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头穴埋线联合足底按摩治疗难治性失眠的临床观察

[Clinical observation on acupoint catgut embedding at head-acupoint combined with massage of sole for treatment of refractory insomnia].

作者信息

Wei Yi

机构信息

Department of Acupuncture and Rehabilitation, The First Affiliated Hospital of Baotou Medical College of Inner Mongolia, Baotou 014010, China.

出版信息

Zhongguo Zhen Jiu. 2010 Feb;30(2):117-20.

Abstract

OBJECTIVE

To assess the clinical therapeutic effect of acupoint catgut embedding at head-acupoint combined with massage of sole on refractory insomnia.

METHODS

Forty-nine cases were randomly divided into an observation group (n=25) and a control group (n=24). The observation group was treated with acupoint catgut embedding at Baihui (GV 20), Shenting (GV 24), Sishencong (EX-HN 1), etc. combined with massage of sole; the control group was treaded with oral administration of Estazolam. The clinical therapeutic effects and scores for Pittsburgh Sleep Quality Index (PSQI) were assessed before and after treatment in the two groups.

RESULTS

The total effective rate was 92.0% (23/25) in the observation group and 83.3% (20/24) in the control group with a significant difference between the two groups (P < 0.05). After treatment, there were significant differences in scores for various factor in the PSQI (P < 0.05, P < 0.01), except day time functional state in the control group. The improvements of sleep quality, time duration of patients going into sleep, sleep disorder and daytime functional state in the observation group were superior to those in the control group (P < 0.05, P < 0.01). The control group was superior to the observation group in the prolongation of hours of sleep (P < 0.05).

CONCLUSION

Acupoint catgut embedding at head-acupoint combined with massage of sole can obviously improve sleeping quality and daytime functional state of the patients with insomnia.

摘要

目的

评估头部穴位埋线联合足底按摩治疗顽固性失眠的临床疗效。

方法

将49例患者随机分为观察组(n = 25)和对照组(n = 24)。观察组采用百会(GV20)、神庭(GV24)、四神聪(EX-HN1)等穴位埋线联合足底按摩治疗;对照组采用口服艾司唑仑治疗。评估两组治疗前后的临床疗效及匹兹堡睡眠质量指数(PSQI)评分。

结果

观察组总有效率为92.0%(23/25),对照组为83.3%(20/24),两组差异有统计学意义(P < 0.05)。治疗后,两组PSQI各因子评分差异有统计学意义(P < 0.05,P < 0.01),对照组日间功能状态因子除外。观察组睡眠质量、入睡时间、睡眠障碍及日间功能状态的改善情况优于对照组(P < 0.05,P < 0.01)。对照组在延长睡眠时间方面优于观察组(P < 0.05)。

结论

头部穴位埋线联合足底按摩能明显改善失眠患者的睡眠质量和日间功能状态。

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