针刺对原发性失眠患者睡眠质量的影响:随机对照研究

Randomized and controlled study on effect of acupuncture on sleep quality in the patient of primary insomnia

目的:观察针刺疗法在改善失眠患者睡眠质量方面的作用特点。方法:将原发性失眠患者46例随机分为2组。针刺组24例,采用针刺调神法,穴取百会、神庭、神门等为主;药物组22例,采用口服艾司唑仑治疗。比较2组疗效及治疗前后匹茨堡睡眠质量指数量表评分。结果:针刺组总有效率为83.3%,药物组总有效率为72.7%,针刺组疗效优于药物组(P<0.05)。艾司唑仑在延长睡眠时间方面优于针刺治疗,而针刺在改善睡眠障碍和提高日间功能状态方面优于艾司唑仑(P<0.05)。结论:针刺治疗失眠症的优势在于改善睡眠障碍和提高日间功能状态。

Objective To observe characteristics of acupuncture in improvement of sleep quality in the patient of insomnia. Methods Forty-six cases of primary insomnia were randomly divided into an observation group （n =24） and a control group （n=22）. The observation group were treated by the needling method for regulating mental activity, with Baihui （GV 20）, Shenting （GV 24）, Shenmen （HT 7） selected as main points; the control group were treated with oral administration of Estazolam. The therapeutic effects and scores of Pittsburgh Sleep Quality Index Scale before and after treatment were compared between the two groups. Results The total effective rate was 83.3% in the observation group and 72.7% in the control group, the observation group being better than the control group （P〈0.05）. Estazolam was better than acupuncture treatment in prolonging sleeping time, and the acupuncture treatment was better than the control group in the improvement of somnipathy and the increase of daytime functional state （P〈0.05）. Conclusion Acupuncture treatment has advantages of improving somnipathy and increasing daytime functional state.