头穴埋线对失眠症患者匹兹堡睡眠质量指数的影响

Effect of Head Acupoints Catgut Embedding on Pittsburgh Sleep Quality Index in Patients with Insomnia

目的:观察头穴埋线疗法对失眠患者匹兹堡睡眠质量指数的影响。方法:收集失眠症患者64例,随机分为埋线组33例和针刺组31例。埋线组取百会、神庭、风池(双)穴位埋线治疗,每周1次,4周为1疗程,共治疗1个疗程;针刺组采用常规针刺百会、神庭、风池(双)、神门(双)、内关(双)、三阴交(双)等穴位,得气后施以平补平泻法,留针30 min,每周治疗3次,4周为1个疗程,共治疗1个疗程;两组均于疗前、治疗第2周及第4周用匹兹堡睡眠质量指数量表(PSQI)进行评价。结果:治疗第2周,传统针刺对睡眠质量、睡眠障碍、日间功能的改善有统计学意义(P<0.05,P<0.01),埋线组对睡眠质量、入睡时间、睡眠时间的改善具有统计学意义(P<0.05,P<0.01),两组对睡眠因子的改善情况各有侧重;治疗第4周,针刺组和埋线组对各项睡眠因子的改善具有统计学意义(P<0.05,P<0.01),都获得较好的临床疗效。两种方法对匹兹堡睡眠质量指数(PSQI)的总体改善没有明显差异,但埋线组在后期治疗过程中改善患者入睡时间方面优于针刺组。结论:头穴埋线与针刺疗法均能有效改善失眠患者的临床症状,头穴埋线疗法改善失眠患者入睡时间因子优于传统针刺疗法。

Objective ： To observe the impacts on the therapeutic effects of Pittsburgh Sleep Quality Index （PSQI） in insomnia treated with head acupoints catgut embedding therapy. Methods ： Sixty - four insomniacs were randomly divided into a catgut embedding group （CEG） （33） and a routine pricking group （RPG） （31）. The catgut embedding group was treated with head point catgut embedding and the pricking group was treated with routine pricking. For the catgut em- bedding group, Baihui （DU20） , Shenting （DU24） and Fengchi （GB20） were acupunctured, once a week, and four weeks as one course. We did it for one treatment course. And for the routine group, Baihui （ Du20）, Shenting （ DU24）, Fengchi （GB20） ,Shenmen （HT7）, Neiguan （PC6） and Sanyinjiao （SP6） were prescribed to manipulate with even needling technique after getting,and for 30 min after manipulating with even needling technique. Three times a week, four weeks were as one treatment course. We treated insomnia for one treatment. The curative effects of two groups were evaluated by Pittsburgh Sleep Quality Index （PSQI） in the second week and the fourth week. Results ： In the second week, the statisti- cal difference among the sleep quality, disorders and day function was obtained （ P 〈 0.05, P 〈 0.01 ） in comparison with the RPG before the treatment in PSQI , while the statistical difference among the sleep quality, fall - sleep time and sleep time was obtained （ P 〈 0.05, P 〈 0.01 ） in comparison with the CEG before the treatment in PSQI. Two methods had their own advantages. In the fourth week, the statistical difference was obtained（ P 〈 0.05, P 〈 0.01 ）in comparison with the same group before the treatment in PSQI,and had a better clinical effects. The CEG had a better effect on reducing the fall - sleep time than the RPG at later treatment, but it had no statistical significance in total evaluation in PSQI. Conclu- sions ： Both head acupoints catgut embedding and routine pricking have effects for insomnia, but the head acupoints catgutembedding are more obvious to reduce the fall - sleep time than the routine pricking.