针刺治疗抑郁性失眠症临床观察

Clinical Observation on Acupuncture in Treatment of Depressive Insomnia

目的观察针刺治疗对抑郁性失眠症患者的临床疗效。方法将90例抑郁性失眠症患者随机分为两组,治疗组患者行针刺治疗,对照组患者给予口服米氮平片治疗,比较两组患者临床疗效,治疗前后汉密尔顿抑郁量表(HAMD)、匹兹堡睡眠指数(PSQI)评分、不良反应发生率。结果治疗组患者和对照组患者治疗后总有效率无差异(P>0.05)。两组患者治疗后HAMD、PSQI评分差异无统计学意义(P>0.05),两组治疗后HAMD、PSQI评分均显著低于治疗前(P<0.05)。治疗组患者未发生不良反应,不良反应发生率显著低于对照组(P<0.05)。结论针刺治疗抑郁性失眠症能够显著改善患者夜间睡眠质量,延长患者睡眠时间,缓解患者的抑制情绪,未见不良反应,为安全有效的治疗措施。

Objective To observe the sleeping and emotion improving efficacy of acupuncture on depressive insomnia. Methods 90 cases of patients with depressive insomnia were randomly divided into treatment group and control group,45 cases in each group. Treatment group was given acupuncture,control group was given oral Mirtazapine tablets. The clinical efficacies,HAMD,PSQI scores before and after treatment and incidence of adverse reactions were compared between the two groups. Results The total efficiency rates of treatment group and control group were 91. 1%and 88. 9% respectively,there was not statistically significant between two groups. The HAMD and PSQI scores were without significant difference between the two groups（ P〈0. 05） after treatment,but significantly lower than those before treatment（ P〈0. 05）. There was no adverse reactions occurred in treatment group,the incidence of adverse events was significantly lower than that of control group（ P〈0. 05）. Conclusion Acupuncture is an safe and effective method in treatment of depressive insomnia,it can significantly improve the quality of sleeping and prolong sleeping time and relief the suppressing emotions without adverse reactions.