目的:观察催眠疗法联合乌灵胶囊治疗失眠症的临床疗效。方法:将72例失眠症患者按1∶1的比例随机分为两组。对照组给予乌灵胶囊(浙江佐力药业股份有限公司生产,国药准字Z19990048),1次3粒,1 d 3次,口服;治疗组在对照组治疗基础上给予催...目的:观察催眠疗法联合乌灵胶囊治疗失眠症的临床疗效。方法:将72例失眠症患者按1∶1的比例随机分为两组。对照组给予乌灵胶囊(浙江佐力药业股份有限公司生产,国药准字Z19990048),1次3粒,1 d 3次,口服;治疗组在对照组治疗基础上给予催眠疗法。两组均以8周为1个疗程,共治疗1个疗程。于治疗前、治疗第2,4,6,8周计算汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA),于治疗前、治疗后计算匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)、临床总体印象量表(clinical global impression scale,CGI)评分。结果:治疗第8周末,两组HAMA、PSQI、CGI评分均较治疗前降低,差别有统计学意义(P<0.05或P<0.01)。结论:催眠疗法联合乌灵胶囊对失眠症患者症状和睡眠的改善有效。展开更多
比较正念治疗(mindfulness therapy)和失眠症的认知行为治疗(cognitive behavior therapy for insomnia,CBTI)对门诊慢性失眠症患者的疗效。在门诊收集符合纳入和排除标准的慢性失眠症患者60例,按随机双盲的方法分为正念治疗组(MG)30例...比较正念治疗(mindfulness therapy)和失眠症的认知行为治疗(cognitive behavior therapy for insomnia,CBTI)对门诊慢性失眠症患者的疗效。在门诊收集符合纳入和排除标准的慢性失眠症患者60例,按随机双盲的方法分为正念治疗组(MG)30例和失眠症的认知行为治疗组(CG)30例。在入组当天、治疗第8周周末分别使用使用GDA-7、PHQ-9量表评估焦虑情绪,在入组当天、治疗第2周周末、第4周周末及第8周周末分别使用PSQI、ISI量表评估患者主观睡眠质量情况。结果表明:两组患者在年龄、性别、受教育程度、病程等方面差异均无显著性;入组当天两组患者GAD-7、PHQ-9、PSQI、ISI比较分别为(4.500±1.042 vs 4.700±1.055)、(4.167±1.392 vs 4.500±1.592)、(21.467±4.790 vs 21.433±4.014)、(16.467±3.758 vs 16.633±3.459),P>0.05,差异均无显著性;治疗第2周周末两组患者PSQI、ISI比较分别为(20.667±4.604 vs 13.200±5.416)、(16.200±3.605 vs 11.633±4.230),P<0.05,差异有显著性;治疗第4周周末两组患者PSQI、ISI比较分别为(13.967±4.038 vs 10.033±3.157)、(10.800±3.231 vs 7.700±2.793),P<0.05,差异有显著性;治疗第8周周末两组患者PSQI、ISI比较分别为(11.700±3.669 vs 10.633±3.489)、(7.900±2.564 vs 7.067±2.348),P>0.05,差异无显著性;治疗第8周周末两组患者GAD-7、PHQ-9比较分别为(3.433±1.382 vs 4.400±1.354)、(3.200±1.215 vs 3.900±1.373),P<0.05,差异有显著性。由此可见:正念治疗与失眠症的认知行为治疗对慢性失眠症患者较远期疗效相当,但正念治疗比失眠症认知行为治疗起效慢,正念治疗能改善慢性失眠症患者焦虑抑郁情绪。展开更多
Objective: To observe the therapeutic effect of acupuncture of body acupoints plus otopoint pellet-pressing for treatment of insomnia. Methods: A total of 198 cases of insomnia patients were observed. Straight inserte...Objective: To observe the therapeutic effect of acupuncture of body acupoints plus otopoint pellet-pressing for treatment of insomnia. Methods: A total of 198 cases of insomnia patients were observed. Straight inserted the filiform needles into Shenmen (HT 7), Neiguan (PC 6), Zhaohai (KI 6) and Zusanli (ST 36) and manipulated the needles with uniform reinforcing-reducing method, then otopoints as Ershenmen (MA-TF 1), Shen (MA-SC), Gan (MA-SC 5), etc. were stimulated by pressing the stuck vaccaria seeds. Ten treatments were considered as a therapeutic course. Results: Of the 198 cases, 65 (32%) were cured, 76 (38%) had remarkable improvement, 53 (26%) had improvement and 4 (2%) had no effect, with the total effective rate being 97%. Conclusion: Acupuncture of body acupoints plus otopoint pellet pressing works well in treatment of insomnia.展开更多
cases of insomnia of the type of heart and spleen deficiency were treated by acupuncture.Results indicated that 95 cases were cured,accounting for 95%;3 cases were markedly effective,accounting for 3% and the 2 cases ...cases of insomnia of the type of heart and spleen deficiency were treated by acupuncture.Results indicated that 95 cases were cured,accounting for 95%;3 cases were markedly effective,accounting for 3% and the 2 cases were ineffective,accounting for 2%,the total effective rate was 98%.展开更多
Objective： To observe the clinical effects of ZHAO＇s thunder-fire moxibustion in the treatment of insomnia in heart-spleen deficiency. Methods： 70 patients were randomly divided into two groups, 35 cases in the tre...Objective： To observe the clinical effects of ZHAO＇s thunder-fire moxibustion in the treatment of insomnia in heart-spleen deficiency. Methods： 70 patients were randomly divided into two groups, 35 cases in the treatment group, managed by thunder-fire moxibustion and acupuncture, 35 cases in the control group, managed by single acupuncture treatment. Results： The results showed cure in 8 cases, remarkable effect in 15 cases, effect in 10 cases, failure in 2 cases and the total effective rate in 91.4% in the treatment group, and cure in 4 cases, remarkable effect in 11 cases, effect in 11 cases, failure in 9 cases, and the total effective rate in 74.2% in the control group. The difference is statistically significant in comparison of the total effective rates between the two groups （P 〈 0.05）. Conclusion： Thunder-fire moxibustion gives a better therapeutic effect in the acupuncture treatment of insomnia in heart-spleen deficiency.展开更多
