Zhou Liyan, Chu Xiaoyan, Tao Shanping, He Tianfeng, Duan Xidong, Song Yinhua, Ding Jinlei, Bing Xinghong
Department of Acupuncture and Moxibustion, Shanghai Jiading District Chinese Medicine Hospital, Shanghai 201800, China.
Zhongguo Zhen Jiu. 2017 Sep 12;37(9):947-50. doi: 10.13703/j.0255-2930.2017.09.009.
To observe the differences in the clinical therapeutic effects on insomnia of spleen and stomach disharmony pattern in comparison of the combination of acupoint catgut-embedding therapy and auricular point pressure with the simple application of auricular point pressure.
One hundred and eighty patients of insomnia of spleen and stomach disharmony pattern were randomized into an observation group (93 cases) and a control group (87 cases). In the observation group, the combination of acupoint catgut-embedding therapy and auricular point pressure was adopted. The acupoint catgut-embedding therapy was applied at Zhongwan (CV 12), Anmian (Extra), Xinshu (BL 15), Pishu (BL 20), Weishu (BL 21), Zusanli (ST 36), Yinlingquan (SP 9) and Sanyinjiao (SP 6), once every two weeks. The auricular point pressure was applied to Shenmen (TF), Pizhixia (AT), Xin (CO), Pi (CO), Wei (CO) on both sides alternatively, twice a week. The duration of treatment was 2 months for the two groups. In the control group, the auricular point pressure was simply used with the same points, manipulation and treatment duration as the observation group. After treatment, the clinical therapeutic effects were observed in the patients of the two groups. The Pittsburgh sleep quality index (PSQI) score was compared before and after treatment in the two groups. The recurrence was followed up in 3 months after the end of treatment.
It was observed that 2 cases were dropped out in the observation group, 4 cases in the control group. The dropped out cases were considered to be ineffective. After treatment, the total effective rate was 92.5% (86/93) in the observation group and was 80.5% (70/87) in the control group. The result in the observation group was better than that in the control group (<0.05). After treatment, PSQI scores were all reduced apparently in the two groups as compared with those before treatment (both <0.05). The score after treatment and the different value before and after treatment in the observation group were lower than those in the control group (both <0.05). In 3-month follow-up after treatment, the recurrence rate was 3.2% (3/93) in the observation group, which was lower than 13.8% (12/87) in the control group (<0.05).
In the treatment of insomnia of spleen and stomach disharmony pattern, the acupoint catgut-embedding therapy combined with auricular point pressure are superior to the simple application of auricular point pressure in the clinical therapeutic effects, improving sleep quality and reducing the recurrence rate.
观察穴位埋线联合耳穴压豆与单纯耳穴压豆治疗脾胃不和型失眠临床疗效的差异。
将180例脾胃不和型失眠患者随机分为观察组（93例）和对照组（87例）。观察组采用穴位埋线联合耳穴压豆治疗。穴位埋线选取中脘（CV 12）、安眠（奇穴）、心俞（BL 15）、脾俞（BL 20）、胃俞（BL 21）、足三里（ST 36）、阴陵泉（SP 9）、三阴交（SP 6），每两周1次。耳穴压豆选取双侧神门（TF）、脾下（AT）、心（CO）、脾（CO）、胃（CO），每周2次，两组治疗疗程均为2个月。对照组单纯采用耳穴压豆治疗，取穴、操作及疗程同观察组。治疗后观察两组患者临床疗效，比较两组治疗前后匹兹堡睡眠质量指数（PSQI）评分，治疗结束后随访3个月观察复发情况。
观察组脱落2例，对照组脱落4例，脱落病例按无效处理。治疗后，观察组总有效率为92.5%（86/9之），对照组为80.5%（70/87），观察组疗效优于对照组（P<0.05）。两组治疗后PSQI评分均较治疗前明显降低（均P<0.05），且观察组治疗后评分及治疗前后差值均低于对照组（均P<0.05）。治疗后3个月随访，观察组复发率为3.2%（3/93），低于对照组的13.8%（12/87）（P<0.05）。
在脾胃不和型失眠的治疗中，穴位埋线联合耳穴压豆在临床疗效、改善睡眠质量及降低复发率方面均优于单纯耳穴压豆。
