皮内针对心脾两虚型失眠症的疗效观察

Clinical Observation on Insomnia Due to Heart and Spleen Deficiency Treated by Intradermal Needling Therapy

目的:观察皮内针对心脾两虚型失眠症的临床疗效。方法:将64例心脾两虚型失眠患者随机分为普通针刺组(对照组)及普通针刺联合皮内针组(治疗组),两组按1∶1比例随机分组,对照组采用常规针刺治疗,治疗组采用常规针刺联合皮内针(心俞、脾俞)治疗,两组均每周治疗3次,以12次为1个疗程,采用失眠疗效评价标准[1]及匹兹堡睡眠质量指数量表[2]观察,分别在治疗前、疗程结束时以及疗程结束后1个月进行评测。结果:治疗组的愈显率、PSQI评分在疗程结束时及疗程结束后1个月均优于对照组(P<0.05),且疗效可维持至疗程结束后1个月(P>0.05);治疗组在疗程结束时及结束后1个月在改善患者的日间功能障碍上优于对照组(P<0.05),而治疗组疗程结束后1个月在改善患者的日间功能障碍上优于疗程结束时(P<0.05)。结论:皮内针对心脾两虚型失眠症有增效作用,并且可以较长时间地改善患者的日间功能障碍情况。

Objective：To observe the clinical effect of intradermal needling therapy on insomnia due to heart and spleen deficiency.Methods：Sixty-four cases were randomly divided into acupuncture group（control group）and acupuncture combined with intradermal needling therapy group（observation group）with 32 cases in each.The observation group was treated by normal acupuncture while the control group was treated by acupuncture combined with intradermal needling therapy of Xinshu（BL15）and Pishu（BL20）,with 3 times a week,12 times a course.The clinical effect was evaluated by the standard of curative effect evaluation of insomnia and Pittsburgh Sleep Quality Index（PSQI） before,after and one month after treatment.Results：The observation group was better than control group in improving cure-remarkable-effectiveness rate and lowering the PSQI score（P0.05）,and the effect persisted for one month after treatment（P0.05）.The observation group was better than control group in lowering the daytime dysfunction score after and one month after treatment（P0.05）.The daytime dysfunction score of one month after treatment was lower than that after treatment（P0.05）.Conclusion：Intradermal needling therapy has synergized action on insomnia due to heart and spleen deficiency,and could improve daytime dysfunction for a longer time.