头针治疗失眠研究进展

Research Progress of Head Acupuncture in Treatment of Insomnia

失眠以睡眠的起始和维持障碍为特征,从而导致睡眠质和量的下降,并引起日间活动功能障碍。现代医学对失眠的干预措施较为局限,以行为认知疗法和西药为主,认知行为疗法具有局限性,而西药长期服用可能会有严重的副反应。作为针灸的重要组成部分,头针对失眠的治疗有操作简单、取效迅速、无副反应的优越性。本研究从基础和临床应用研究两方面进行文献综述,既包括头针作用机制的基础研究,又涵盖单纯头针,头针结合体穴针刺、灸法、皮肤针、电针、穴位埋线等治疗方法的临床综合应用研究。对研究进展进行总结,存在问题进行评述,未来研究方向进行展望,以期为提高临床头针治疗失眠疗效提供有科学价值的参考。

Insomnia is characterized by the disorders of the onset and maintenance of sleep,leading to a decline in sleep quality and quantity,and a daytime activity disorder. Modern medical interventions for insomnia are limited to cognitive behavioral therapy and western medicine,while patients with long-term medication may suffer serious side effects. As an important part of acupuncture,head acupuncture has advantages of simple operation,quick effect and no side effects. The research reviews from two aspects of basic mechanism and clinical application,including basic research of head acupuncture mechanism,and clinical studies on the application of simple head acupuncture,head acupuncture combined with body acupuncture,moxibustion,percussopunctator,electropuncture,catgut embedding therapy and other therapies. The research progress was summarized,the existing problems were reviewed,and the future research direction was prospected,in order to provide scientific reference for improving the clinical efficacy of head acupuncture in the treatment of insomnia.