调和营卫针刺法分期治疗失眠症的临床研究

Clinical Study on Stage Treatment with Tiao He Ying Wei Needling for Insomnia

目的观察调和营卫针刺法分期治疗失眠症的临床疗效。方法将100例入睡性失眠症患者随机分为A1组和B1组,每组50例;将100例睡眠维持性失眠症患者随机分为A2组和B2组,每组50例;将100例早醒性失眠症患者随机分为A3组和B3组,每组50例。A1组、A2组和A3组均采用调和营卫针刺法治疗,B1组、B2组和B3组均采用常规药物治疗。观察各组治疗前后症状积分及各项脑血管血流参数变化情况。结果各组治疗后症状积分与同组治疗前比较,差异均具有统计学意义(P<0.05)。其中A1组改善症状积分优于B1组(P<0.05);A2组改善症状积分优于B2组(P<0.05);A3组改善症状积分优于B3组(P<0.05)。A1组、A2组和A3组治疗后各项脑血管(大脑中动脉、大脑后动脉、大脑前动脉、基底动脉)血流参数与同组治疗前比较,差异均具有统计学意义(P<0.05)。且A1组治疗后各项脑血管血流参数与B1组比较,A2组治疗后各项脑血管血流参数与B2组比较,A3组治疗后各项脑血管血流参数与B3组比较,差异均具有统计学意义(P<0.05)。结论调和营卫针刺法分期治疗能改善失眠症患者的睡眠质量。

Objective To observe the clinical efficacy of stage treatment with Tiao He Ying Wei （regulating Ying-nutritional and Wei-defensive qi） needling in treating insomnia. Method A hundred insomnia patients presenting difficulty falling asleep were randomized into group A1 and B1, 50 cases each; 100 insomnia patients presenting difficulty maintaining sleep were randomized into group A2 and B2, 50 cases in each group; 100 insomnia patients presenting early-morning awakening were randomized into group A3 and B3, 50 cases each. Group A1, A2 and A3 were treated with Tiao He Ying Wei needling, while group B1, B2 and B3 were treated with conventional medication. The Symptoms score and cerebral blood flow indicators were observed before and after the intervention. Result After the treatment, the symptoms stores were significantly changed in each group （P〈0.05）. The improvement of symptoms score in group A1 was superior to that in group B1 （P〈0.05）; the improvement of symptoms score in group A2 was superior to that in group B2 （P〈0.05）; the improvement of symptoms score in group A3 was superior to that in group B3 （P〈0.05）. The cerebral blood flow indicators （middle cerebral artery, posterior cerebral artery, anterior cerebral artery, and basilar artery） were significantly changed after the treatment in group A1, A2 and A3 （P〈0.05）. After the treatment, there were significant differences in comparing the cerebral blood flow indicators between group A1 and B 1, A2 and B2, and A3 and B3 （P〈0.05）. Conelusion Stage treatment with Tiao He Ying Wei needling can improve the sleep quality of insomnia patients.