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[除针疗法治疗失眠的疗效观察]

[Observation on therapeutic effect of Chuzhen therapy on insomnia].

作者信息

Hu You-ping, Li Hong, Yin Chong, Wang You-jun, Luo Rong

机构信息

College of Acupuncture and Massage, Chengdu University of TCM, Chengdu 610075, China.

出版信息

Zhongguo Zhen Jiu. 2009 May;29(5):365-9.

Abstract

OBJECTIVE

To evaluate the therapeutic effect of Chuzhen therapy on insomnia through clinical randomized controlled trials.

METHODS

Sixty cases of insomnia were randomly divided into a Chuzhen group (n=30) and an acupuncture group (n=30). Acupoints of Bazhen (Baihui Bazhen, Fengfu Bazhen, Shendao Bazhen) and Hechelu [from Dazhui (GV 14) to Mingmen (GV 4)] in the Chuzhen group, and Baihui (GV 20), Sishencong (EX-HN 1), etc. in the acupuncture group were selected, respectively. Four weeks treatments were carried out in the two groups, once daily for 5 times on week days. Three months after treatment, they were followed up and the therapeutic effects were assessed by the effective rate of sleep improvement and Pittsburgh Sleep Quality Index (PSQI).

RESULTS

After treatment, the sleep quality in the two groups was improved, but there were no differences in the effective rate of sleep improvement and PSQI between the two groups (all P > 0.05). Three months after treatment, the total effective rate of 85.2% in the Chuzhen group was better than 78.6% in the acupuncture group (P < 0.05). The total cumulative score of PSQI, sleep effectiveness and the factors of sleep obstacle in the Chuzhen group were significantly different from those in the acupuncture group (all P < 0.05).

CONCLUSION

Chuzhen therapy can increase long-term sleep quality and living quality through improving the effective rate of sleep and reducing the score of PSQI in the patients of insomnia.

摘要

目的

通过临床随机对照试验评估触诊疗法对失眠症的治疗效果。

方法

将60例失眠患者随机分为触诊组(n = 30)和针刺组(n = 30)。触诊组选取八阵(百会八阵、风府八阵、神道八阵)和河车路[从大椎(GV 14)至命门(GV 4)]穴位,针刺组分别选取百会(GV 20)、四神聪(EX-HN 1)等穴位。两组均进行为期四周的治疗,工作日每天治疗1次,每周治疗5次。治疗三个月后进行随访,通过睡眠改善有效率和匹兹堡睡眠质量指数(PSQI)评估治疗效果。

结果

治疗后,两组睡眠质量均有所改善,但两组在睡眠改善有效率和PSQI方面无差异(均P > 0.05)。治疗三个月后,触诊组总有效率85.2%优于针刺组的78.6%(P < 0.05)。触诊组PSQI的总累积评分、睡眠效率及睡眠障碍因子与针刺组相比有显著差异(均P < 0.05)。

结论

触诊疗法可通过提高失眠患者的睡眠有效率和降低PSQI评分,提高长期睡眠质量和生活质量。

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