内关和足三里穴位埋线对海洛因戒断后焦虑和睡眠障碍的影响

Effect of Acupoint Thread-embedding at Neiguan(PC6) and Zusanli(ST36) on Anxiety and Sleep Disorders After Heroin Withdrawal

目的观察内关、足三里穴位埋线对海洛因戒断后焦虑和睡眠障碍的影响。方法将67例海洛因成瘾者随机分为内关组(25例)、足三里组(22例)、联合组(内关加足三里组,20例),20 d治疗1次,共治疗4次。采用焦虑自评量表(SAS)和匹兹堡睡眠质量量表(PSQI),观察3组治疗前后焦虑和睡眠情况。结果埋线60 d后,3组SAS总分和标准分、入睡时间和PSQI总分较治疗前显著减少(P<0.05),睡眠时间显著延长(P<0.05);其中,在改善焦虑比较中,联合组>内关组>足三里组(P<0.05);在改善睡眠比较中,联合组疗效优于足三里组、内关组(P<0.05);足三里组、内关组疗效比较差异无统计学意义(P>0.05)。结论内关、足三里、内关加足三里穴位埋线对海洛因戒断后焦虑和睡眠障碍均有疗效,其中穴位组合疗效优于单穴,说明穴位组合产生协同治疗效应。

Objective To observe the effect of acupoint thread-embedding at Neiguan（PC6） and Zusanli（ST36） on anxiety and sleep disorders after heroin withdrawal. Method Sixty-seven patients with heroin addiction were randomized into a Neiguan group（25 cases）, a Zusanli group（22 cases） and a Neiguan plus Zusanli group（20 cases）, to receive corresponding treatments once every 20 d, for 4 sessions in total. The Self-rating Anxiety Scale（SAS） and Pittsburgh Sleep Quality Index（PSQI） were adopted to observe the anxiety and sleep condition before and after the treatment. Result After 60 d thread-embedding treatment, the total and standard SAS scores, sleep initiation time and total PSQI score were significantly decreased in the 3 groups（P〈0.05）, and the sleep durations were significantly extended（P〈0.05）; in comparing the improvement of anxiety, Neiguan plus Zusanli group〉 Neiguan group〉 Zusanli group（P〈0.05）; in comparing the improvement of sleep, Neiguan plus Zusanli group was superior to both Zusanli group and Neiguan group（P〈0.05）, while there was no significant difference between Zusanli group and Neiguan group（P〈0.05）. Conclusion It＇s effective to use thread-embedding at Neiguan and Zusanli independently or together for anxiety and sleep disorders after heroin withdrawal, but the efficacy is more significant when the two points are used in combination, indicating the synergy of acupoints.