芒针“疏利三焦”针刺法治疗卒中后失眠临床观察

Clinical observation on the “Soothe and Regulate the Sanjiao” needling technique with long filiform needles for post-stroke insomnia

关键词:  卒中后失眠  芒针  疏利三焦法  临床观察

Key words:  insomnia after stroke  elongated needle  method of soothing and regulating the Sanjiao  clinical observation

摘要:

[目的] 探究芒针“疏利三焦”法治疗卒中后失眠的临床疗效。[方法] 采用随机数字表法，将入选的98例卒中后失眠患者随机划分为治疗组与对照组，治疗组予芒针“疏利三焦”针刺法，对照组予毫针“疏利三焦”针刺法，观察两组患者治疗前后匹兹堡睡眠质量指数（PSQI）、失眠严重程度指数（ISI）及中医证候积分，验证不同针刺深度治疗卒中后失眠有效性及安全性。[结果] 治疗后数据表明，两组患者的PSQI、ISI及中医症状量表总分均呈现下降趋势，但治疗组的评分下降更为明显，与对照组相比存在统计学差异（P<0.05）。此外，在体现整体疗效的总有效率指标上，治疗组同样具有显著优势（P<0.05）。[结论] 芒针“疏利三焦”法能明显改善卒中后失眠患者睡眠质量，提高其生活质量。

Abstract:

[Objective] To investigate the clinical efficacy of the “soothing and regulating the Sanjiao” technique with long filiform needles in the treatment of post-stroke insomnia. [Methods] By using the random number table method，98 enrolled patients with post-stroke insomnia were randomly divided into a treatment group and a control group. The treatment group received the “Soothe and Regulate the Sanjiao” needling technique with long filiform needles，while the control group received the same needling technique with conventional filiform needles. The Pittsburgh Sleep Quality Index，Insomnia Severity Index，and Traditional Chinese Medicine syndrome scores were observed before and after treatment in both groups to verify the efficacy and safety of different needling depths in the treatment of post-stroke insomnia. [Results] After treatment，data showed that the total scores of PSQI，ISI and TCM symptom scale in both groups exhibited a downward trend，whereas the decreases in the treatment group were more significant，with statistically significant differences compared with the control group（P<0.05）. In addition，the treatment group also showed a remarkable advantage in the total effective rate，which reflected the overall therapeutic effect（P<0.05）. [Conclusion] The “Soothe and Regulate the Sanjiao” technique with long filiform needles can significantly improve sleep quality and quality of life in patients with post-stroke insomnia.