针刺三阴交穴对原发性失眠患者PSQI与PSG的影响

Effects of acupuncturing Sanyinjiao(SP6) on PSQI and PSG in patients with primary insomnia

目的:针刺三阴交穴和非经穴治疗原发性失眠,观察两种方法对患者匹兹堡睡眠质量指数(PSQI)和多导睡眠图(PSG)的影响差异,从而对三阴交穴治疗原发性失眠进行临床疗效的评价。方法:以原发性失眠症患者为研究对象,采用随机对照研究,将符合纳排标准的72例患者根据计算机Excel表随机均分为针刺三阴交穴和非经穴,共治疗5个疗程,1个疗程为5d,每个疗程中间间隔为2d,治疗结束4周后随访,观察治疗前后的PSQI和PSG数值的变化。结果:三阴交穴组总有效率为61.76%,非经穴组总有效率为40.63%,二者无显著性差异。PSG疗效评价,(1)组内比较:对三阴交穴组治疗前后PSG的4个因子分析,皆有显著性差异(P<0.05,P<0.01)。(2)组间比较:治疗后三阴交穴组与非经穴组比较,对觉醒次数、睡眠效率、总睡眠时间等3个因子分析,皆有显著性差异(P<0.05,P<0.01)。PSQI疗效评价,(1)组内比较:三阴交穴组治疗前后比较,对睡眠质量、入睡时间、睡眠时间、睡眠效率以及PSQI总分等5个因子分析,皆有显著性差异(P<0.01)。非经穴组治疗前后比较,对睡眠时间以及PSQI总分分析,皆有显著性差异(P<0.05)。(2)组间比较:治疗后三阴交穴组与非经穴组比较,对睡眠质量、入睡时间、睡眠效率以及PSQI总分等4个因子得分进行分析,皆有显著性差异(P<0.05,P<0.01)。结论:针刺三阴交穴对改善失眠患者的睡眠质量、提高其睡眠效率有很好效果。

Objective:Acupuncturing Sanyinjiao (SP6)and non-channel point for treatment primary insomnia,and observing the difference between the two methods in the Pittsburgh Sleep Quality Index (PSQI)and polysomnography (PSG),so as to evaluate the clinical efficacy of the treatment of primary insomnia.Methods:A total of 72 patients with primary insomnia were randomly divided into two groups according to the computer excel table,36 patients in each group,respectively.Patients were treated for 5 courses,1 course was 5 days,and the interval between each course was 2 days.After 4 weeks of treatment, follow-up was performed to observe the changes of PSQI and PSG values before and after treatment.Results:The total effective rate of Sanyinjiao (SP6)group was 61.76%,and the total effective rate of non-channel point group was 40.63%.①Evaluation of PSG efficacy:Comparison within 1 group:There were significant differences in the four factors of PSG before and after treatment in the Sanyinjiao (SP6)group (P<0.05,P<0.01).Comparison between the two groups:After treatment in Sanyinjiao (SP6) group and non-channel point group,there were significant differences in the three factors including awakening frequency,sleep efficiency and total sleep time (P<0.05,P<0.01).②Evaluation of PSQI efficacy:Comparison within 1 group:Before and after treatment,the three factors of sleep quality,fall-sleep time,sleep time,sleep efficiency and PSQI total score were significantly different in the Sanyinjiao (SP6)group (P<0.01),There were significant differences in sleep time and PSQI total scores before and after treatment in the non-channel point group (P<0.05).Comparison between the two groups:8 factors including sleep quality, fall-sleep time,sleep time,sleep efficiency,sleep disturbance,hypnotic drugs and daytime dysfunction,and PSQI total score after treatment in Sanyinjiao (SP6)group and non-channel point group,were significant differences in the analysis (P<0.05,P<0.01). Conclusion:Sanyinjiao (SP6)is effective in the treatment of insomnia,and it has a good effect on improving the sleep quality and improving the sleep efficiency of patients with insomnia.