Clinical study on abdominal acupuncture plus plum-blossom needle tapping for primary insomnia

腹针联合梅花针治疗原发性失眠的临床研究（英文）

Objective： To investigate the clinical efficacy and action mechanism of abdominal acupuncture plus plum-blossom needle tapping for primary insomnia. Methods： A total of 66 eligible cases were randomly allocated into an observation group（n=33） and a control group（n=33）. Cases in the observation group received abdominal acupuncture plus plum-blossom needle tapping, whereas cases in the control group received abdominal acupuncture alone. After 2, 6 weeks of treatment and 4 weeks after end of treatment, the patients in both groups were evaluated using the Pittsburgh sleep quality index（PSQI） and measure your medical outcome profile（MYMOP） based on the patients＇ self-report. Results： After 2 weeks of treatment, the total effective rate was 90.9% in the observation group, versus 63.6% in the control group, showing a statistical difference（P〈0.05）. After 6 weeks of treatment, there were no between-group statistical differences in total effective rate（P〈0.05）. After 6 weeks, the sleep quality and efficiency scores in the observation group were better than those in the control group. Four weeks after end of treatment, the scores of sleep quality and MYMOP in the observation group were better than those in the control group（P〈0.05）. Conclusion： Abdominal acupuncture plus plum-blossom needle tapping can obtain fast, accurate effect for primary insomnia and improve patients＇ sleep quality and efficiency.

目的:探讨腹针联合梅花针治疗原发性失眠的临床疗效及作用机制。方法:将纳入的66例原发性失眠患者按随机数字表法分为2组,每组33例。观察组采用腹针联合梅花针疗法治疗,对照组仅采用与观察组相同的腹针疗法。两组患者均在入组时,治疗第2、6星期及治疗结束4星期后进行匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)及基于患者自我报告的临床结局量表(measure your medical outcome profile,MYMOP)评分。结果:治疗2个星期后,观察组总有效率90.9%,对照组总有效率为63.6%,两组总有效率差异有统计学意义(P<0.05)。治疗6个星期及治疗结束4星期后,两组总有效率差异均无统计学意义(P>0.05)。治疗6星期后,观察组睡眠质量及睡眠效率评分优于对照组;治疗结束4星期后,观察组睡眠质量、MYMOP评分优于腹针组,组间差异有统计学意义(P<0.05)。结论:腹针联合梅花针疗法治疗失眠症起效快,疗效确切,能较好改善患者睡眠质量,提高睡眠效率。