针刺治疗抑郁性失眠症患者的临床疗效  

Clinical effect of acupuncture on patients with depressive insomnia

作　　者：赵腾腾 赵学恭 ZHAO Teng-teng;ZHAO Xue-gong(Psychosomatic Department,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China;National Medical Hall,Tianjin Friendship Hospital)

机构地区：[1]天津中医药大学第一附属医院心身科,国家中医针灸临床医学研究中心,天津300381 [2]天津市友好医院国医堂

出　　处：《中国城乡企业卫生》2025年第1期107-109,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的分析针刺治疗对抑郁性失眠症患者的临床疗效,探寻抑郁性失眠症有效治疗方法。方法选择天津中医药大学第一附属医院2020年1月—2022年1月收治的抑郁性失眠症患者90例,采用随机数字表法分为对照组和观察组各45例,对照组患者给予常规治疗,观察组在对照组基础上增加针刺治疗。比较两组治疗前后患者汉密尔顿抑郁量表评分、匹兹堡睡眠质量评分、治疗总有效率及不良反应。结果治疗后,两组汉密尔顿抑郁量表评分、匹兹堡睡眠质量评分均低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组总有效率为100.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。两组治疗过程中均无不良反应出现。结论在常规治疗的同时,联合针刺对于抑郁性失眠症的治疗效果确切,可更好缓解抑郁和改善睡眠质量,且无明显不良反应,治疗过程安全性高,可推荐用于抑郁性失眠症患者的治疗。Objective To analyze the clinical effect of acupuncture on patients with depressive insomnia,and explore the effective treatment methods for depressive insomnia.Methods A total of 90 patients with depressive insomnia treated in First Teaching Hospital of Tianjin University of Traditional Chinese Medicine from January 2020 to January 2022 were selected and divided into control group and observation group by random number table method,with 45 patients in each group.The patients in the control group were given routine treatment.The observation group was added acupuncture on this basis.The Hamilton depression scale score and Pittsburgh sleep quality score bdfore and after treatment,total effective rate and adverse reactions between two groups were compared.Results After treatment,the scores of Hamilton Depression Scale and Pittsburgh Sleep Quality Scale were lower than those before treatment,and the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of the observation group was 100.00%,which was higher than 80.00%of the control group,and the difference was statistically significant(P<0.05).There was no adverse reaction during the treatment in both groups.Conclusion In addition to conventional treatment,combined acupuncture had a definite therapeutic effect on the treatment of depressive insomnia,which could better alleviate depression and improve sleep quality without obvious adverse reactions.The treatment process was safe and could be recommended for the treatment of patients with depressive insomnia.

关 键 词：针刺治疗 抑郁性失眠症患者 临床疗效 

分 类 号：R245[医药卫生—针灸推拿学]