摘要
Objective To observe the clinical efficacy of acupuncture at ＂five spirits acupoints＂ in treatment of insomnia. Methods The insomnia patients conforming to the diagnostic criteria were included into the study of ＂five spirits acupoints＂, and statistical analysis was conducted over the 65 patients who completed the courses of treatment. Shéntíng（神庭 GV 24）, Běnshén（本神 GB 13）, Sìshéncōng（四神聪 EX-HN 1）, Shéndào（神道 GV 11） and Shénmén（神门 HT 7） were selected. Manipulation： perpendicular insertion was conducted at GV 11 and HT 7, and transverse insertion was conducted at GV 24, GB 13 and EX-HN 1, with the acupuncture depth of 10–15 mm. Even reinforcing and reducing method was applied. Needles were retained at all the selected acupoints, except GV 11, for 25 min. The treatment was conducted every other day, and treatment for 10 times was considered as one course of treatment. After one course, the changes of PSQI, the time to fall asleep, sleep time and soporific dosage were observed before and after treatment. Results According to the comparison before and after treatment, the mean deviation of PSQI, the time to fall asleep, sleep time and soporific dosage were 10.02±1.75,（0.7±0.5） h,（2.1±1.5） h and（10.3±2.5） mg, respectively, all P〈0.05, and the differences were all significant. Conclusion Acupuncture at ＂five spirits acupoints＂ in treatment of insomnia can improve patients’ sleep quality, shorten the time to fall asleep, prolong the actual sleep time, and reduce soporific dosage. With few acupoints selected, superficial needling and small stimulation, acupuncture at ＂five spirits acupoints＂ has better efficacy and is easy to be accepted by patients.
目的:观察针刺"五神穴"治疗失眠的临床疗效。方法:将符合诊断标准的失眠患者纳入"五神穴"治疗观察,完成全程治疗的65例患者进行统计。取神庭、本神、四神聪、神道、神门即"五神穴"。针刺操作方法:神道、神门直刺,神庭、本神、四神聪平刺,针刺深度10-15 mm,均施用平补平泻手法。神道不留针,余穴留针25 min。隔日治疗1次,10次为1个疗程。治疗1个疗程后,观察治疗前后PSQI评分、入睡时间、睡眠时间、催眠药用量的变化。结果:治疗前后比较,PSQI评分均差10.02±1.75、入睡时间均差(0.7±0.5)h、睡眠时间均差(2.1±1.5)h、催眠药用量均差(10.3±2.5)mg,差异均有统计学意义(均P<0.05)。结论:针刺"五神穴"治疗失眠,患者睡眠质量显著改善,入睡时间缩短,实际睡眠时间延长,催眠药用量减少。用穴少,针刺浅,刺激小,疗效好,易于患者接受。
