背部走罐治疗失眠症的临床研究

Clinical Study on Back Slide Cupping in Treating Insomina

目的:观察背部走罐治疗失眠症的临床疗效。方法:将60例患者随机分为观察组和对照组,每组30例。观察组采用走罐加假针刺治疗,对照组采用口服药物加假针刺治疗,两组均治疗4周,分别于治疗前及治疗结束后对患者进行匹兹堡睡眠指数量表(pittsburgh sleep quality index,PSQI)评估并观察临床疗效。结果:观察组完成治疗29例,对照组完成治疗28例。总有效率观察组为79.31%(23/29),对照组为82.14%(23/28),两组比较差异无统计学意义(P>0.05)。PSQI各维度评分及总分治疗前后两组组内比较,差异有统计学意义(P<0.05);治疗后两组组间比较差异也有统计学意义(P<0.05)。观察组不良反应发生率为10.3%(3/29),对照组不良反应发生率为32.1%(9/28),两组比较差异有统计学意义(P<0.05)。观察组有2例患者因疼痛不愿接受相应治疗,对照组有10例患者因担心药物不良反应及有可能产生依赖性,不愿意接受相应治疗。两组比较差异有统计学意义(P<0.05)。结论:背部走罐治疗失眠疗效肯定,不良反应少,患者接受度高。

Objective:To observe clinical effects of back slide cupping in the treatment of insomina.Methods:Sixty patients were randomized into the observation group and the control group,30 cases each group.The observation group adopted slide cupping and sham acupuncture,and the control group oral medicine and sham acupuncture,both groups were treated for four weeks,the patients were evaluated using PSQI before and after treating respectively,to observe clinical effects.Results:A total of 29 cases finished the therapy in the observation group,and 28 cases in the control group.Total effective rate of the observation group was 79.31%(23/29),lower than 82.14%(23/28)of the control group,and the difference had no statistical meaning between both groups(P>0.05).The difference had statistical meaning in different dimensional scores of PSQI scores and total scores within two groups before and after treating(P<0.05);the difference had statistical meaning between both groups after treating(P<0.05).The incidence of adverse reaction in the observation group was 10.3%(3/29),higher than 32.1%(9/28)of the ocntrol group,and the difference showed statistical meaning(P<0.05).Two patients were reluctant to accept the corresponding therapy because of pain in the observation group,ten patients were reluctant to accept the corresponding therapy because they worried about adverse reaction and potential compliance in the control group.The difference had statistical meaning between both groups(P<0.05).Conclusion:Back slide cupping could obtain definite clinical effects in treating insomina with minor adverse reaction and high acceptability.