摘要
目的:探索治疗顽固性失眠症的较佳疗法。方法:将符合标准的700例顽固性失眠症患者随机分为观察组(368例)和对照组(332例)。观察组采用"调阴阳五脏配穴针刺法"治疗,穴取大椎、申脉、关元、照海、膈俞、五脏俞。对照组采用"镇静安神配穴针刺法",取百会、四神聪、安眠、神门、三阴交等穴。均每日治疗1次,10次为一疗程,治疗4个疗程后,两组从临床疗效和匹兹堡睡眠质量指数(PSQI)进行对比评价。结果:观察组总有效率为92.6%(338/365),优于对照组的73.1%(242/331,P<0.05)。治疗后两组PSQI均有明显降低(均P<0.05),观察组的降低程度优于对照组(P<0.05)。结论:"调阴阳五脏配穴"针刺治疗顽固性失眠症疗效优于"镇静安神配穴"治疗者,是治疗本症的较佳疗法。
Objective To explore a more optimal therapy for intractable insomnia. Methods Seven hundred cases of intractable insomnia that were in accordance with the criteria were randomly divided into an observation group （368 cases） and a control group （332 cases）. The acupuncture prescription of regulating yiwyang and five viscera was applied in the observation group, where Dazhui （GV 14）, Shenmai （BL 62）, Guanyuan （CV 4）, Zhao- hai （KI 6）, Geshu （BL 17）, etc. were selected. The acupuncture prescription of tranquilizing mind was applied in the control group, where Baihui （GV 20）, Sishencong （EX-HN 1）, Anmian （Extra）, Shenmen （HT 7）, Sanyin- jiao （SP 6） were selected. The treatment was given once a day, ten times of which made a session. After the treat- ment for 4 sessions, the clinical efficacy and Pittsburgh sleep quality index （PSQI） were compared between two groups. Results The total effective rate was 92.6% （338/365） in the observation group, which was superior to 73.1 % （242/331） in the control group （P〈0.05）. The PSQI score was obviously decreased in two groups after the treatment （both P〈0.05）, in which the decreasing in the observation group was superior to that in the control group （P〈0.05）. Conclusion The acupuncture prescription of regulating yin-yang and five viscera has better effect for intractable insomnia, which could be considered as a more optimal therapy.
出处
《中国针灸》
CAS
CSCD
北大核心
2013年第7期591-594,共4页
Chinese Acupuncture & Moxibustion
关键词
顽固性失眠症
配穴
调阴阳五脏
配穴
镇静安神
针刺
intractable insomnia
acupoint prescription
regulating yin-yang and five viscera
acupoint pre- scription
tranquilizing mind
acupuncture