Objective:To observe the clinical efficacy of acupuncture for insomnia in perimenopausal women.Methods:According to simple randomized controlled principle,sixty female patients with perimenopausal insomnia were random...Objective:To observe the clinical efficacy of acupuncture for insomnia in perimenopausal women.Methods:According to simple randomized controlled principle,sixty female patients with perimenopausal insomnia were randomized into two groups:30 in the treatment group were intervened by acupuncture and the other 30 in the control group were intervened by taking sleeping pills.Therapeutic efficacies were compared between the two groups at the end of treatment.Results:The total effective rate was 100.0%in the treatment group versus 83.3%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Acupuncture has better therapeutic efficacy than taking sleeping pills in treating perimenopausal insomnia.展开更多
Objective: To evaluate the therapeutic effects of needle-rolling therapy for chronic insomnia. Methods: In the present multi-central randomly controlled clinical study, 180 cases of chronic insomnia were randomly divi...Objective: To evaluate the therapeutic effects of needle-rolling therapy for chronic insomnia. Methods: In the present multi-central randomly controlled clinical study, 180 cases of chronic insomnia were randomly divided into the following two groups, a treatment group (90 cases) treated by the needle-rolling therapy and a control group (90 cases) treated with clonopin. The treatment course for both the two groups was 4 weeks. The therapeutic effects were evaluated based on improvement of the TCM symptoms and the Pittsburgs's sleep-quality index (PSQI). Results: After treatment, there were significant differences between the two groups in the effective rate (P<0.05), and in the total score of PSQI and in the scores of the 4 sub-items, i.e. sleep-quality, sleep-efficiency, hypnotic and daytime function (P<0.05). Although there was no significant difference between the two groups in the effective rate after a 3-month follow-up period, significant differences still existed in the 3 sub-items of sleep-efficiency, hypnotic, and daytime function of the PSQI (P<0.05). Conclusion: As compared with hypnotics of the second generation, the needle-rolling therapy may show better therapeutic effects for chronic insomnia patients.展开更多
文摘比较正念治疗(mindfulness therapy)和失眠症的认知行为治疗(cognitive behavior therapy for insomnia,CBTI)对门诊慢性失眠症患者的疗效。在门诊收集符合纳入和排除标准的慢性失眠症患者60例,按随机双盲的方法分为正念治疗组(MG)30例和失眠症的认知行为治疗组(CG)30例。在入组当天、治疗第8周周末分别使用使用GDA-7、PHQ-9量表评估焦虑情绪,在入组当天、治疗第2周周末、第4周周末及第8周周末分别使用PSQI、ISI量表评估患者主观睡眠质量情况。结果表明:两组患者在年龄、性别、受教育程度、病程等方面差异均无显著性;入组当天两组患者GAD-7、PHQ-9、PSQI、ISI比较分别为(4.500±1.042 vs 4.700±1.055)、(4.167±1.392 vs 4.500±1.592)、(21.467±4.790 vs 21.433±4.014)、(16.467±3.758 vs 16.633±3.459),P>0.05,差异均无显著性;治疗第2周周末两组患者PSQI、ISI比较分别为(20.667±4.604 vs 13.200±5.416)、(16.200±3.605 vs 11.633±4.230),P<0.05,差异有显著性;治疗第4周周末两组患者PSQI、ISI比较分别为(13.967±4.038 vs 10.033±3.157)、(10.800±3.231 vs 7.700±2.793),P<0.05,差异有显著性;治疗第8周周末两组患者PSQI、ISI比较分别为(11.700±3.669 vs 10.633±3.489)、(7.900±2.564 vs 7.067±2.348),P>0.05,差异无显著性;治疗第8周周末两组患者GAD-7、PHQ-9比较分别为(3.433±1.382 vs 4.400±1.354)、(3.200±1.215 vs 3.900±1.373),P<0.05,差异有显著性。由此可见:正念治疗与失眠症的认知行为治疗对慢性失眠症患者较远期疗效相当,但正念治疗比失眠症认知行为治疗起效慢,正念治疗能改善慢性失眠症患者焦虑抑郁情绪。
