针刺为主治疗失眠症的临床研究

Clinical Observations on the Treatment of Insomnia by Acupuncture as Main Therapy

目的观察针灸为主治疗失眠症的疗效。方法采用随机对照研究设计,选取160例失眠症患者,其中治疗组86例,应用针灸为主治疗;对照组74例,口服药物治疗,定期随访,连续治疗4个疗程。疗程结束后进行疗效评定,并用匹兹堡睡眠质量指数(PSQI)观察治疗前后的总积分。结果治疗组总有效率为95.35%,明显高于对照组的77.03%(P<0.05);PSQI总积分改善情况两组治疗前后比较差异有统计学意义(P<0.01),而治疗组改善程度较对照组更显著(P<0.01),两组治疗后PSQI总积分的差值比较差异也有统计学意义(P<0.01)。结论针灸治疗失眠症的疗效确切,方法安全,可改善患者的生活质量和身体功能。

Objective To explore the efficacy of acupuncture as main therapy in treating insomnia. Methods A randomized controlled trial was designed. One hundred and sixty insomnia patients were recruited. Of them, the treatment group of 85 cases were treated by acupuncture as main therapy and the control group of 74 cases, with oral medicament. A regular follow＇up was performed. Treatment continued for four courses. The therapeutic effects were evaluated at the end of treatment. The Pittsburgh Sleep Quality Index （PSQI） was used to count the score before and after treatment. Results The total efficacy rate was 95.35% in the treatment group and significantly higher than 77.03% in the control group （P 〈 0.05 ）. There was a statistically significant difference in PSQI score between pre- and posttreatment in both groups （ P 〈 0.01 ）. The score was decreased significantly more in the treatment group than in the control group （P 〈 0.01 ）. There was also a statistically significant difference in pretreatment-posttreatment PSQI score difference between the two groups （ P 〈 0.01 ）. Conclusion Acupuncture is an exactly effective and safe method for treating insomnia. It can improve the patent＇ s quality of life and is a substitutive therapy worthy of popularization.