调神和胃针刺法治疗原发性失眠的临床疗效评价研究

Evaluation of clinical effect of regulating the mind and stomach acupunct ure on primary insomnia

目的:本研究基于《黄帝内经》营卫理论,认为营卫循行失调为失眠的基本病机,以调和营卫立法,采用调神和胃法针刺治疗原发性失眠症,旨在客观评价其临床疗效及优越性。方法:从临沂市中医医院针灸科及脑病科就诊病例中筛选90例失眠患者,按完全随机原则分为调神和胃组、常规针刺组及西药组。分别给予调神和胃针刺治疗、常规针刺治疗及西药治疗。治疗4周后,运用睡眠质量指数量表(PSQI)、生存质量量表(WHOQOL-BREF)对各组进行评分,评价各组的临床疗效。结果:三组的PSQI评分均较治疗前降低(P<0.05),WHOQOL-BREF评分均较治疗前升高(P<0.05),组间比较有统计学差异(P<0.05)。结论:调神和胃针刺法从整体调治方面入手,能明显改善原发性失眠患者的临床症状,提高其生活质量。

Objective:Based on the theory of Ying Wei in Huangdi Neijing,this study considered the disorder of Ying Wei circulation as the basic pathogenesis of insomnia.In order to harmonize the legislation of Ying Wei,acupuncture with the method of regulating the spirit and stomach was adopted to treat primary insomnia,so as to objectively evaluate its clinical efficacy and superiority.Methods:90 patients with insomnia were selected from the acupuncture and moxibustion department and encephalopathy department of Linyi Hospital of Traditional Chinese Medicine,and were randomly divided into Tiaoshen and stomach group,routine acupuncture group and western medicine group.The patients were treated with acupuncture,conventional acupuncture and western medicine respectively.After 4 weeks of treatment,the sleep quality Index scale(PSQI)and Quality of Life scale(WHOQOL-BREF)were used to score each group,and the clinical efficacy of each group was evaluated.Results:The PSQI score of the three groups was decreased compared with that before treatment(P<0.05),and the WHOQOL-BREF score was increased compared with that before treatment(P<0.05),with statistical difference between groups(P<0.05).Conclusion:From the aspect of overall regulation and treatment,the mind-regulating and stomach-acupuncture can obviously improve the clinical symptoms of patients with primary insomnia and improve their quality of life.