揿针埋五脏俞加膈俞治疗失眠的临床疗效

Clinical effect of press needle embedded in back-shu points of five zang and Geshu (BL 17) in treatment of insomnia

目的评价揿针埋五脏俞加膈俞治疗失眠的临床疗效。方法将66例失眠患者随机分为观察组和对照组各33例。观察组予五脏俞加膈俞埋揿针治疗,每次留针1 d,每周3次;对照组每晚口服艾司唑仑片1 mg,均治疗4周。治疗前后对患者进行匹兹堡睡眠质量指数(PSQI)量表评分,并记录不良反应。结果两组患者PSQI量表总分及各因子评分治疗后较治疗前下降(P <0.05),入睡时间评分减分值对照组大于观察组(P <0.05),日间功能评分减分值观察组大于对照组(P <0.05)。观察组总有效率80.00%,对照组总有效率72.41%,两组临床疗效差异无统计学意义(P> 0.05)。治疗过程中观察组不良反应少于对照组。结论揿针埋五脏俞加膈俞能改善失眠患者睡眠状况,且与艾司唑仑疗效相当。口服艾司唑仑片可能在缩短入睡时间方面更为有效,揿针埋五脏俞加膈俞可能在改善患者日间功能方面更具优势。

Objective To evaluate the clinical effect of press needle embedded in back-shu points of five zang and Geshu(BL 17)in the treatment of insomnia.Methods A total of 66 patients with insomnia were randomized into press needle group and drug group.The press needle group was treated with press needles at backshu points of five zang and Geshu(BL 17).The needle was embedded for 1 day,and the treatment was performed 3 times per week.The drug group took 1 mg Estazolam tablet orally every night.Both groups were treated for 4 weeks.Pittsburgh Sleep Quality Index(PSQI)was used before and after the treatment.The adverse reactions were recorded in the two groups.Results After the treatment,the total score of PSQI and the score of each factor of the two groups were lower than those before the treatment(P<0.05).The score reduction of sleep latency in the drug group was greater than that in the press needle group(P<0.05),and the daytime dysfunction score reduction in the press needle group was greater than that of the drug group(P<0.05).The total effective rate of the needle group was 80.00%,and that of the drug group was 72.41%,showing no statistical significance(P>0.05).During the treatment,there were less adverse reactions in the press needle group.Conclusion sPressing needle embedded in back-shu points of five zang and Geshu(BL 17)can improve the sleep of insomniacs,and its efficacy is equivalent to that of estazolam.Eestazolam may be more helpful with sleep latency but pressing needles may be more effective in improving daytime function.