平衡针治疗风湿科患者应用激素致失眠的效果及安全性分析

Effect and security analysis of balance acupuncture to treat insomnia resulting from hormone application among rheumatism sufferers

目的探讨平衡针灸治疗风湿科患者使用激素导致失眠的临床效果及安全性。方法选取北京军区总医院风湿科使用激素后导致失眠的患者共72例,随机分为治疗组及对照组,各36例。治疗组给予平衡针灸治疗,1次/d,2周为一疗程,共治疗2个疗程;对照组给予百乐眠胶囊口服,4粒/次,2次/d,4周为一疗程,治疗1个疗程。分别于治疗前和治疗后第4周使用匹兹堡睡眠质量指数(PSQI)对两组患者进行评价,同时对比分析两组患者的临床疗效及安全性。结果经过不同治疗后,对照组PSQI评分与治疗前相比差异无统计学意义(P>0.05),而治疗组PSQI评分则低于治疗前,差异有统计学意义(P<0.05),两组相比,治疗组较对照组低,差异有统计学意义(P<0.05)。治疗组治疗总有效率为91.67%,高于对照组的66.67%,差异有统计学意义(P<0.05)。两组均无明显不良反应。结论平衡针灸通过刺激神经,调节营卫气血及脏腑功能,提高患者睡眠质量,达到缓解风湿科患者使用激素所致失眠的作用,操作简便,安全性高,临床实用性强。

Objective To evaluate the clinical effect and security of balance acupuncture to treat insomnia resulting from hormone application among rheumatism sufferers.Methods 72 rheumatism sufferers with insomnia caused by hormone application at Department of Rheumatism, Beijing Military District General Hospital were selected and ran- domly divided into treatment group and control group with 36 cases in each group.The treatment group were given balance acupuncture once per day for 2 weeks of one treatment course,totally for 2 treatment courses.The control group were given Bailemian capsule orally 4 capsules per time, twice per day, for one treatment course of four weeks. The Pittsburgh Sleep Quality Index（PSQI） was adopted to evaluate the two groups before the treatment and after four weeks of treatment, at the same time, the clinical effect and security of the two groups were compared and analyzed. Results After different treatment, the difference of PSQI score before and after treatment in the control group showed no statistical significance（P〉 0.05）, but PSQI score after treatment was lower than that before treatment in the treat- ment group,with differences of statistical significance （P 〈0.05）.The treatment group was lower than the control group,with differences of statistical significance （P 〈0.05）.The total effective rate of the treatment group was 91.67% ,which was higher than 66.67% of the control group ,with differences of statistical significance（P〈0.05）.No obvious adverse reactions occurred in the two groups.Conclusion The application of balance acupuncture for insomni- ac sufferers with rheumatic disease can stimulate the nerve, adjust ying, wei, qi, and xue（the four stages in the course of an epidemic febrile disease） and Zang-Fu function, improve sleep quality, and relieve rheumatic sufferers＇ insomnia caused by hormone application, which is easy and simple to handle with high security and clinical practicability.