滞针震颤针刺法刺激安眠穴治疗失眠症的临床研究

Clinical research on the acupuncture therapy of insomnia by sticking and vibrating of needle at Anmian point

目的在安眠穴施用滞针震颤法治疗失眠症,观察其临床疗效,判断滞针震颤针刺法治疗睡眠障碍技术是否值得推广。方法随机将2015年1月—2016年2月于诸暨市中医医院就诊的119例失眠患者分为2组:观察组62例和对照组57例。观察组取安眠穴采用滞针震颤针刺法进行治疗,对照组取照海、申脉、足三里、三阴交、神门、百会、四神聪及内关等穴位,得气后采用电针疗法。采用匹兹堡睡眠质量指数量表(PSQI),以各因子评分及总分评定2组疗效。结果观察组和对照组总有效率分别为88.7%和71.9%,2组比较差异有统计学意义(Z=-2.634,P<0.05)。观察组针刺干预后在匹兹堡睡眠指数量表各模块(除催眠药物外)及总分上评分与针刺干预前比较,差异有统计学意义(P<0.05)。对照组针刺干预后在睡眠质量、入睡时间、睡眠时间、睡眠效率以及总分评分与针刺干预前比较,差异有统计学意义(P<0.05)。2组在针刺干预前比较,各因子及总分差异无统计学意义,在针刺干预后比较,睡眠质量、睡眠障碍、日间功能以及总分评分差异有统计学意义(P<0.05),在入睡时间、睡眠时间、睡眠效率、催眠药物四项因子差异无统计学意义(P>0.05)。结论滞针震颤针刺法刺激安眠穴治疗失眠症比常规针刺法有更明显的临床疗效,临床上值得推广。

Objective To observe curative effect of acupuncture therapy with sticking and vibrating of needle at Anmian point in the treatment of insomnia,and evaluate its value for extension and application. Methods One hundred and nineteen cases with insomnia in our hospital between January,2015 and February,2016 were enrolled and randomly distributed into two groups： observation group（ 62 cases） and control group（ 57 cases）. The observation group was received sticking and lifting of needle plus vibrating technique at Anmian point,while the control group was received conventional Electroacupuncture treatment after arrival of Qi at Zhaohai（ KI6）,Shenmai（ BL62）,Zusanli（ ST36）,Sanyinjiao（ SP6）,Shenmen（ HT7）,Baihui（ DU20）,Neiguan（ PC6）,Sishencong（ EX-HN1）. The clinic effect was evaluated with the Pittsburgh Sleep Quality Index（ PSQI） by comparing the rating score of each factor and total score. Results The total effective rate was88. 7% in the observation group and 71. 9% in the control group,there were significant differences between two groups（ Z =-2. 634,P〈0. 05）. Comparing the scores of each factor and total scores between pre and post acupuncture treatment,there were statistically significant differences in the scores of each factor and total scores in PSQI in the observation group（ P〈0. 05）. There were statistically significant differences in the scores of sleep quality,sleep latency,sleep duration,sleep efficiency factors in PSQI in control group（ P〈0. 05）. Comparing the scores between two groups,there was no statistically significant difference in the scores of each factor and the total scores before the acupuncture treatment（ P〈0. 05）,however,there were statistically significant differences in the scores of sleep quality,sleep disturbance,daytime dysfunction factors and total scores in PSQI after the treatment（ P〈0. 05）,and there was no statistically significant difference in the scores of sleep latency,sleep duration,sleep efficiency,use of sleep medication factor in PSQI after the acupuncture treatment（ P〉0. 05）. Conclusion The curative effect of the treatment on insomnia by Sticking and lifting of needle plus vibrating technique at Anmian point is more significant than the conventional treatment method. This technique is worth promoting in clinic.