摘要
目的观察针刺治疗原发性失眠两组常用选穴处方的临床疗效和安全性,对针刺治疗原发性失眠的选穴处方进行优化。方法采用随机对照研究方法将90例原发性失眠症患者随机分为针刺1组、针刺2组、西药对照组,每组30例,应用Spiegel睡眠量表评定临床疗效。结果针刺1组总有效率为89.3%,针刺2组总有效率为93.1%,西药对照组总有效率为86.2%,3组比较差异无统计学意义(P>0.05);治疗后,针刺1组Spiegel睡眠量表总分与针刺2组比较差异有统计学意义(P<0.05),针刺1组Spiegel睡眠量表总分与西药对照组比较差异无统计学意义(P>0.05),针刺2组Spiegel睡眠量表总分与西药对照组比较差异有统计学意义(P<0.05),提示针刺2组治疗后疗效最好。结论针刺治疗失眠具有较好疗效,与西药对照组疗效相当,甚至优于西药对照组,而且针刺2组疗效优于针刺1组,其处方可作为针刺治疗失眠的基础选穴处方。
Objective To observe the clinical efficacy and safety of two acupoint prescriptions in acupuncture treatment of primary insomnia,for optimizing the acupoint prescription in acupuncture treatment of primary insomnia.Method Using randomized controlled research method,90 patients with primary insomnia were randomized into acupuncture group 1,acupuncture group 2 and a control group of Western medication,with 30 cases in each group.Spiegel sleep questionnaire was used to evaluate the clinical efficacy.Result The total effective rate was 89.3%in acupuncture group 1,93.1%in acupuncture group 2,and 86.2%in the control group of Western medication,and the differences among the three groups were statistically insignificant(P>0.05).After treatment,the general score of Spiegel sleep questionnaire in acupuncture group 1 was significantly different from that in acupuncture group 2(P<0.05);there was no significant difference comparing the general score of Spiegel sleep questionnaire between acupuncture group 1 and the control group of Western medication(P>0.05);the general score of Spiegel sleep questionnaire in acupuncture group 2 was significantly different from that in the control group of Western medication(P<0.05),indicating that the efficacy in acupuncture group 2 was the best.Conclusion Acupuncture can produce satisfactory efficacy in treating insomnia.It is equivalent or even superior to the control group of Western medication.Acupuncture group 2 is superior to acupuncture group 1 comparing the therapeutic efficacy,and its prescription can be taken as the basic acupoint prescription in acupuncture treatment of insomnia.
作者
皮燕
杨英
唐源
王政研
谢幂
PI Yan;YANG Ying;TANG Yuan;WANG Zheng-yan;XIE Mi(Sichuan Integrative Medicine Hospital,Chengdu 610041,China;Liangshan Health School,Xichang 615000,China)
出处
《上海针灸杂志》
2020年第4期436-439,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
四川省中医药管理局科研基金课题(2014B079)。
关键词
针刺疗法
处方
针灸
睡眠障碍
失眠症
Spiegel睡眠量表
Acupuncture therapy
Prescription,Acupuncture-moxibustion
Sleep disturbance
Insomnia
Spiegel sleep questionnaire
