调神和胃针法治疗脾胃不和型失眠临床研究

Clinical Research on Regulating Shen and Disharmonizing Stomach in the Treatment of Insomnia of Disharmony of Spleen and Stomach

目的:观察调神和胃针法治疗脾胃不和型失眠的临床疗效。方法:将60例脾胃不和型失眠患者随机分为调神和胃针法组(治疗组)和传统针刺组(对照组),各30例。治疗组给予调神和胃针法治疗,对照组采用传统针刺方法治疗,两组均每天1次,10次为1个疗程。观察两组临床疗效、治疗前后匹兹堡睡眠质量指数量表(PSQI)、阿森斯失眠量表(AIS)评分及血清中5-羟色胺(5-HT)、P物质(SP)水平变化。结果:治疗组总有效率为93.33%(28/30),对照组总有效率为80.00%(24/30),两组差异有统计学意义(P<0.01)。与治疗前比较,两组PSQI评分和AIS评分均下降,差异具有统计学意义(P<0.01),且治疗组显著低于对照组(P<0.05)。治疗后两组血清5-HT较治疗前升高(P<0.01),且治疗组高于对照组(P<0.05);SP水平较治疗前降低(P<0.01),且治疗组低于对照组(P<0.05)。结论:调神和胃针法治疗脾胃不和型失眠较传统针刺法具有更好的疗效,并可以调节患者血清中5-HT、SP水平,值得在临床上推广。

Objective:To observe the clinical effect of regulating Shen and disharmonizing Stomach acupuncture in the treatment of insomnia of disharmony of Spleen and Stomach.Methods:60 insomnia patients met the inclusion criteria were randomly divided into the treatment group(n=30)and the control group(n=30).The treatment group was given the regulating Shen and harmonizing Stomach acupuncture,whereas the control group was treated with traditional acupuncture.Both groups were treated once a day,l0 times for a course of treatment,with 2 days of rest between courses.The scores of PSQI and AIS,as well as the serum levels of 5-HT and SP were observed before and after the treatment in the two groups.The clinical efficacy was compared between the two groups.Results:The total effective rate was 93.33%(28/30)in the treatment group,which was significantly higher than 80.00%(24/30)in the control group(P<0.01).The scores of PSQI and AIS were significantly decreased after the treatment compared to those before the treatment in both groups(P<0.01);of which the decreases were more significant in the treatment group than those in the control group(P<0.05).The serum level of 5-HT was increased and the serum level of SP was decreased after the treatment in the two groups(P<0.01);of which the improvements were more significant in the treatment group(P<0.05).Conclusion:The acupuncture of regulating Shen and harmonizing Stomach has better effect on insomnia belonging to the pattern of disharmony of Spleen and Stomach.It can regulate the serum levels of 5-HT and SP.This therapy is worthy of clinical promotion.