经络辨证与脏腑辨证对针灸治疗不寐的疗效比较

Comparison of Meridian Syndrome Differentiation and Viscera Syndrome Differentiation in the Treatment of Insomnia

目的:观察经络辨证与脏腑辨证对针灸治疗不寐的疗效影响。方法:将70例不寐患者随机分为经络辨证组和脏腑辨证组。经络辨证组在治疗前对患者进行经络辨证,脏腑辨证组按照脏腑辨证进行辨证,根据辨证选取相应配穴。两组均每周治疗3次,4周为1个疗程。治疗前后进行临床疗效评定、匹兹堡睡眠质量指数(PSQI)评分、CPC-睡眠质量评分、经络状态的检测。结果:经过治疗,经络辨证组的临床总有效率、PSQI评分、睡眠质量评分与脏腑辨证组比较均有统计学意义(P<0.05);经络辨证组的阴/阳比值更接近于1。结论:针灸治疗不寐运用经络辨证较运用脏腑辨证能更有效地改善不寐患者的睡眠质量,并且能更好地平衡人体的阴阳状态,进而改善人体的经络状态。

Objective:To observe the effect of meridian syndrome differentiation and viscera syndrome differentiation in the treatment of insomnia.Methods:70patients were randomly divided into the meridian syndromes differentiation group(group A)and the viscera syndrome differentiation group(group B).Points were chosen according to different syndrome differentiation.The treatment was three times a week for four weeks.Clinical efficacy,Pittsburgh sleep quality index(PSQI),CPC-sleep quality,and the meridian status were evaluated before and after the treatment.Results:There were significant differences after the treatment between the two groups in terms of clinical efficiency,and scores of PSQI and CPC-sleep quality(P<0.05);negative and positive ratio was more closer to1in group A.Conclusion:Acupuncture therapy for insomnia can achieve better effect based on meridian syndrome differentiation,it can improve the sleep quality of insomnia patients,balance Yin and Yang state of the body more effectively.