揿针结合耳穴对原发性失眠近期和远期疗效的临床评价

Clinical Evaluation on Short-term and Long-term of the Curative Effects of Press-needle Combined with Auricular Points for Primary Insomnia

目的:观察揿针结合耳穴治疗原发性失眠的近期及远期临床疗效。方法:将80例原发性失眠患者按随机数字表法分为观察组和对照组,每组40例。对照组予以艾司唑仑片,1 mg/次,睡前口服,观察组在对照组基础上加用揿针结合耳穴治疗,左右耳交替取穴。两组均隔日治疗1次,治疗30天。观察治疗前后的匹兹堡睡眠质量指数(PSQI)评分及失眠严重程度指数(ISI)评分,并评价临床疗效,在两组治疗结束1个月之后进行随访。结果:观察组治疗结束后及随访时的临床总有效率分别为92.5%与87.5%,高于对照组的82.5%与75%,差异均有统计学意义(P<0.05);治疗结束后及随访时两组PSQI评分、ISI评分较治疗前下降,差异均有统计学意义(P<0.05),组间治疗后同一时间点比较,观察组下降更明显,差异均有统计学意义(P<0.05)。结论:揿针结合耳穴治疗能改善原发性失眠患者睡眠质量,减轻失眠严重程度,具有良好的近期及远期疗效。

Objective： To observe the short-term and long-term curative effects of press-needle combined with auricular points for primary insomnia. Methods： 80 cases were randomly divided into the observation group and the control group according to a random digits table,40 cases in each group. The control group was given Estazolam tablets,1mg once a day before sleep. On this basis,the observation group was given press-needle combined with alternative auricular points. The two groups were treated every other day for 30 days. The Pittsburgh Sleep Quality Index（PSQI） and Insomnia Severity Index（ISI） were observed and analyzed comparatively,and the clinical curative effect was evaluated. Follow-up visit was conducted one month after treatment.Results： The total effective rates of the observation group were 92. 5% and 87. 5% after treatment and at follow-up,which were significantly higher than those the control group（P〈0. 05）. After the treatment and at follow-up,the PSQI and ISI were significantly lower than those before treatment in both groups（P〈0. 05）,in which the observation group were remarkably lower than those of control group at the same time（P〈0. 05）.Conclusion： Press-needle combined with auricular points therapy can improve sleep quality and reduce the severity of insomnia,which has good short-term and long-term curative effects.