导引、电针足三里对失眠患者的疗效分析

The Effect of Guiding Therapy and Electro-Acupuncture in Bringing About Sleep to Patients of Insomnia

本文设计导引配足三里对56例失眠患者进行治疗，痊愈率达67．86％，治愈有效率达98．12％，根据WHO最新颁布的睡眠检测法，采用国际统一睡眠效率值公式计算，对治疗前后睡眠率进行对照（P＜0．01）有显著临床意义。据有关文献：慢波睡眠主要与胸干内5──羟色胺（5──HT）递质系统有关，而导引及低频低强度电外足三里能明显抑制升压反应，中缝核区5──HT受体激活，引致同步化脑电波出现。另外，笔者认为，心理导引应注重改变程序及心理设计，有利于进入慢波睡眠。

The Guiding therapy as presented in this paper has been tried on zhu-san-li with 56 cases, proving completely successful with 67. 86 % of them and showing effect with 98.12 %. This therapy is found to be of remarleable dinical significance when comparing the sleep rates before and after its application according to the latest sleep-testing method authorized by WHo and after calculating the sleep efficiency by the internationally adopted formula, According to relevant literature, slowwave sleep mainly depends upon the transmitter system of 5-hydroxy tryptamine (5-HT) in the brain stem, and guiding and low-frequecy-and-low-force electro acupuncture serve to inhibit pressure-rising by activating the 5-HT receptors in the raphe nudei region to cause syncronous brain waves to appear In addition, the authors are for the opinion ther psychological guiding should stress changes in procedures and designs to ensure the appearance of slow-wave sleep.