摘要
目的根据多导睡眠脑电图分析,观察阴阳气血配穴针刺治疗失眠症的临床疗效。方法将75例失眠症患者随机分为治疗组38例和对照组37例。治疗组采用阴阳气血配穴针刺治疗,对照组采用口服艾司唑仑治疗。治疗2个疗程后,采用多导睡眠脑电图评估两组患者治疗前后睡眠变化情况,并比较两组临床疗效。结果两组治疗后睡眠进程各项指标(睡眠潜伏期、REM潜伏期、总睡眠时间以及睡眠效率)与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后NREM期时间和REM期时间与同组治疗前比较,差异均具有统计学意义(P<0.01)。对照组治疗后REM期时间与同组治疗前比较,差异具有统计学意义(P<0.01)。治疗组治疗后NREM期时间及REM期时间与对照组比较,差异均具有统计学意义(P<0.01)。治疗组治疗后NREM睡眠中S1期、S2期、S3期、S4期睡眠时间与同组治疗前比较,差异均具有统计学意义(P<0.01)。对照组治疗后NREM睡眠中S1期、S2期睡眠时间与同组治疗前比较,差异具有统计学意义(P<0.01,P<0.05)。治疗组治疗后NREM睡眠中S1期、S2期、S3期、S4期睡眠时间与对照组比较,差异均具有统计学意义(P<0.01)。治疗组总有效率为73.7%,对照组为75.7%,两组比较差异无统计学意义(P>0.05)。结论阴阳气血配穴针刺是一种治疗失眠症的有效方法,可优化失眠患者睡眠结构,提高患者睡眠质量。
Objective To observe the clinical efficacy of acupuncture with points selection based on yin-yang and qi-blood in treating insomnia by using polysomnography.Method Seventy-five insomnia patients were randomized into a treatment group of 38 cases and a control group of 37 cases. The treatment group was intervened by acupuncture with points selection based on yin-yang and qi-blood, while the control group was by oral administration of Estazolam. The polysomnography was used to assess sleep condition before and after 2 treatment courses, and the clinical efficacies were compared between the two groups.Result The sleep parameters [sleep latency, rapid eye movement （REM） latency, total sleep duration, and sleep efficiency） were significantly changed after the treatment in both groups （P〈0.01）. The Non-REM （NREM） and REM duration of the treatment group were significantly changed after the treatment （P〈0.01）. The REM duration of the control group was significantly changed after the treatment （P〈0.01）. After the treatment, the NREM and REM durations of the treatment group were significantly different from that of the control group （P〈0.01）. The sleep durations in S1, S2, S3, and S4 stages during NREM were significantly changed in the treatment group after the intervention （P〈0.01）. The sleep duration in S1, S2 during NREM was markedly changed in the control group after the intervention （P〈0.01 ,P〈0.05）. After the treatment, the sleep durations in S1, S2, S3, and S4 during NREM of the treatment group were significantly different from that of the control group （P〈0.01）. The total effective rate was 73.7% in the treatment group versus 75.7% in the control group, and the difference was statistically insignificant （P＆gt;0.05）.Conclusion Acupuncture with points selection based on yin-yang and qi-blood is effective in treating insomnia, and it can improve the sleep structure and quality.
出处
《上海针灸杂志》
2015年第11期1034-1037,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
东贵荣全国名老中医药专家传承工作室
东贵荣上海市名老中医学术经验研究工作室(ZYSNXD-CC-MZY005)
关键词
针刺疗法
失眠症
多导睡眠脑电图
配穴法
Acupuncture therapy
Insomnia
Polysomnography
Acupuncture with points selection
