电针头穴和体穴对慢性失眠患者睡眠的影响  

The Effect of Electroacupuncture on Head and Body Acupoints on Sleep in Patients with Chronic Insomnia

作　　者：于博 白鹏 YU Bo;BAI Peng(Department of Acupuncture,Beijing Gulou Hospital of Traditional Chinese Medicine,Beijing 100009,China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100009,China;The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京市鼓楼中医医院针灸科,北京100009 [2]北京中医药大学东直门医院,北京100009 [3]北京中医药大学第三附属医院,北京100029

出　　处：《世界睡眠医学杂志》2024年第11期2446-2448,2452,共4页World Journal of Sleep Medicine

基　　金：贺氏管针七技五法传承示范研究项目(2023-ZYSF-09)。

摘　　要：目的:探究电针头穴和体穴对慢性失眠患者睡眠及负性情绪的影响。方法:选取2021年1月至2023年12月北京市鼓楼中医医院收治的慢性失眠患者88例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组44例。对照组常规针刺取体穴内关、神门、三阴交、太溪、太冲等,加电针神门、内关,观察组在对照组基础上针刺百会、四神聪、神庭、印堂、水沟、承浆穴,百会、神庭加用电针刺激。对比2组睡眠结构中相关指标及匹兹堡睡眠指数量表(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)。结果:治疗前2组睡眠结构中相关指标差异不明显(P>0.05),治疗后观察组睡眠结构指标如入睡潜伏期、睡眠总时间、深睡眠时间等较对照组有明显好转(P<0.05);治疗后,观察组PSQI、SAS、SDS量表评分均低于对照组(P<0.05)。结论:电针头穴和体穴能够改善患者睡眠质量及焦虑、抑郁情绪,建议临床推广使用。Objective:To explore the effect of electroacupuncture on head and body acupoints on sleep and negative emotions in chronic insomnia patients.Methods:A total of 88 patients with chronic insomnia who were admitted to Beijing Gulou Hospital of Traditional Chinese Medicine from January 2021 to December 2023 were selected as research subjects.They were equally divided into a control group and an observation group,with 44 cases in each group by random number table method.The control group received routine acupuncture at Neiguan,Shenmen,Sanyinjiao,Taixi,Taichong,etc.,and electroacupuncture was added to Shenmen and Neiguan.The observation group,on the basis of the control group,received acupuncture at Baihui,Sishencong,Shenting,Yintang,Shuigou,Chengzhi,with electrical stimulation at Baihui and Shenting.The sleep structure and related indicators,as well as the Pittsburgh Sleep Index Scale(PSQI),Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were compared between the two groups.Results:There were no significant differences in sleep structure between the two groups before treatment(P>0.05).After treatment,sleep structure indicators such as sleep latency,total sleep time and deep sleep time in the observation group were significantly better than those in the control group(P<0.05).The scores for PSQI,SAS,and SDS scores in the observation group post-treatment were significantly lower than those in the control group(P<0.05).Conclusion:Electroacupuncture on head and body acupoints can improve sleep quality,reduce anxiety and depression in patients with chronic insomnia,and it is recommended to promote in clinical practice.

关 键 词：慢性失眠 电针 头穴 体穴 睡眠结构 睡眠质量 焦虑 抑郁 

分 类 号：R338.63[医药卫生—人体生理学]