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头皮针刺治疗失眠:一项随机对照试验

[Scalp penetration acupuncture for insomnia: a randomized controlled trial].

作者信息

Zhou Zhang-ling, Shi Xian, Li Shao-dan, Guan Ling

机构信息

Department of Acupuncture and Moxibustion, General Hospital of People's Liberation Army, Beijing 100853, China.

出版信息

Zhong Xi Yi Jie He Xue Bao. 2010 Feb;8(2):126-30. doi: 10.3736/jcim20100206.

Abstract

BACKGROUND

Insomnia has become a threat to public health, and acupuncture has shown an advantage in treatment of insomnia with good efficacy and few side effects.

OBJECTIVE

To observe the therapeutic effects of scalp penetration acupuncture for insomnia.

DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: A total of 70 insomnia cases meeting inclusion criteria from Department of Acupuncture and Moxibustion, General Hospital of People's Liberation Army were randomly divided into routine acupuncture group and scalp penetration acupuncture group. There were 32 cases in the scalp penetration acupuncture group, and 34 cases in the routine acupuncture group, for four cases lost to follow-up. The insomnia patients were all treated for four weeks.

MAIN OUTCOME MEASURES

The therapeutic effects, cumulative scores of Pittsburgh Sleep Quality Index (PSQI) and contents of sleep architecture were compared before and after treatment in the two groups.

RESULTS

The total response rate of 90.6% in the scalp penetration acupuncture group was higher than 73.5% in the routine acupuncture group (P<0.05), and the improvements of PSQI cumulative scores in sleep quality, sleep time and sleep efficiency in the scalp penetration acupuncture group were superior to those in the routine acupuncture group (P<0.05, P<0.01). The total sleep time and deep sleep time of sleep architecture in the scalp penetration acupuncture group significantly increased as compared with those in the routine acupuncture group (P<0.01).

CONCLUSION

The therapeutic effects of scalp penetration acupuncture are better than those of routine acupuncture, especially for improving sleep quality, sleep time and sleep efficiency.

摘要

背景

失眠已成为公共卫生威胁,针刺疗法在治疗失眠方面显示出优势,疗效好且副作用少。

目的

观察头针透刺治疗失眠的疗效。

设计、地点、参与者和干预措施:解放军总医院针灸科符合纳入标准的70例失眠患者随机分为常规针刺组和头针透刺组。头针透刺组32例,常规针刺组34例,4例失访。所有失眠患者均接受4周治疗。

主要观察指标

比较两组治疗前后的疗效、匹兹堡睡眠质量指数(PSQI)累积评分及睡眠结构内容。

结果

头针透刺组总有效率90.6%高于常规针刺组的73.5%(P<0.05),头针透刺组在睡眠质量、睡眠时间和睡眠效率方面PSQI累积评分的改善优于常规针刺组(P<0.05,P<0.01)。头针透刺组睡眠结构中的总睡眠时间和深睡眠时间与常规针刺组相比显著增加(P<0.01)。

结论

头针透刺的疗效优于常规针刺,尤其在改善睡眠质量、睡眠时间和睡眠效率方面。

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