“老十针”穴位埋线治疗围绝经期失眠症的效果  

Effect of"Old Ten Needles"Acupoint Catgut Embedding Treatment on Perimenopausal Insomnia

作　　者：刘丁龙[1] 魏清琳 刘敏 LIU Dinglong;WEIQinglin;LIU Min(Gansu Provincial People's Hospital,Lanzhou 730000,China;不详)

机构地区：[1]甘肃省人民医院,甘肃兰州730000 [2]甘肃中医药大学附属医院

出　　处：《中外医学研究》2024年第17期21-25,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：甘肃省针灸临床医学研究中心2022年开放基金项目(ZJKF2214)。

摘　　要：目的:探讨围绝经期失眠症患者应用“老十针”穴位埋线治疗的效果。方法:选择2022年11月—2023年11月甘肃省人民医院传统医学诊疗中心收治的60例围绝经期失眠症患者作为研究对象,应用随机数表法分为对照组(给予艾司唑仑治疗)、观察组(在对照组基础上给予“老十针”穴位埋线治疗),各30例。比较两组总有效率、睡眠质量、临床症状、雌激素、不良反应发生率。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗4周后,两组匹兹堡睡眠质量指数(PSQI)各领域评分及总分均低于治疗前,且观察组均低于对照组,差异有统计学意义(P<0.05)。治疗1周、2周、3周、4周后,两组Kupperman评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组雌二醇(E_(2))高于治疗前,黄体生成素(LH)、促卵泡素(FSH)低于治疗前,且观察组E_(2)高于对照组,LH、FSH低于对照组,差异有统计学意义(P<0.05)。两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论:“老十针”穴位埋线治疗围绝经期失眠症效果显著,能够显著提高患者睡眠质量,减轻临床症状,调节激素表达,并且未发生严重不良反应,安全性高。Objective:To investigate the effect of"old ten needles"acupoint catgut embedding treatment on perimenopausal insomnia patients.Method:A total of 60 patients with perimenopausal insomnia admitted to the Traditional Medicine Diagnosis and Treatment Center of Gansu Provincial People's Hospital from November 2022 to November 2023 were selected as the study objects,and they were divided into control group(given Esazolam treatment)and observation group(given"old ten needles"acupoint catgut embedding treatment on the basis of the control group)by random number table method,with 30 cases in each group.The total effective rate,sleep quality,clinical symptoms,estrogen and incidence of adverse reactions between the two groups were compared.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).At 4 weeks after treatment,the scores in all areas and total scores of Pittsburgh sleep quality index(PSQI)in both groups were lower than those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).At 1 week,2 weeks,3 weeks and 4 weeks after treatment,Kupperman scores in two groups were lower than those before treatment,and those in observation group were lower than those in control group,the differences were statistically significant(P<0.05).After treatment,estradiol(E_(2))in both groups were higher than those before treatment,luteinizing hormone(LH)and follicle-stimulating hormone(FSH)were lower than those before treatment,and E_(2) in observation group was higher than that in control group,LH and FSH were lower than those in control group,the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:"Old ten needles"acupoint catgut embedding treatment of perimenopausal insomnia has significant effects,can significantly improv

关 键 词：围绝经期失眠症 老十针 穴位埋线 睡眠质量 雌激素 不良反应 

分 类 号：R246.6[医药卫生—针灸推拿学]