针刺泻实补虚法对高校学生阴虚火旺型失眠症的临床疗效观察

Clinical Efficacy Observation on Acupuncture of Reinforcing and Reducing Method on College Students with Insomnia of Hyperactivity of Fire due to Yin Deficiency

目的：观察针刺泻实补虚法对高校学生阴虚火旺型失眠症的临床疗效。方法：阴虚火旺型失眠症患者共65例，按就诊顺序，以随机数字表将患者分为治疗组34例及对照组31例。对照组采用针刺平补平泻法，治疗组采用针刺泄实补虚法，在治疗前及治疗后分别测量两组患者的匹兹堡唾眠质量指数（PSQI），比较两组整体临床疗效，同时对安全性进行评价。结果：治疗前后两组患者匹兹堡睡眠质量指数（PSQI）组内比较差异有统计学意义（P〈0．05），治疗组较对照组比较，在睡眠质量、睡眠时间、睡眠障碍以及总分等方面差异有统计学意义（P〈0．05）；治疗组总有效率优于对照组（P〈0．05）。治疗过程中无不良反应事件。结论：针刺泻实补虚法能改善高校学生阴虚火旺型失眠症的临床症状，可作为安全有效的治疗手段之一，适合临床推广应用．其作用机制及最佳针刺方案仍有待进一步研究。

Objective： To observe the clinical effect on acupuncture of reinforcing and reducing method on college students with insomnia of hyperactivity of fire due to yin deficiency. Methods： 65 cases of insomnia of hyperactivity of fire due to yin deficiency were randomly divided into treatment group of 34 cases and control group of 31 cases, control group with uniform reinforcing-reducing method, treatment group treated with acupuncture of reinforcing and reducing method, Pittsburgh sleep quality index （PSQI） before and after treatment, overall clinical efficacy and the safety were respectively compared. Results： There was significant difference in Pittsburgh quality index （PSQI） of the two groups before and after treatment （P〈 0.05）, as well as treatment group and control group （P〈0.05）; the total efficiency of treatment group was better than that of control group （P〈0.05）; without adverse events in the course of treatment. Conclusion： Acupuncture of reinforcing and reducing method can improve the clinical symptoms of college students with insomnia of hyperactivity of fire due to yin deficiency, as one of safe and effective treatment means, which being suitable for clinical application, and the mechanism of action and best acupuncture scheme remain to be further studied.