P<0.05);岭南头皮针组总有效率89.74%(35/39)显著高于常规针刺组的68.42%(26/38)(P<0.05)。结论:岭南头皮针治疗卒中后痰热扰心型失眠疗效确切,适宜在临床中应用推广。Objective:To compare the clinical efficacy of Lingnan scalp acupuncture and conventional acupuncture in the treatment of insomnia patients with phlegm-heat disturbing heart type after stroke.Methods:A total of 80 patients with insomnia of the type of phlegm-heat disturbing the heart after stroke were randomly assigned to Lingnan scalp acupuncture group and routine acupuncture group,with 40 cases in each group.The Lingnan scalp acupuncture group was treated with acupuncture at Yangming 1 group,Jueyin 2 group,Jueyin 3 group,and bilateral Shaoyang 2 group.The routine acupuncture group was treated with acupuncture at points such as Zhaohai(KI 6),Shenmai(BL 62),Shenmen(HT 7),Anmian,Sishencong(EX-HN 1),Sanyinjiao(SP 6),Xingjian(LR 2),Fenglong(ST 40),and Laogong.After four courses of treatment,the Pittsburgh sleep quality index(PSQI),severe insomnia index(ISI),and serum 5-hydroxytryptamine(5-HT)levels in the two groups were evaluated and their clinical efficacy was evaluated.Results:After treatment PSQI score and ISI score decreased significantly,and serum 5-HT content increased significantly between the two groups after(P<0.05).During follow-up,the PSQI score,ISI score,and serum 5-HT values in both groups rebounded but not significantly.The rebound amplitude in the Lingnan scalp acupuncture group was lower than that in the routine acupuncture group(P<0.05);The total effective rate was 89.74%(35/39)in the Lingnan scalp acupuncture group,which was significantly higher than that of the routine acupuncture group 68.42%(26/38)(P<0.05).Conclusion:Lingnan scalp acupuncture has a definite therapeutic effect on insomnia caused by phlegm-heat disturbing the heart after stroke,and is suitable for clinical application and promotion.

关 键 词：岭南头皮针 卒中后失眠 随机对照试验 5-羟色胺 

分 类 号：R246.6[医药卫生—针灸推拿学]