辨证针刺治疗失眠随机平行对照研究

Syndrome Differentiation Acupuncture Treatment of Insomnia Randomized Control Study

[目的]观察辨证针灸治疗失眠疗效。[方法]使用随机平行对照方法,将120例门诊患者按就诊顺序编号简单随机分为两组。选用0.30×25mm、0.30×40mm华佗牌一次性针灸针。患者呈仰卧位,针刺处常规消毒。心脾两虚加心俞、脾俞;心胆气虚加心俞、胆俞;肝郁化火加行间、太冲;阴虚火旺加肾俞、太冲。针后,灸百会、四神聪,40min/灸。1次/d,下午治疗。对照组60例主穴:百会、申脉、四神聪、照海。百会、四神聪平刺0.6寸,得气后,平补平泻;申脉、照海直刺0.5寸,得气后,照海穴行补法,申脉穴行泻法。配穴遵循虚补实泻。30min/次(每间隔10min行手法操作1次)。治疗组60例主穴:内关、神门、三阴交神门直刺,进针约0.5寸,内关直刺,进针约0.8寸,三阴交直刺,进针1.0寸。得气后,平补平泻,配穴遵循虚补实泻法。30min/次(每间隔10min行手法操作1次)。两组均连续治疗15d为1疗程。观测入睡时间、睡眠质量、睡眠时间、睡眠效率、日间功能、PSQl评分、不良反应。治疗1疗程,判定疗效。[结果]治疗组治愈27例,显效11例,有效12例,无效7例,总有效率87.70%。对照组治愈22例,显效13例,有效11例,无效17例,总有效率76.30%。治疗组疗效优于对照组(P<0.01)。PSQl总评分治疗组优于对照组(P<0.05)。[结论]辨证针灸治疗失眠效果显著,值得推广。

[ Objective ] To observe the curative effect of acupuncture treatment of insomnia. [ Method ] Using randomized controlled methods, 120 cases of clinic patients according to the order number of simple random divided into two groups. Using 0.30 × 25mm, 0.30 × 40mm Hua Tuo brand disposable acupuncture needle. The patients were supine, acupuncture at regular disinfection. Heart lienal two empty adds heart Yu, spleen Yu; Xindan Qi adds heart Yu, Danshu; liver depression of the fire add rows, Taichong; Yin deficiency and fire wangka Shenshu, taichong. After acupuncture, moxibustion at Baihui, Sishencong, 40min/ moxibustion. The 1 /d treatment, the afternoon. A control group of 60 cases the main points ： Baihui, Shen Mai, Sishencong, according to the sea. Baihui, Sishencong flat spines 0.6 inch, after the gas, reinforcing reducing; Shen Mai, as the sea into the 0.5 ＇, after the gas, Zhaohai line fill method, Shenmai acupoints with. Acupoints Followed false fill diarrhea. 30min/ （ 10min intervals and manual operation 1 times ） . The treatment group of 60 cases the main points ： Neiguan, Shenmen, Sanyinjiao God door into the needle, about 0.5 inches, Neiguan puncture needle, about 0.8 inches, Sanyinjiao piercing needle, 1 inch. After the gas, reinforcing reducing, acupoints Followed false fill reducing method. 30min/ （ 10min intervals and manual operation 1 times ） . The two groups were continuous treatment with 15d for 1 courses. Observation time to fall asleep, sleep quality, sleep time, sleep efficiency, daytime function, PSQ1 score, adverse reaction. 1 courses of treatment, the curative effect. [ Results ] The treatment group cured 27 cases, effective in 11 cases, effective 12 cases, invalid 7 cases, the total efficiency of 87.70%. The control group cured 22 cases, effective in 13 cases, effective 11 cases, invalid 17 cases, the total efficiency of 76.30%. The treatment group was better than control group （ P 〈 0.01 ） . Control group PSQ1 total score in treatment group （ P 〈 0.05 ） . [ Conclusion ] Acupuncture treatment of insomnia effect is significant, worthy of promotion.