不同穴位组合治疗绝经后失眠的疗效比较：一项随机对照试验

[Efficacy comparison of different points combination in the treatment of menopausal insomnia: a randomized controlled trial].

作者信息

Yang Song-Bai, Mei Zhi-Gang, Cai San-Jin, Lei Hua-Ping, Sun Cheng-Hong, Chen Ling, Zhou Chuang

出版信息

Zhongguo Zhen Jiu. 2014 Jan;34(1):3-8.

PMID:24673043

Abstract

OBJECTIVE

To compare the efficacy of different points combination in the treatment of menopausal insomnia.

METHODS

Ninety-six cases of menopausal insomnia were randomized into 3 groups, Xinshu (BL 15), Shenshu (BL 23), Sishencong (EX-HN 1), Shenmen (HT 7), Sanyinjiao (SP 6) were chosen in the restore interaction between the heart and the kidney group (group A, 32 cases); Zhaohai (KI 6), Jiaoxin (KI 8), Shenmai (BL 62), Pucan (BL 61) were chosen in the acupuncturing qiao mai group (group B, 32 cases); auricular Shenmen (TF4) and sensitive spot at the distribution area of auricular vagus nervus were chosen in the ear acupuncture group (group C, 32 cases). Six days made one session and the treatments were finished after 4 courses. The polysomnography (PSG) and Pittsburgh sleep quality index (PSQI) were employed before and after treatment to evaluate the alleviation of insomnia.

RESULTS

The parameters of the sleep latency (SL), rapid wave sleep latency (RL) and sleep efficiency (SE) were significantly improved in the three groups, and the differences were statistically significant (P < 0.05, P < 0.01). The SL and awaking time (AT) in group C [SL (401.08 +/- 16.54) min and AT (4.87 +/- 2.64) times] were significantly superior to those in the other two groups [SL (50.36 +/- 18.47) min, (54.87 +/- 20.92) min, AT (5.98 +/- 2.11) times, (6.13 +/- 3.04) times, all P < 0.05]. The S(3+4) (%) in group C was also significantly higher than those in the other two groups (both P < 0.05). It was indicated by PSQI that the sleep quality of group C (0.78 +/- 0.12) was significantly superior to that in group B (1.32 +/- 0.29), the total score and cured and markedly effective rate in group C [(4.34 +/- 1.43), 68.8% (22/32)] were superior to those in group A [(7.48 +/- 3.09), 53.1% (17/32), both P < 0.05].

CONCLUSION

Ear acupuncture has a better curative effect than the restore interaction between the heart and the kidney group and acupuncturing qiao mai group, it is worth of being promoted.

摘要

目的

比较不同穴位组合治疗绝经后失眠的疗效。

方法

将96例绝经后失眠患者随机分为3组，心肾相交组（A组，32例）选取心俞（BL 15）、肾俞（BL 23）、四神聪（EX-HN 1）、神门（HT 7）、三阴交（SP 6）；针刺跷脉组（B组，32例）选取照海（KI 6）、交信（KI 8）、申脉（BL 62）、仆参（BL 61）；耳针组（C组，32例）选取耳神门（TF4）及耳迷走神经分布区敏感点。6天为1个疗程，治疗4个疗程后结束。治疗前后采用多导睡眠图（PSG）及匹兹堡睡眠质量指数（PSQI）评估失眠改善情况。

结果

3组患者的睡眠潜伏期（SL）、快波睡眠潜伏期（RL）及睡眠效率（SE）参数均显著改善，差异有统计学意义（P<0.05，P<0.01）。C组的SL及觉醒次数（AT）[SL（401.08±16.54）min，AT（4.87±2.64）次]显著优于其他两组[SL（50.36±18.47）min，（54.87±20.92）min，AT（5.98±2.11）次，（6.13±3.04）次，均P<0.05]。C组的S（3+4）（%）也显著高于其他两组（均P<0.05）。PSQI显示，C组的睡眠质量（0.78±0.12）显著优于B组（1.32±0.29），C组的总分及痊愈显效率[（4.34±1.43），68.8%（22/32）]优于A组[（7.48±3.09），53.1%（17/32），均P<0.05]。