针灸治疗肿瘤患者失眠临床疗效观察

Clinical observation on treating tumor patients with insomnia by acupuncture

目的:评价针灸治疗肿瘤患者失眠的临床疗效。方法:将208例肿瘤失眠患者随机分为针灸组和药物组,每组104例。其中药物组予以口服艾司唑仑片,分别观察总有效率、PSQI在治疗前后及随访时的变化。结果:两组患者治疗后睡眠状况均得到了不同程度的改善。总有效率比较,治疗后及随访时均有显著改善(P<0.05)。针灸组除睡眠障碍外各评分因子在治疗前后、随访与治疗前比较均有统计学差异(P<0.05);各评分因子在随访与治疗后比较均无统计学差异。药物组治疗前后比较除醒后不适外,各评分因子有统计学差异(P<0.05);治疗前与随访时比较,入睡时间、睡眠障碍、醒后不适无统计学差异;治疗后及随访时比较除睡眠障碍及醒后不适外,其余各评分因子均有统计学差异(P<0.05)。结论:用针灸能显著改善肿瘤患者的睡眠状况且长期效果较好。

Objective： To evaluate the clinical curative effect of acupuncture in treatment of tumor patients with insomnia. Methods： Two hundred and eight cases of tumor patients with insomnia were randomly divided into acupuncture group and drug group, 104 cases in each group. The patients in drug group were given oral estazolam tablets. The total effective rate, PSQI were observed before and after treatment and follow-up respectively. Results： Two groups after treatment in patients with sleep patterns were improved to varying degrees. Total effective rate, after treatment and the follow-up were improved significantly（P〈0.05）. Acupuncture group each grading factor except sleep disorder compared with treatment of the before and after, follow-up and before treatment were statistical differences（P〈0.05）; Each grading factor at follow-up and after treatment were no statistical differences. Comparison before and after drug treatment group except wake up discomfort, each factor score was statistical difference（P〈0.05）; Compared to before treatment and follow-up, sleep time, sleep disorder, wake up discomfort were no statistical differences; After treatment and follow-up in addition to sleep disorders and discomfort after wake up, the rest of the scale factor were statistical differences（P〈0.05）. Conclusion： Acupuncture could significantly improve sleep quality in patients with tumor and the long-term effect is much better.