Zhang Sai, Jia Si-Han, Yang Li-Juan, Jin Zhi-Gao
Health Center of Renhe Town, Shunyi District, Beijing 101300, China.
Graduate School of Beijing University of Chinese Medicine, Beijing 100029.
Zhen Ci Yan Jiu. 2019 Jul 25;44(7):516-9. doi: 10.13702/j.1000-0607.180390.
To observe the therapeutic effect of body acupuncture combined with auricular acupuncture in the treatment of woman menopause insomnia induced by disharmony between the heart and kidney.
A total of 111 outpatients with menopausal insomnia were randomly divided into treatment group (＝55, body acupoints plus auricular points) and control group (＝56, body acupoints). For control group, Shenmen (HT7), Sanyinjiao (SP6), Anmian, Zhaohai (KI6), Shenmai (BL62), Sishencong (EX-HN1), Xinshu (BL15) and Shenshu (BL21) were needled with filiform needles, and HT7, SP6, Anmian, BL15 and BL21 were also stimulated with electroacupuncture (EA) for 30 min, once every other day, 3 times a week for 3 weeks. For the treatment group, auricular points as Kidney, Shenmen, Sympathetic and Endocrine around the ear canal and the ear cavity were punctured with filiform needles in combination with the same intervention methods mentioned above in the control group. The quality and efficiency of sleep were assessed by using Pittsburgh Sleep Quality Index (PSQI) scale before and after the treatment. The symptom scores of traditional Chinese medicine (TCM) and the therapeutic effect were determined according to the "Guide Principles for Clinical Research of New Drugs of TCM" (formulated by Chinese Ministry of Health, 1997).
After the treatment, the scores of sleep quantity and effective rate of PSQI scale, and those of insomnia and dreaminess, dysphoria with feverish sensation in chest, palms and soles, paplpitation and irritability, fatigue and forgetfulness of TCM were reduced significantly in both groups compared with their own pre-treatment (<0.05). Of the 56 and 55 cases in the control and treatment groups, 18 (32.1%) and 30 (54.5%) experienced a marked improvement in their symptoms, 28 (50.0%) and 22 (40.0%) were effective, and 10 (17.9%) and 3 (5.5%) failed, with the effective rate being 82.1% and 94.5%, respectively. The therapeutic effect of stimulation of the body acupoints plus auricular acupoints was significantly superior to that of stimulation of simple body acupoints in lowering scores of PSQI scale, insomnia and dreaminess, dysphoria with feverish sensation in chest, palms and soles, dizziness and tinninus, paplpitation and irritability, and tital fever and night sweating of TCM, as well as the effective rate (<0.05).
Both body acupuncture and body acupuncture combined with auricular acupuncture are effective in the treatment of woman menopause insomnia due to disharmony between the heart and kidney, and the two combined treatment was evidently better.
观察体针结合耳针治疗心肾不交型女性更年期失眠症的疗效。
将111例门诊更年期失眠患者随机分为治疗组（n＝55，体穴加耳穴）和对照组（n＝56，体穴）。对照组采用毫针针刺神门（HT7）、三阴交（SP6）、安眠、照海（KI6）、申脉（BL62）、四神聪（EX-HN1）、心俞（BL15）、肾俞（BL21），并对HT7、SP6、安眠、BL15、BL21进行电针刺激30分钟，隔日1次，每周3次，共3周。治疗组在对照组上述干预方法基础上，加用毫针针刺耳周及耳腔内的肾、神门、交感、内分泌等耳穴。治疗前后采用匹兹堡睡眠质量指数（PSQI）量表评估睡眠质量和效率。根据《中药新药临床研究指导原则》（卫生部制定，1997年）判定中医症状评分及疗效。
治疗后，两组患者PSQI量表的睡眠质量评分及有效率，以及中医失眠多梦、潮热盗汗、心悸烦躁、神疲健忘等症状评分均较治疗前显著降低（P<0.05）。对照组56例和治疗组55例中，症状显著改善者分别为18例（32.1%）和30例（54.5%），有效者分别为28例（50.0%）和22例（40.0%），无效者分别为10例（17.9%）和3例（5.5%），有效率分别为82.1%和94.5%。体穴加耳穴刺激在降低PSQI量表评分、中医失眠多梦、潮热盗汗、头晕耳鸣、心悸烦躁、低热盗汗等方面的疗效及有效率均显著优于单纯体穴刺激（P<0.05）。
体针和体针结合耳针治疗心肾不交型女性更年期失眠症均有效，且两者结合治疗效果更佳。
