多针浅刺法配合通督调脊手法治疗慢性原发性失眠30例

Thirty Cases of Chronic Primary Insomnia Treated with Multiple-Needle Superficial Insertion in Combination with the Technique of Regulating the Spine Through Dredging the Governor Vessel

目的:观察多针浅刺法配合通督调脊手法治疗慢性原发性失眠的临床疗效。方法:选取2018年7月至2019年6月江门市五邑中医院针灸康复科门诊诊治的慢性原发性失眠患者60例,采用随机数字表法分为观察组和对照组,每组30例。对照组给予艾司唑仑片口服治疗,观察组给予多针浅刺法配合通督调脊手法治疗。观察两组患者治疗前后匹兹堡睡眠质量指数(pittsburgh sleep quality index,PSQI)与失眠严重程度指数量表(insomnia severity index,ISI),记录治疗过程中不良反应。结果:观察组治疗后PSQI与ISI评分低于对照组,差异有统计学意义(P<0.05),观察组治疗后2周PSQI与ISI评分与治疗后比较,差异无统计学意义(P>0.05),对照组治疗后2周PSQI、ISI评分较治疗后升高,差异有统计学意义(P<0.05);观察组有效率为93.3%,对照组有效率为70.0%,观察组高于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论:多针浅刺法配合通督调脊手法能改善慢性原发性失眠患者PSQI与ISI评分,提高患者睡眠质量,延长睡眠时间。

Objective:To observe the clinical curative effect of multiple-needle superficial insertion in combination with the technique of regulating the spine through dredging the governor vessel on chronic primary insomnia(CPI).Methods:A total of 60 patients with CPI treated in the outpatient department of Acupuncture and Rehabilitation Department of Wuyi Hospital of TCM of Jiangmen City from July 2018 to June 2019 were selected and divided into the observation group and the control group according to random number table method,with 30 cases in each group.The control group was treated with estazolam for oral administration,and the observation group was treated with multiple-needle superficial insertion in combination with the technique of regulating the spine through dredging the governor vessel.Before and after the treatment,Pittsburgh sleep quality index(PSQI)and insomnia severity index(ISI)were observed,and adverse reactions during the treatment course were recorded.Results:After treatment,the scores of PSQI and ISI in the observation group were lower than those in the control group,and all the differences were statistically significant(P<0.05).After 2 weeks of treatment,there was no significant difference in PSQI and ISI scores in the observation group compared with those before the treatment,but PSQI and ISI scores in the control group increased and there was significant difference compared with those before the treatment.The effective rate was 93.3%in the observation group and 70.0%in the control group.The difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Multiple-needle superficial insertion in combination with the technique of regulating the spine through dredging the governor vessel can improve the PSQI and ISI scores of patients with CPI,enhance the sleep quality and prolong the sleep time.