基于“脑为髓海”理论运用头皮针治疗原发性失眠症的临床效果

Clinical effect of scalp acupuncture in the treatment of primary insomnia based on the theory of“brain as marrow sea”

目的基于“脑为髓海”理论运用头皮针治疗原发性失眠症,评估其效果。方法选取2021年2月至2022年7月就诊于安徽省芜湖市中医医院针灸科门诊及住院治疗的原发性失眠患者90例,按照随机数字表法将其分为头皮针组、常规针刺组及西药组,每组30名,分别予以头皮针治疗、常规针刺治疗及口服艾司唑仑片治疗。每组均治疗2个疗程。比较治疗前与治疗后各组睡眠量表评分、中医证候积分及临床效果。结果头皮针组与常规针刺组匹兹堡睡眠质量指数量表(PSQI)评分及中医证候积分在时间点比较及交互作用,差异有统计学意义(P<0.05)。组内比较:治疗后、随访时头皮针组与常规针刺组PSQI评分及中医证候积分均较治疗前降低,差异有统计学意义(P<0.05);组间比较:头皮针组与常规针刺组PSQI评分及中医证候积分比较,差异无统计学意义(P>0.05)。头皮针组与西药组PSQI评分及中医证候积分在组间比较、时间点比较及交互作用,差异有统计学意义(P<0.05)。组内比较:治疗后、随访时头皮针组和西药组PSQI评分及中医证候积分均较治疗前降低,差异有统计学意义(P<0.05);组间比较:治疗后、随访时头皮针组PSQI评分及中医证候积分低于西药组,差异有统计学意义(P<0.05)。头皮针组临床疗效优于西药组,差异有统计学意义(P<0.05),头皮针组与常规针刺组临床疗效比较,差异无统计学意义(P>0.05)。结论对于原发性失眠症的治疗,头皮针具有直接作用、选穴精当等优势,能有效地改善原发性失眠症患者临床症状,提高生活质量,可进一步临床推广。

Objective To evaluate the effect of scalp acupuncture in the treatment of primary insomnia based on the theory of“brain as marrow sea”.Methods A total of 90 primary insomnia patients admitted to the Department of Acupuncture and Moxibustion,Wuhu Hospital of Traditional Chinese Medicine,Anhui Province,from February 2021 to July 2022 were selected and divided into scalp acupuncture group,conventional acupuncture group,and western medicine group according to random number table method,with 30 patients in each group.Scalp acupuncture treatment,conventional acupuncture treatment,and oral Esazolam Tablets were respectively given.Each group was treated for two courses.the sleep scale scores,traditional Chinese medicine syndrome scores,and clinical efficacy of each group were compared before and after treatment.Results The time point comparison and interaction of Pittsburgh sleep quality index(PSQI)score and traditional Chinese medicine syndrome score between scalp acupuncture group and conventional acupuncture group were statistically significant(P<0.05).Intra-group comparison:after treatment and during follow-up,PSQI scores and traditional Chinese medicine syndrome scores of scalp acupuncture group and conventional acupuncture group were lower than those before treatment,and the differences were statistically significant(P<0.05).Comparison between groups:there were no statistical significances in PSQI score and traditional Chinese medicine syndrome score between scalp acupuncture group and conventional acupuncture group(P>0.05).The PSQI score and traditional Chinese medicine syndrome score of scalp acupuncture group and western medicine group were compared between groups,time point comparison and interaction,and the differences were statistically significant(P<0.05).Intra-group comparison:after treatment and during follow-up,PSQI score and traditional Chinese medicine syndrome score of scalp acupuncture group and western medicine group were lower than those before treatment,and the differences were statistically significant(P<0.05).Comparison between groups:after treatment and during follow-up,PSQI score and traditional Chinese medicine syndrome score of scalp acupuncture group were lower than those of western medicine group,and the differences were statistically significant(P<0.05).The clinical effect of scalp acupuncture group was better than that of western medicine group,and the difference was statistically significant(P<0.05),but there was no statistically significant difference in clinical effect between scalp acupuncture group and conventional acupuncture group(P>0.05).Conclusion For the treatment of primary insomnia,scalp acupuncture has the advantages of direct action and precise acupoint selection,which can effectively improve the clinical symptoms of primary insomnia patients,improve the quality of life,and further clinical promotion.