平衡针治疗顽固性失眠症疗效观察

Efficacy observation on refractory insomnia treated with the balance needling therapy

目的:观察平衡针与常规针刺治疗顽固性失眠症的临床疗效差异,验证平衡针的临床有效性及实用性。方法:将60例患者随机分为平衡针组、常规针刺组和安慰药物组,每组20例。平衡针组取失眠穴,快速针刺,得气后行上下提插手法,至中指或示指出现麻木放射性针感后出针,不留针;常规针刺组取穴四神聪、神门、三阴交行常规针刺,均为每日1次,7次为一疗程,共治疗2个疗程;安慰药物组给予淀粉胶囊口服,每晚睡前服用,连续口服14天。观察3组疗效、治疗前后匹兹堡睡眠质量指数(PSQI)变化情况。结果:各组患者治疗后PSQI评分均降低(均P<0.01),平衡针组、常规针刺组较安慰药物组评分降低更显著(均P<0.01);平衡针组、常规针刺组和安慰药物组总有效率分别为90.0%(18/20)、85.0%(17/20)和15.0%(3/20),平衡针组和常规针刺组疗效均明显优于安慰药物组(均P<0.01),平衡针组与常规针刺组疗效相当(P>0.05)。结论:平衡针治疗顽固性失眠症安全有效,与常规针刺疗效相当,但其操作更简便,患者痛苦更少,临床实用性更强。

Objective To observe the difference in the clinical efficacy on refractory insomnia between the bal- ance needling therapy and the conventional acupuncture and verify the effectiveness and practicality of the balance needling therapy. Methods Sixty cases were randomized into a balance needling therapy group, a conventional acupuncture group and a placebo group, 20 cases in each one. In the balance needling therapy group, Shi-mian （point for insomnia） was selected with quick needling manipulation. After the arrival of qi, the technique of lifting and thrusting was applied till the radiating numbness presented in the middle or index finger, thus the needle was removed. In the conventional acupuncture group, Sishencong （EX-HN 1）, Shenmen （HT 7） and Sanyinjiao （SP 6） were punctured with the conventional technique. The treatment was given once every day, 7 treatments made one session, 2 sessions were required totally. In the placebo group, starch capsules were prescribed for oral adminis- tration before sleep every night, continuously for 14 days. The efficacy and scores of Pittsburgh sleep quality index （PSQI） before and after treatment were observed in three groups. Results PSQI scores were reduced after treat- ment in every group （both P^0.01）, the scores in the balance needling therapy group and conventional acupunc- ture group were reduced apparently as compared with those in the placebo group （both P〈0.01）. The total effec- tive rate were 90.0% （18/20）, 85.0%（17/20） and 15.0% （3/20） in the balance needling therapy group, con- ventional acupuncture group and placebo group separately. The efficacy in the balance needling therapy group and the conventional acupuncture group was higher obviously than that in the placebo group （both P^0.01）, and the balance needling therapy group had the same efficacy as conventional acupuncture group （P〈0.05）. Conclusion The balance needling therapy is safe and effective in the treatment of refractory insomnia and achieves the same ef- ficacy as the conventional acupuncture, which has more simple operation and less pain for the patients and much more considerable practicality in clinic.