中医针刺治疗失眠的疗效探讨

Discussion on the curative effect of TCM acupuncture on insomnia

目的:研究中医针刺治疗对失眠症的效果观察。方法:选取2018年10月-2019年11月在重庆市大渡口区人民医院就诊的失眠症患者75例作为研究对象,随机将其分为研究组(38例)和常规组(37例)。常规组给予常规药物治疗,研究组在此基础上使用针刺方法进行治疗。比较两组患者的临床疗效,干预前后血流速度、睡眠状况,以及干预后疗效。结果:干预后,研究组有效率为94.73%(36/38)显著高于常规组75.67%(28/37),差异具有统计学意义(P <0.05);干预前两组患者椎动脉、基底动脉收缩峰期血流速度比较差异无统计学意义(P> 0.05),干预后研究组患者椎动脉、基底动脉收缩峰期血流速度显著高于常规组(P <0.05),干预前两组睡眠总时间、睡眠效率、睡眠维持度、睡眠潜伏期、异相睡眠Para-sleep也称快相睡眠(Rapid Eyes Movement,REM)潜伏期、REM睡眠比例、夜间觉醒次数、总觉醒时间比较差异无统计学意义(P> 0.05),干预后研究组睡眠总时间、睡眠效率、睡眠维持度、REM潜伏期显著高于常规组(P <0.05),同时干预后研究组睡眠潜伏期、REM睡眠比例、总觉醒时间、夜间觉醒次数显著低于常规组(P <0.05)。结论:对失眠症患者使用针刺疗法,较药物治疗能有效提高治疗效果,能改善患者血流速度,改善睡眠质量,提高患者生活质量,值得临床推广。

Objective:To study the effect of TCM acupuncture on insomnia.Methods:75 patients with insomnia from October 2018 to November 2019 were randomly divided into study group(38 cases)and routine group(37 cases).The routine group was given routine drug treatment,and the study group used acupuncture on this basis.to compare the clinical efficacy of the two groups,blood flow velocity before and after intervention,sleep status,and after intervention.Results:after intervention,the effective rate of the study group 94.73%(36/38)was significantly higher than that of the conventional group 75.67%(28/37),and the difference was statistically significant(P<0.05).Intervention in the former two groups of patients with vertebral artery and basilar artery systolic peak flow velocity was no significant difference(P>0.05),and after the intervention group patients with vertebral artery and basilar artery systolic peak flow velocity is significantly higher than normal group(P<0.05),intervention in the first two group total sleep time,sleep efficiency,incubation period,the incubation period of sleep,REM sleep maintenance degrees,the proportion of REM sleep,wake up at night times,the general awakening time was no significant difference(P>0.05),after the intervention group total sleep time,sleep efficiency,maintain and REM sleep incubation period is significantly higher than normal group(P<0.05),At the same time,after the intervention,the study group had significantly lower sleep latency,REM sleep proportion,total waking time and nighttime waking times than the normal group(P<0.05).Conclusion:acupuncture therapy for insomnia patients can effectively improve the therapeutic effect,improve the blood flow speed,improve the quality of sleep and improve the quality of life of patients,which is worthy of clinical promotion.