百会、四神聪深刺长留针法对调控血压及睡眠时间的增效作用的临床观察

Clinical observation on the synergistic effect of acupuncture of Baihui and Sishencong needled deeply for a long time on regulation of blood pressure and sleep time

[目的]观察比较活血散风针法与活血散风针法辅以百会、四神聪深刺、长留针对高血压病伴失眠患者血压和睡眠时间的影响差异。[方法]将64例原发性高血压病合并失眠患者随机分为对照组和观察组,每组各32例。两组在服用原有降压药物治疗的基础上,对照组采取活血散风针法,观察组则在对照组的基础上辅以百会、四神聪深针刺、长留针治疗(沿皮刺入20~32 mm,留针5 h),每组均治疗30次,分别在治疗10、20、30次后观察比较患者的血压、睡眠时间的变化,以及治疗前与治疗30次后的匹兹堡睡眠质量指数量表(PSQI)总分的变化。[结果]两组治疗后血压值与睡眠时间较治疗前均有所改善(P<0.05),观察组在降压、延长实际睡眠时间、改善整体睡眠情况方面明显优于对照组(P<0.05);两组在降压总有效率及显效率比较方面,观察组总有效率为96.4%,对照组为89.3%,差异无统计学意义(P>0.05);观察组显效率为89.3%,对照组显效率为57.1%,差异有统计学意义(P<0.05)。[结论]活血散风针法可降低高血压病伴失眠患者的血压,延长实际睡眠时间,改善整体睡眠情况;加刺百会、四神聪对活血散风针法在改善睡眠与降低血压方面有明显的增效作用。

[Objective]To observe and compare the effects of Huoxue Sanfeng acupuncture method and Huoxue Sanfeng acupuncture method supplemented by Baihui,Sishencong deep acupuncture on blood pressure and sleep time in patients with hypertension and insomnia.[Methods]The 64 patients with primary hypertension and insomnia were randomly divided into control group and observation group,with 32 cases in each group.In the two groups,on the basis of taking the original antihypertensive drug treatment,the control group adopted the acupuncture method of Huoxue Sanfeng,while the observation group was supplemented with Baihui and Sishencong deep acupuncture and long stay acupuncture(along the skin puncture 20 to 32mm,needle retention for 5 h),each group was treated 30 times,and the changes in blood pressure and sleep time were observed and compared after treatment 10 times,20 times,and 30 times,as well as changes in the total score of the PSQI scale before and after treatment 30 times.[Results]The blood pressure and sleep time after treatment were both improved(P<0.05),and the observation group was superior to the control group(P<0.05)in reducing blood pressure,extending actual sleep time,and improving overall sleep conditions.In the two groups,the total effective rate was 96.4%in the observation group and 89.3%in the control group.There was no statistically significant difference(P>0.05).The significant efficiency was 89.3%in the observation group and 57.1%in the control group.The difference was statistically significant(P<0.05).[Conclusion]The blood pressure of patients with insomnia can be reduced by the method of Huoxue Sanfeng,and the actual sleep time can be prolonged.Acupuncture Baihui and Sishencong have a significant increase in Huoxue Sanfeng acupuncture in improving sleep and reducing blood pressure effect.