摘要
Objective： To observe the clinical efficacy of acupuncture plus bloodletting therapy in treating insomnia in people with blood stasis constitution. Methods： Seventy-two patients were randomized into a treatment group and a control group by using the random number table, 36 cases each. The treatment group received acupuncture plus bloodletting therapy, while the control group was intervened by oral administration of estazolam. One-week treatment was taken as a course, for 3 successive courses in total. A follow-up study was conducted 3 months later. The Pittsburgh sleep quality index （PSQI） was evaluated before and after the intervention, as well as in the follow-up. The clinical efficacies were also compared. Results： The total effective rate was 88.9% in the treatment group versus 83.3% in the control group, and the between-group difference was statistically significant （P〈0.O5）. After the intervention, the PSO.I scores dropped significantly in both groups （both P〈0.05）; the between-group difference in PSQI score was statistically significant （P〈O.05）. The follow-up study showed that the between-group difference in the global score of PSO, I was statistically significant （P〈0.05）. Conclusion： Acupuncture plus bloodletting therapy can produce a more significant efficacy than oral administration of estazolam in treating insomnia in people with blood stasis constitution.
目的:观察针刺结合放血疗法治疗血瘀体质人群失眠症的临床效果。方法:将72例患者按随机数字表法随机分为治疗组和对照组,每组36例。治疗组接受针刺结合放血疗法,对照组口服艾司唑仑。治疗1星期为1个疗程,连续治疗3个疗程,治疗结束3个月后进行随访。观察两组治疗前、治疗后及随访时匹兹堡睡眠质量指数(PSQI)评分变化,并比较临床疗效。结果:治疗组总有效率为88.9%,对照组为83.3%,两组临床疗效差异有统计学意义(P<0.05)。治疗后,两组PSQI评分均较同组治疗前明显降低(均P<0.05);两组PSQI总分差异有统计学意义(P<0.05)。随访时,两组PSQI总分差异有统计学意义(P<0.05)。结论:针刺结合放血疗法治疗血瘀体质人群失眠症疗效优于口服艾司唑仑。
