“透针安神”法针刺治疗失眠的疗效及心率变异性分析

Efficacy of‘Penetration Needling and Calming Shen’Acupuncture in Treatment of Insomnia and Analysis of HRV

目的:观察“透针安神”法针刺治疗失眠的临床疗效并分析其心率变异性的变化情况。方法:选择符合纳入标准的原发性失眠患者60例按随机分组原则分为实验组和对照组,各30例,实验组以“透针安神”针法针刺治疗,对照组常规进行针刺治疗。每日治疗1次,6次为1个疗程,每疗程结束后暂停1日再继续下1个疗程,共4个疗程。于治疗前1 d、治疗后1 d分别以睡眠监测仪记录整晚睡眠,对两组患者治疗前后睡眠情况及心率变异性相关指标进行分析并比较。结果:治疗后,对照组入眠时间降低,总睡眠时间、睡眠有效率提高(P<0.05);实验组入眠时间、觉醒总次数均降低,总睡眠时间、Stable持续时间、REM持续时间、睡眠有效率均提高(P<0.05)。与对照组治疗后比较,实验组入眠时间更短,总睡眠时间更长,Stable、REM持续时间提高,睡眠有效率更高(P<0.05)。治疗后,对照组TP升高(P<0.05);实验组TP、LF、HF、LF/HF均升高(P<0.05)。实验组与对照组治疗后比较,LF、HF、LF/HF均升高(P<0.05)。实验组总有效率为96.67%(29/30),对照组总有效率为86.67%(26/30),两组比较有统计学意义(P<0.05)。结论:“透针安神”法针刺治疗失眠疗效显著且优于普通针刺,且对自主神经有良性调节作用。

Objective:To observe the clinical curative effect of‘penetration needling and calming Shen’acupuncture in the treatment of insomnia and to analyze the associated heart rate variability(HRV).Methods:60 patients with primary insomnia,who met the inclusion criteria,were randomly divided into the study group and the control group,with 30 patients in each group.The study group was treated with‘penetration needling and calming Shen’acupuncture,whereas the control group was treated with conventional acupuncture.The treatment was once per day for four courses,six times was taken as one course of treatment,and there was one day interval between each treatment course.Patients'sleep condition was recorded by sleep monitor all night one day before the treatment and one day after the treatment.Sleep condition and associated HRV were compared and analyzed between the two groups before and after the treatment.Results:After the treatment,the length of falling asleep was decreased,and the sleep duration and sleep efficacy rate were increased in the control group(P<0.05);the length of falling asleep and the total times of awakening were all decreased,whereas the total sleep time,Stable duration,REM duration and sleep efficiency were all increased in the study group(P<0.05).The length of falling asleep was shorter,the total sleep time,Stable duration and REM duration were longer,and the sleep efficacy was higher in the study group than those in the control group after the treatment(P<0.05).After the treatment,TP was higher in the control group(P<0.05),TP,LF,HF and LF/HF were all increased in the study group(P<0.05).LF,HF and LF/HF were higher in the study group than those in the control group after the treatment(P<0.05).The total effective rate was 96.67%(29/30)in the study group,which was significantly higher than 86.67%(26/30)in the control group(P<0.05).Conclusion:‘Penetration needling and calming Shen’acupuncture has a significant clinical curative effect in the treatment of insomnia,which is superior to conventional acupuncture.The therapy has a good regulation effect on autonomic nerve.