常规针刺联合揿针治疗原发性失眠疗效观察

Clinical Efficacy Observation of Acupuncture Combined with Thumbtack Needle in the Treatment of Primary Insomnia Patients

目的:探讨常规针刺联合揿针对原发性失眠患者的临床疗效。方法:采用随机数字表法将50例原发性失眠患者分为观察组和对照组各25例,观察组采用常规针刺联合揿针治疗,对照组口服艾司唑仑片治疗,治疗周期30天。采用匹兹堡睡眠质量指数(PSQI)评分、失眠严重指数量表(ISI)评分评估治疗前后患者的睡眠质量,采用焦虑自评量表(Self-rating anxiety scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)得分评估治疗前后患者的焦虑、抑郁状态。结果:治疗后观察组临床总有效率明显高于对照组(P<0.05);治疗后两组患者PSQI、ISI评分均明显下降(P<0.05),且观察组较对照组更低(P<0.05);观察组治疗后SAS、SDS评分明显下降(P<0.05),而对照组无明显降低(P>0.05)。结论:常规针刺联合揿针及艾司唑仑片均可降低原发性失眠患者PSQI、ISI评分,提高睡眠质量,但针刺联合揿针的疗效更优。此外,针刺联合揿针还可以改善失眠患者的焦虑抑郁状态,调节心理。

Objective:To observe the effect of acupuncture combined with thumbtack needle for patients with primary insomnia.Methods:The 50 patients with primary insomnia were divided into the observation group(25 patients)and the control group(25 patients)using the random number table method.The observation group was treated with conventional acupuncture combined with thumbtack needle,and the control group was treated with estazolam for 30 days.The Pittsburgh Sleep Quality Index(PSQI)score,the Insomnia Severity Index(ISI)score,and the self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)scores were used to evaluate the sleep quality before and after treatment.Results:After treatment,the total clinical effective rate of the observation group was significantly higher than the control group(P<0.05).The scores ofPSQI and ISI scores of the two groups were significantly decreased(P<0.05),but the observation group was lower than the control group(P<0.05).The scores of SAS and SDS in the observation group were significantly decreased(P<0.05),while the control group were not(P>0.05).Conclusion:Acupuncture combined with thumbtack needle and Estazolam can reduce PSQI and ISI scores of patients with primary insomnia,to improve the quality of sleep,but acupuncture combined with thumbtack needle is more effective.In addition,acupuncture combined with thumbtack needle can improve the anxiety and depression of insomnia patients at the same time,adjust the psychology.