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针灸治疗失眠的疗效:一项随机临床试验。

Curative effect of acupuncture and moxibustion on insomnia: a randomized clinical trial.

机构信息

College of Acupuncture and Massage, Henan University of Traditional Chinese Medicine, Zhengzhou 450008, China.

出版信息

J Tradit Chin Med. 2013 Aug;33(4):428-32. doi: 10.1016/s0254-6272(13)60143-0.

Abstract

OBJECTIVE

To observe the effect of acupuncture and moxibustion on insomnia and explore its mechanism.

METHODS

One hundred and twenty patients were randomly divided into an experiment group and a control group. Sixty patients in the experiment group were treated once a day with acupuncture at Baihui (GV 20), Sishencong (EX-HN 1), Shenmai (BL 62), and Zhaohai (KI 6) and with moxibustion at Baihui (GV 20) and Sishencong (EX-HN 1). Sixty patients in the control group were acupunctured once a day at Shenmen (HT 7), Neiguan (PC 6), and Sanyinjiao (SP 6).The Pittsburgh Sleep Quality Index (PSQI) was used to compare sleep improvement between the two groups.

RESULTS

The total effective rate was 87.7% in the experiment group and 76.3% in the control group. The PSQI scores and the total score were lower after treatment than before treatment in both groups. However, the reduction in the experiment group was greater than that in the control group in sleeping quality, time to fall asleep, sleeping disorder, and daytime function (P < 0.05).

CONCLUSION

Acupuncture and moxibustion at Baihui (GV 20), Sishencong (EX-HN 1), Shenmai (BL 62), and Zhaohai (KI 6) significantly improved insomnia symptoms in the experiment group compared with the control group.

摘要

目的

观察针灸治疗失眠的疗效,并探讨其作用机制。

方法

将 120 例患者随机分为实验组和对照组,每组 60 例。实验组患者每日针刺百会(GV 20)、四神聪(EX-HN 1)、神门(HT 7)、内关(PC 6)、三阴交(SP 6),并施以艾条灸百会(GV 20)、四神聪(EX-HN 1);对照组患者每日针刺神门(HT 7)、内关(PC 6)、三阴交(SP 6)。采用匹兹堡睡眠质量指数(PSQI)比较两组患者的睡眠改善情况。

结果

实验组总有效率为 87.7%,对照组为 76.3%。两组治疗后 PSQI 评分及总分均低于治疗前,且实验组睡眠质量、入睡时间、睡眠障碍、日间功能评分的降低幅度大于对照组(P<0.05)。

结论

针刺百会(GV 20)、四神聪(EX-HN 1)、神门(HT 7)、内关(PC 6)、三阴交(SP 6)可显著改善失眠患者的睡眠症状,疗效优于对照组。

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