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耳尖穴放血治疗失眠的有效性和安全性:一项盲法评估的随机对照试点研究。

Effectiveness and safety of auricular acupoint bloodletting in treatment of insomnia: an assessor-blinded pilot randomized controlled trial.

机构信息

Yuetan Community Health Service Centre, Fuxing Hospital, Capital Medical University, Beijing 100045, China.

Clinical Evaluation Center, Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.

出版信息

J Tradit Chin Med. 2018 Oct;38(5):763-768.

Abstract

OBJECTIVE

To evaluate the effectiveness and safety of auricular acupoint bloodletting in treatment of insomnia METHODS: Participants (n = 60) with insomnia were randomized into two groups to receive treatment of auricular acupoint bloodletting: low frequency group, 1 times/week for five weeks (n = 30); high frequency group, 2times/week for two weeks (n = 30). The following outcomes were measured blindly at baseline, after first treatment, 4 weeks, and 8 weeks: Pittsburgh sleep quality index scale (PSQI).

RESULTS

The groups were balanced at baseline for insomnia and demographic characteristics. There were no significant differences between the groups in terms of any of the outcomes, at the first follow-up time point. However, the therapeutic effect of LFG (once per week) is obviously lower than that of HFG (twice per week). In addition, there was no significant difference in the side effects between the two groups.

CONCLUSION

The treatment of insomnia with different frequencies of auricular acupoint bloodletting is effective and has less side effects. More reasonable treatment frequencies are worth further study.

摘要

目的

评价耳穴放血治疗失眠的有效性和安全性。

方法

将 60 例失眠患者随机分为耳穴放血低频组(每周 1 次,共 5 周)和高频组(每周 2 次,共 2 周),每组 30 例。分别于基线、首次治疗后、4 周、8 周时采用匹兹堡睡眠质量指数(PSQI)量表评估睡眠质量。

结果

两组患者的失眠严重程度及人口学特征在基线时具有可比性。在首次随访时间点,两组间各项结局指标均无显著差异。但低频组(每周 1 次)的疗效明显低于高频组(每周 2 次)。此外,两组间不良反应发生率无显著差异。

结论

不同频率的耳穴放血治疗失眠均有效且不良反应少,更合理的治疗频率值得进一步研究。

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