调督安神针法联合刺络拔罐治疗肝火扰心型失眠的疗效观察

Clinical observation of Tiaodu Anshen acupuncture combined with blood-letting cupping therapy on liver fire harassing heart type of insomnia

目的观察调督安神针法联合刺络拔罐治疗肝火扰心型失眠的临床疗效。方法将121例肝火扰心型失眠患者随机分为2组。治疗组61例予调督安神针法联合刺络拔罐治疗;对照组60例予常规针刺法联合刺络拔罐治疗。2组均治疗4周后统计疗效,并比较2组治疗前后匹兹堡睡眠质量指数(PSQI)评分变化情况,包括睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍及日间功能障碍。结果治疗组愈显率78.69%,总有效率91.80%,对照组愈显率55.00%,总有效率88.33%,2组总有效率相当(P>0.05),但治疗组愈显率高于对照组(P<0.05);2组治疗后PSQI睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍各项评分及总分与本组治疗前比较均明显降低(P<0.05),治疗后治疗组PSQI入睡时间与睡眠时间评分及总分均低于对照组(P<0.05)。结论调督安神针法联合刺络拔罐治疗肝火扰心型失眠疗效确切,可明显提高临床愈显率,减少患者入睡时间,增加睡眠时间,提高睡眠质量。

Objective To observe the clinical effect of Tiaodu Anshen acupuncture combined with blood-letting cupping therapy on liver fire harassing heart type of insomnia.Methods 121 patients with liver fire harassing heart type of insomnia were randomly divided into two groups,61 cases in treatment group were treated by Tiaodu Anshen acupuncture combined with blood-letting cupping therapy,63 cases in control group were treated by conventional acupuncture combined with blood-letting cupping therapy.The clinical efficacy of both groups were evaluated after 4 weeks of treatment,and the changes of Pittsburgh Sleep Quality Index（PSQI） scores before and after the two groups were compared,including sleep quality,sleep latency,sleep time,sleep efficiency,sleep disturbance and daytime dysfunction.Results The markedly effective rate and total effective rate respectively were 78.69 % and91.80 % of the treatment group.For the control group,the markedly effective rate and total effective rate respectively were 55.00 % and 88.33 %.The total effective rate of the two groups was comparable（P〈 0.05）,but the markedly effective rate of the treatment group was higher than of the control group（P〈 0.05）.After treatment,the sleep quality,sleep latency,sleep time,sleep efficiency,sleep disturbance,and daytime dysfunction scores and total scores of PSQI in the two groups were significantly lower than those in the group before treatment（P〈 0.05）.After treatment,the sleep latency and sleep time scores and total scores of the PSQI of treatment group were lower than those of the control group（P〈 0.05）.Conclusion Tiaodu Anshen acupuncture combined with blood-letting cupping therapy in the treatment of liver fire harassing heart type of insomnia has exact effect,which can significantly improve the markedly effective rate,reduce the patient＇s sleep latency,increase sleep time and improve sleep quality.