“和调督任安神法”治疗慢性失眠症临床研究

Clinical Study on the Treatment of Chronic Insomnia with‘He Tiao Du Ren An Shen’Method

目的:观察“和调督任安神法”治疗慢性失眠的临床疗效。方法:将符合纳入标准的107例患者随机分成观察组53例(脱落1例)及对照组54例(脱落2例)。观察组应用“和调督任安神法”治疗,对照组选择常规针刺疗法治疗,均治疗4周。分别观察两组患者的匹兹堡睡眠指数量表(PSQI)、失眠严重程度指数量表(ISI)和世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分变化,并于结束治疗6个月后观察其复发情况。结果:治疗4周后,观察组总有效率为92.31%(48/52),对照组总有效率为71.15%(37/52),观察组优于对照组(P<0.05)。治疗后两组患者的PSQI及ISI评分与治疗前相比均降低,随访后两组患者的PSQI及ISI评分与治疗后相比均降低,且观察组评分均低于对照组(P<0.05)。治疗后两组患者的WHOQOL-BREF评分与治疗前相比均升高,且观察组评分高于对照组(P<0.05)。结论:“和调督任安神法”治疗慢性失眠临床疗效显著,可有效提高患者生活质量,且能够降低复发率,作用持久稳定,具有临床推广价值。

Objective:To observe the clinical efficacy of‘He Tiao Du Ren An Shen’method in the treatment of chronic insomnia.Methods:107 patients who met the inclusion criteria were randomly divided into the observation group(n=53)and the control group(n=54).One case dropped in the observation group and 2 cases dropped in the control group.The observation group was treated with‘He Tiao Du Ren An Shen’method,and the control group was treated with conventional acupuncture,all patients were treated for 4 weeks.The score changes of the Pittsburgh Sleep Index(PSQI),Insomnia Severity Index(ISI)and World Health Organization Quality of Life Scale(WHOQOL-BREF)were observed in the two groups.The recurrence rate was observed 6 months after the treatment.Results:After 4 weeks of the treatment,the total effective rate of the observation group was 92.31%(48/52),which was significantly higher than 71.15%(37/52)of the control group(P<0.05).The scores of PSQI and ISI were significantly decreased after the treatment than those before the treatment in the two groups,and the decreases in the observation group were more significant(P<0.05).The score of WHOQOL-BREF was higher after the treatment than that before the treatment in the two groups,and the score of the observation group was higher than that of the control group(P<0.05).Conclusion:‘He Tiao Du Ren An Shen’method has a significant clinical effect in the treatment of chronic insomnia,it can effectively improve the quality of life of the patients and can reduce the recurrence rate with its long-lasting and stable effect,which has a significant value in clinical promotion.