[“安神针法”对心脾两虚型失眠患者睡眠质量的影响]

[Effect of "tranquilization needling" on the sleep quality in patients with insomnia of heart-spleen deficiency type].

作者信息

Yan Xing-ke, Zhang Yan, Yu Lu, Yang Bo, Chen Cheng, Wang Fu-chun

机构信息

College of Acu-moxibustion, Changchun University of Chinese Medicine, Changchun 130117, China.

出版信息

Zhen Ci Yan Jiu. 2010 Jun;35(3):222-5.

PMID:20848900

Abstract

OBJECTIVE

To observe the effect of "Tranquilization Needling" (TN) and acupuncture of "Eight Confluence Acupoints" (ECA) on Pittsburgh Sleep Quality Index (PSQI) in patients with insomnia of the deficiency type of both heart and spleen.

METHODS

A total of 60 insomnia patients with the deficiency of both heart and spleen were randomly divided into TN group and ECA group. For patients of TN group, Sishencong (EX-HN 1), Shenmen (HT 7) and Sanyinjiao (SP 6) were punctured, and for those of ECA group, Shenmai (BL 62) and Zhaohai (KI 6) were punctured, once daily for 40 sessions. The PSQI score was used to assess the changes of the patients' sleeping quality.

RESULTS

After the treatment, of the two 30 cases of TN group and ECA group, 12 (40.0%) and 7 (23.3%) were cured, 11 (36.7%) and 10 (33.3%) experienced marked improvement, 5 (16.6%) and 8 (26.7%) had an improvement, and 2 (6.7%) and 5 (16.7%) failed, with the total effective rates being 93.3% and 83.3% respectively. The effective rate of TN group was significantly higher than that of ECA group (P < 0.05). Self-comparison showed that PSOI scores of the sleeping quality, ramp duration, sleep efficiency and the total PSQI score in these two groups all declined significantly after the treatment (P < 0.05, P < 0.01), and the scores of ramp duration and the total PSQI score of TN group were evidently lower than those of ECA group (P < 0.05). After the treatment, the integrative scores of symptoms of two groups both decreased significantly (P < 0.01), and the integrative score of TN group was remarkably lower than that of ECA group (P < 0.05).

CONCLUSION

Both TN and acupuncture of ECA can effectively improve insomnia patients' clinical symptoms, and the therapeutic effect of TN is more effective than that of ECA in shortening ramp duration and the total PSQI score.

摘要

目的

观察“静息针法”（TN）与针刺“八脉交会穴”（ECA）对心脾两虚型失眠患者匹兹堡睡眠质量指数（PSQI）的影响。

方法

将60例心脾两虚型失眠患者随机分为TN组和ECA组。TN组患者针刺四神聪（EX-HN 1）、神门（HT 7）和三阴交（SP 6），ECA组患者针刺申脉（BL 62）和照海（KI 6），每日1次，共治疗40次。采用PSQI评分评估患者睡眠质量的变化。

结果

治疗后，TN组和ECA组各30例患者中，治愈分别为12例（40.0%）和7例（23.3%），显效分别为11例（36.7%）和10例（33.3%），有效分别为5例（16.6%）和8例（26.7%），无效分别为2例（6.7%）和5例（16.7%），总有效率分别为93.3%和83.3%。TN组有效率显著高于ECA组（P<0.05）。自身比较显示，两组治疗后睡眠质量、入睡时间、睡眠效率及PSQI总分均显著下降（P<0.05，P<0.01），且TN组入睡时间及PSQI总分明显低于ECA组（P<0.05）。治疗后，两组症状积分均显著下降（P<0.01），且TN组积分显著低于ECA组（P<0.05）。