针刺治疗中老年失眠症的临床研究

Clinical observation on acupuncture for treating middle or elderly aged patients with insomnia

关键词:  针刺疗法  失眠  疗效评价

Key words:  acupuncture therapy  insomnia  effect-evaluating

摘要:

[目的]对针刺疗法治疗失眠症的疗效进行系统评价。[方法]将60例患者随机分为治疗组和对照组,每组各30例。针刺组主穴为神门,百会,四神聪,风池,安眠穴,随症加减。对照组:口服艾司唑仑片。在治疗前后进行一般疗效评定、匹兹堡睡眠质量指数评定和床垫式睡眠监测系统评定。[结果]两组均能改善失眠患者主观睡眠质量,入睡时间,睡眠效率,且差异无显著性(P>0.05);针刺组在改善失眠患者睡眠障碍和日间功能以及深睡眠方面优于口服舒乐安定组(P<0.01);口服舒乐安定组在睡眠时间的改善上优于针刺组(P<0.05)。[结论]针刺疗法能明显改善失眠患者临床症状,并能提高睡眠质量。

Abstract:

[Objective] To systemically evaluate the effect of the acupuncture therapy on the patients with insomnia.[Methods] Sixty cases of insomnia were randomly divided into treatment group and control group with 30 cases in each.The patients of acupuncture group was treated with acupuncture at Shenmen(HT 7),Baihui(DU 20),Sishencong(EX-HN 1),Fengchi(GB 20),Anmian acupoint etc.The patients of medicine group was treated with oral administration of Estazolamum troches.The changes of clinical symptoms,the result of PSQI and the result of the micro-movement sensitive mattress sleep monitoring system were compared before and after treatment of the two groups.[Results] After treatment,subjective sleep quality,sleep latency and habitual sleep efficiency were significantly improved in both groups(P<0.01),and there were no significant differences between two groups(P>0.05).The improvement of sleep disturbance,daytime dysfunction and deep sleep quality in the acupuncture group were superior to that in the medicine group(P <0.01).The improvement of sleep duration in the medicine group was superior to that in the acupuncture group.[Conclusion] The acupuncture therapy can significantly improve the clinical symptoms and sleeping quality of the insomniac patients.