Clinical observation of auricular needle-embedding therapy for primary insomnia

耳穴埋针法治疗原发性失眠临床观察

Objective:To observe the clinical efficacy of auricular needle-embedding therapy for treating primary insomnia.Methods:A total of 63 patients were randomly divided into a conventional acupuncture group and an auricular needleembedding group.The conventional acupuncture group received acupuncture at meridian points,while the auricular needle-embedding group received acupuncture at auricular points.Treatments were given once a day for 6 consecutive days,followed by a 1-day break,as a course of treatment.Both groups were treated for 2 courses.Before treatment,and after 1 course and 2 courses of treatment,the Pittsburgh sleep quality index(PSQI)score was assessed,and the efficacy was evaluated.Results:The cured and markedly effective rate and total effective rate of the auricular needle-embedding group were higher than those of the conventional acupuncture group,but there was no significant difference between the two groups(P>0.05).After 1 course of treatment,the PSQI global score and the scores of subjective sleep quality,sleep latency,sleep duration,habitual sleep efficiency,and daytime dysfunction of both groups decreased compared with those before treatment(P<0.01);there was no statistical significance in comparing the PSQI global score and individual component scores between the two groups(P>0.05).After 2 courses of treatment,the PSQI global score and the scores of sleep latency and habitual sleep efficiency of the auricular needle-embedding group decreased compared with those after 1 course of treatment(P<0.01 or P<0.05),while only the score of sleep latency of the conventional acupuncture group decreased compared with that after 1 course of treatment(P<0.05);the PSQI global score and the scores of subjective sleep quality and sleep latency of the auricular needle-embedding group were lower than those of the conventional acupuncture group(P<0.05).Conclusion:Both therapies can improve insomnia.Compared to conventional acupuncture,auricular needleembedding therapy demonstrates a therapeutic advantage in improving sleep latency and sleep quality,making it worthy of clinical promotion.

目的:观察耳穴埋针法治疗原发性失眠的临床疗效。方法:将63名患者按随机数字表法分为常规针刺组及耳穴埋针组。常规针刺组取常规经穴针刺;耳穴埋针组取耳穴针刺治疗,每日1次,连续治疗6 d,休息1 d,为1个疗程。连续治疗2个疗程。在治疗前、治疗1个及2个疗程后进行匹兹堡睡眠质量指数(PSQI)评分,并评估疗效。结果:耳穴埋针组的愈显率和总有效率均高于常规针刺组,但组间差异无统计学意义(P>0.05)。治疗1个疗程后,两组PSQI总分、主观睡眠质量、入睡时间、睡眠时间、睡眠效率和日间功能紊乱评分均较本组治疗前下降(P<0.01);两组PSQI总分及各项评分均无统计学差异(P>0.05)。治疗2个疗程后,耳穴埋针组的PSQI总分、入睡时间及睡眠效率评分均较治疗1个疗程后下降(P<0.01或P<0.05),而常规针刺组仅入睡时间评分较治疗1个疗程后下降(P<0.05);耳穴埋针组PSQI总分、主观睡眠质量及入睡时间评分均低于常规针刺组(P<0.05)。结论:两种疗法均可改善失眠,在入睡时间及睡眠质量上耳穴埋针法较常规针刺具有疗效优势,值得临床推广。