针刺干预对失眠伴抑郁情绪的影响

Effects of acupuncture on insomnia with depression

目的:观察针刺治疗失眠伴抑郁情绪的临床疗效。方法:将60例符合纳入标准的患者随机分为针刺组和安慰针刺组,每组各30例。观察治疗前后两组匹兹堡睡眠质量指数(PSQI)、抑郁自评量表(SDS)变化。结果:针刺组治疗后总有效率90.00%,PSQI和SDS总分分别为4.73±2.72、40.70±6.02,与本组治疗前比较差异均有统计学意义(P<0.05);安慰针刺组治疗后总有效率17.24%,PSQI和SDS总分分别为13.48±1.80、62.24±7.44,与本组治疗前比较,仅睡眠效率、睡眠障碍及日间功能障碍差异有统计学意义(P<0.05)。两组间比较PSQI睡眠质量、睡眠时间项及SDS差异均有统计学意义(P<0.05)。结论:针刺可改善失眠症状和抑郁情绪,降低PSQI及SDS总分;安慰针刺仅对睡眠障碍及日间功能障碍有一定的改善作用。

Objective:To observe the clinical effect of acupuncture on insomnia with depression.Methods:Sixty eligible subjects were randomly divided into acupuncture group and placebo acupuncture group,30 cases in each group.The changes of Pittsburgh Sleep Quality Index(PSQI)and Self-Depression Rating Scale(SDS)in the two groups were observed before and after treatment.Results:The total effective rate of the acupuncture group after treatment was 90.00%,and the total scores of PSQI and SDS were 4.73±2.72 and 40.70±6.02,respectively,and the differences were statistically significant(P<0.05)compared with before treatment.After treatment,the total effective rate of the placebo acupuncture group was 17.24%,and the total scores of PSQI and SDS were 13.48±1.80 and 62.24±7.44,respectively.Except for the differences in sleep efficiency,sleep disturbance and daytime dysfunction(P<0.05).There were statistically significant differences in PSQI and SDS group(P<0.05).Conclusion:Acupuncture can improve the symptoms of insomnia and depression,and reduce the total score of PSQI and SDS.Placebo acupuncture can only improve conscious sleep disturbance and daytime dysfunction.