醒脑安神针法早晚分时针刺治疗失眠症疗效观察

Therapeutic Observation on Acupuncture for Insomnia with Brain-activating and Mind-tranquilizing Needling Methods Separately in Morning and at Night

目的观察醒脑安神针法早晚分时针刺治疗原发性失眠症的临床疗效。方法 70名患者按照就诊顺序分为醒脑安神针法组(治疗组)和常规针刺组(对照组),每组35例。治疗组上午采用醒脑针法,晚间采用安神针法进行治疗,对照组采用教材所制定的针刺方法,评价两组总有效率,并应用匹兹堡睡眠量表(PSQI)于治疗前后评定睡眠质量。结果治疗组总有效率为94.3%,对照组为91.4%,两组比较无明显差异(P>0.05)。治疗组在睡眠质量、睡眠时间、睡眠效率和日间功能方面要优于对照组(P<0.05)。结论醒脑安神针刺方法在治疗原发性失眠方面疗效较好,具有良好的应用前景。

Objective To observe the clinical efficacy of acupuncture in treating primary insomnia with brain-activating and mind-tranquilizing needling methods separately in morning and at night. Method Seventy patients were randomized into a brain-activating and mind-tranquilizing acupuncture group （treatment group） and an ordinary acupuncture group （control group）, 35 in each group. The treatment group received brain-activating acupuncture in the morning and mind-tranquilizing acupuncture at night; the control group received the acupuncture method stipulated in text book. Total effective rate was determined afterwards, and sleep quality was assessed by using Pittsburgh Sleep Quality Index （PSQI） before and after treatment. Result The total effective rate was 94.3% in the treatment group versus 91.4% in the control group, and the difference was statistically insignificant （P〉0.05）. The treatment group was better than the control group in comparing sleep quality, sleep efficiency, and daily function （P〈0.05）. Conclusion Brain-activating and mind-tranquilizing acupuncture can produce a content therapeutic efficacy in treating primary insomnia, and has a promising future in clinical application.