泻南补北针法治疗心肾不交型失眠症的临床研究

The Clinical Research on Reducing South and Reinforcing North Needling Method Treating of The Imbalance between Heart-yang and Kidney-yin Type of Insomnia

目的:观察泻南补北针法治疗心肾不交型失眠症的临床疗效。方法:将60例符合标准的受试对象按照随机分配为泻南补北针法组和单纯针刺组,每组各30例。治疗组接受泻南补北针法,对照组接受单纯针刺,两组均每周治疗3次,隔日一次,3周为1疗程。治疗结束后评定疗效,观察治疗前后心肾不交症状评分表、匹兹堡睡眠质量指数(PSQI)总分及各因子评分的变化。结果:治疗结束后,泻南补北针法组匹兹堡睡眠质量指数较治疗前明显下降(P<0.01),组间差异有统计学意义(P<0.01)。患者中医症状计分比较,差异有统计学意义(P<0.01)。且泻南补北针刺组总有效率95.56%;单纯针刺组总有效率80.00%,治疗组有效率高于对照组,差异有统计学意义(P<0.01),临床疗效治疗组优于对照组。结论:泻南补北针法组在临床总疗效方面、改善睡眠质量及中医症状方面均优于单纯针刺组,且安全无不良反应。

Objective:To observe the clinical curative effect of south and reinforcing north needling method to treat the imbalance between heart-yang and kidney-yin type of insomnia patients.Methods:The sixty standards-compliant subjects randomly assigned to the treatment group and the control group,30 cases in each group.The control group received general acupuncture,the treatment group received reducing south and reinforcing north needling method,both groups were treated for 3 times a week,every other day at a time,three weeks as a course of treatment.After treatment,the efficacy evaluation,to observe the TCM symptoms of the imbalance between heart-yang and kidney-yin type score sheet,the Pittsburgh Sleep Quality Index(PSQI)score and factor score changes before and after treatment.Results:After treatment,the Pittsburgh Sleep Quality Index of reducing south and reinforcing north needling method group compared with before treatment was significantly decreased(P<0.01),the difference between the two groups was statistically significant(P<0.01).At the end of treatment,the total effective rate was 95.56%.While in the control group,the total effective rate was 80.00%.The effective rate of the treatment group is higher than the control group,the difference between the two groups was statistically significant(P<0.01),the clinical curative effect of the treatment group is better than control group.Conclusions:The reducing south and reinforcing north needling method to treat the imbalance between heart-yang and kidney-yin type of insomnia patients,improving sleep quality and the TCM symptoms were better than the general acupuncture group,and safe with no side effects,suitable for promotion in clinical practice.