毫针刺对原发性失眠患者睡眠质量及心理状态的影响:一项随机对照临床研究  

Effect of filiform needle acupuncture on sleep quality and psychological state in patients with primary insomnia:a randomized controlled clinical study

作　　者：朱敬云[1] 高希言[2] 任志欣[1] 王琳琳[1] 李明[1] 尹睿 王桂玲[3] 郭静[3] 吴艳荣[1] Zhu Jingyun;Gao Xiyan;Ren Zhixin;Wang Linlin;Li Ming;Yin Rui;Wang Guiling;Guo Jing;Wu Yanrong(Department of Acupuncture and Moxibustion Physiotherapy,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450003,China;Department of Acupuncture and Moxibustion,the Third Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450008,China;Department of Acupuncture and Moxibustion,Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China)

机构地区：[1]郑州大学第二附属医院针灸理疗科,郑州450003 [2]河南中医药大学第三附属医院针灸科,郑州450008 [3]首都医科大学附属北京中医医院针灸科,北京100010

出　　处：《中国实用医刊》2024年第21期111-114,共4页Chinese Journal of Practical Medicine

基　　金：国家自然科学基金面上项目(81774391);北京自然科学基金面上项目(7212170);河南省中医药科学研究专项课题(2024ZY2098)。

摘　　要：目的探讨毫针刺对原发性失眠(PI)患者睡眠质量及心理状态的影响。方法随机对照研究。抽取2023年4月至2024年3月于郑州大学第二附属医院就诊的60例PI患者,按照随机数字表法分为研究组和对照组,每组30例。研究组接受毫针刺治疗,对照组接受非效穴浅刺治疗,每周3次,共4周。比较两组治疗前后匹兹堡睡眠质量指数(PSQI)、过度觉醒量表(HAS)、阿森斯失眠量表(AIS)、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分。结果治疗前,两组PSQI、HAS、AIS、HAMA和HAMD评分比较差异未见统计学意义(P>0.05);治疗后4、12周,两组PSQI、HAS、AIS、HAMA和HAMD评分均低于治疗前(P<0.001),且研究组低于对照组(P<0.001)。结论毫针刺治疗能够显著改善PI患者的睡眠质量和心理状态。ObjectiveTo investigate the effects of filiform needle acupuncture on sleep quality and psychological state in patients with primary insomnia(PI).MethodsA randomized controlled trial design was employed.Sixty PI patients who were treated in the Second Affiliated Hospital of Zhengzhou University from April 2023 to March 2024 were selected.And they were divided into the study group and the control group by random number table method,with 30 cases in each group.The study group received filiform needle acupuncture treatment,while the control group received shallow needling at non-acupoints,three times a week for four weeks.The scores of Pittsburgh sleep quality index(PSQI),hyperarousal scale(HAS),Athens insomnia scale(AIS),Hamilton anxiety rating scale(HAMA),and Hamilton depression rating scale(HAMD)before and after treatment were compared between the two groups.ResultsBefore treatment,there was no statistically significant difference in scores of PSQI,HAS,AIS,HAMA,and HAMD between the two groups(P>0.05).After 4 and 12 weeks of treatment,the scores of PSQI,HAS,AIS,HAMA,and HAMD in the two groups were lower than those before treatment(all P<0.001),and the study group had lower scores than the control group(P<0.001).ConclusionsFiliform needle acupuncture can significantly improve sleep quality and psychological state in PI patients.

关 键 词：原发性失眠 毫针刺 睡眠质量 心理状态 

分 类 号：R246.6[医药卫生—针灸推拿学]