不同频次镇静安神针法治疗慢性失眠临床观察  

Different Frequency of“Tranquilization Needling”Acupuncture in the Treatment of Chronic Insomnia

作　　者：曾景娇 胡秀武[1] ZENG Jingjiao;HU Xiuwu(Department of Acupuncture and moxibustion,Nanchang Hongdu Hospital of Traditional Chinese Medicine,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]南昌市洪都中医院针灸科,江西南昌330006

出　　处：《光明中医》2024年第5期950-953,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：目的探索不同频次的“镇静安神”针法对慢性失眠患者的影响。方法选取90例慢性失眠患者,随机分成高频次组、低频次组及对照组,以“镇静安神”针法的四神聪、神门、三阴交作为主穴,观察患者PSQI、HAMA、SF-36量表以及GABA、5-HT的变化。结果治疗后及随访期,各组PSQI、HAMA评分较治疗前降低,SF-36评分升高(P<0.05),高频次组和低频次组均优于对照组,高频次组优于低频次组(P<0.05);与对照组比较,高频次组及低频次组患者GABA、5-HT含量均显著增加(P<0.05),且高频次组优于低频次组(P<0.05)。结论“镇静安神”针法能改善失眠症状、提高生活质量,调节血清GABA、5-HT含量,且高频次的针刺频率临床疗效更佳。Objective To explore the influence of different frequency of “tranquilization needling” acupuncture on chronic insomnia.Methods According to the inclusion and exclusion criteria,90 patients with chronic insomnia were screened and randomly divided into high frequency group,low frequency group and control group.According to Professor Wang Fuchun's “tranquilization needling” acupuncture method,Sishencong(EX-HN1),Shenmen(HT7) and Sanyinjiao(SP6) were selected as the main points in this experiment.The changes of PSQI,HAMA,SF-36 scales,GABA and 5-HT were observed.Results After treatment and during follow-up period,PSQI and HAMA scores of all groups were lower than before treatment,while SF-36 scores were increased(P<0.05).High frequency group and low frequency group were superior to control group,and high frequency group was superior to low frequency group(P<0.05).Compared with the control group,GABA and 5-HT contents in high frequency group and low frequency group were significantly increased(P<0.05),and high frequency group was better than low frequency group(P<0.05).Conclusion Different frequency of “tranquilization needling” acupuncture can improve insomnia symptoms,improve quality of life,and regulate serum GABA and 5-HT content,but the clinical effect of five times a week is better than that of three times a week.

关 键 词：慢性失眠 镇静安神针法 针刺频次 

分 类 号：R246.6[医药卫生—针灸推拿学]