项丛刺治疗失眠症疗效观察

Observation on the therapeutic effect of neck clustered needling on insomnia

目的:观察项丛刺与药物治疗失眠症的临床疗效差异,寻找治疗失眠症的较佳方法。方法:将76例失眠症患者随机分为针刺组和药物组,每组38例。针刺组采用项丛刺治疗,每周2次,10次为一疗程;药物组口服阿普唑仑0.4～0.8 mg,每日睡前顿服,5周为一疗程。以匹兹堡睡眠质量指数(PSQI)评分进行疗效评估,观察两组疗效及治疗前后PSQI评分变化。结果:针刺组总有效率为92.1%,药物组总有效率为89.5%,两组差异无统计学意义(P>0.05);针刺组临床痊愈率(34.2%)及愈显率(84.2%)高于药物组(7.9%、36.9%)(均P<0.01)。两组治疗前后PSQI各因子评分差值比较,在睡眠质量、催眠药物、日间功能、总分改善方面,针刺组明显优于药物组(P<0.05或P<0.01),药物组在改善入睡时间方面优于针刺组(P<0.05)。结论:项丛刺治疗失眠症的疗效优于药物治疗,不失为治疗失眠症的较佳疗法。

Objective To compare therapeutic effects of neck clustered needling and medication on insomnia so as to search for a better method for treatment of insomnia. Methods Seventy six insomnia patients were randomly allocated to an acupuncture group and a medication group, 38 cases in each group. The acupuncture group was treated by neck clustered needling, twice each week, 10 sessions constituting one course,and the medication group by oral administration of Alprazolam, before sleeping each day, 5 weeks constituting one course. The Pittsburgh Sleep Quality Index （PSQI） score was used for assessment of therapeutic effects, and the therapeutic effect and changes of PSQI scores before and after treatment were observed in the both groups. Results The total effective rate was 92.1% in the acupuncture group and 89.5% in the medication group with no statistically significant difference （P〉0.05）. The cured rate of 34. 2% and the cured and markedly effective rate of 84. 2% inthe acupuncture group were significantly higher than 7.9% and 36. 9% in the medication group （both P〈0.01）. Comparisons of the differences before and after treatment in scores of various factors between the two groups showed that the acupuncture group was better than the medication group in sleep quality, hypnotic use, activity of daily living and the improvement of the total score （P〈0.05 or P〈0, 01）, but the medication group was better than the acupuncture group in improvement of falling-asleep time （P〈0.05）. Conclusion The therapeutic effect of the neck clustered needling on insomnia is better than that of the medicine.