文摘Objective: To observe the therapeutic effect of acupuncture of body acupoints plus otopoint pellet-pressing for treatment of insomnia. Methods: A total of 198 cases of insomnia patients were observed. Straight inserted the filiform needles into Shenmen (HT 7), Neiguan (PC 6), Zhaohai (KI 6) and Zusanli (ST 36) and manipulated the needles with uniform reinforcing-reducing method, then otopoints as Ershenmen (MA-TF 1), Shen (MA-SC), Gan (MA-SC 5), etc. were stimulated by pressing the stuck vaccaria seeds. Ten treatments were considered as a therapeutic course. Results: Of the 198 cases, 65 (32%) were cured, 76 (38%) had remarkable improvement, 53 (26%) had improvement and 4 (2%) had no effect, with the total effective rate being 97%. Conclusion: Acupuncture of body acupoints plus otopoint pellet pressing works well in treatment of insomnia.
文摘cases of insomnia of the type of heart and spleen deficiency were treated by acupuncture.Results indicated that 95 cases were cured,accounting for 95%;3 cases were markedly effective,accounting for 3% and the 2 cases were ineffective,accounting for 2%,the total effective rate was 98%.
文摘Objective： To observe the clinical effects of ZHAO＇s thunder-fire moxibustion in the treatment of insomnia in heart-spleen deficiency. Methods： 70 patients were randomly divided into two groups, 35 cases in the treatment group, managed by thunder-fire moxibustion and acupuncture, 35 cases in the control group, managed by single acupuncture treatment. Results： The results showed cure in 8 cases, remarkable effect in 15 cases, effect in 10 cases, failure in 2 cases and the total effective rate in 91.4% in the treatment group, and cure in 4 cases, remarkable effect in 11 cases, effect in 11 cases, failure in 9 cases, and the total effective rate in 74.2% in the control group. The difference is statistically significant in comparison of the total effective rates between the two groups （P 〈 0.05）. Conclusion： Thunder-fire moxibustion gives a better therapeutic effect in the acupuncture treatment of insomnia in heart-spleen deficiency.
基金supported by Rongcheng Hospital of Traditional Chinese MedicineShandong Province
文摘Objective:To observe the clinical efficacy of acupuncture for insomnia in perimenopausal women.Methods:According to simple randomized controlled principle,sixty female patients with perimenopausal insomnia were randomized into two groups:30 in the treatment group were intervened by acupuncture and the other 30 in the control group were intervened by taking sleeping pills.Therapeutic efficacies were compared between the two groups at the end of treatment.Results:The total effective rate was 100.0%in the treatment group versus 83.3%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Acupuncture has better therapeutic efficacy than taking sleeping pills in treating perimenopausal insomnia.
文摘Objective: To evaluate the therapeutic effects of needle-rolling therapy for chronic insomnia. Methods: In the present multi-central randomly controlled clinical study, 180 cases of chronic insomnia were randomly divided into the following two groups, a treatment group (90 cases) treated by the needle-rolling therapy and a control group (90 cases) treated with clonopin. The treatment course for both the two groups was 4 weeks. The therapeutic effects were evaluated based on improvement of the TCM symptoms and the Pittsburgs's sleep-quality index (PSQI). Results: After treatment, there were significant differences between the two groups in the effective rate (P<0.05), and in the total score of PSQI and in the scores of the 4 sub-items, i.e. sleep-quality, sleep-efficiency, hypnotic and daytime function (P<0.05). Although there was no significant difference between the two groups in the effective rate after a 3-month follow-up period, significant differences still existed in the 3 sub-items of sleep-efficiency, hypnotic, and daytime function of the PSQI (P<0.05). Conclusion: As compared with hypnotics of the second generation, the needle-rolling therapy may show better therapeutic effects for chronic insomnia patients.
