头皮针刺疗法对失眠患者感知压力和睡眠结构的影响：一项随机对照试验
[Effect of 's scalp acupuncture on perceived stress and sleep structure in insomnia patients: a randomized controlled trial].
作者信息
Xu Xiao-Ying, Ma Jun-Hui, Ou Jing-Xi, Gan Hui-Xuan, Zhou Da-Jun, Yang Zhong-Hua, Yang Chun-Jin
机构信息
Clinical Medical School of Acupuncture-Moxibustion and Rehabilitation, Guangzhou University of CM, Guangzhou 510000, Guangdong Province, China.
School of Basic Medicine, Guangzhou University of CM, Guangzhou 510000, Guangdong Province, China.
出版信息
Zhongguo Zhen Jiu. 2022 Apr 12;42(4):371-6. doi: 10.13703/j.0255-2930.20210723-0001.
OBJECTIVE
To compare the efficacy on insomnia between 's scalp acupuncture combined with conventional acupuncture and the simple conventional acupuncture.
METHODS
A total of 66 patients with insomnia were randomly divided into an observation group (33 cases, 1 case dropped off) and a control group (33 cases, 2 cases dropped off). In the control group, the routine acupuncture therapy was applied to Shenmen (HT 7), Baihui (GV 20), Zhaohai (KI 6) and Sanyinjiao (SP 6), etc. Based on the treatment as the control group, 's scalp acupuncture therapy was supplemented at , , , , etc. At these scalp points, the needles were inserted perpendicularly with flying needling technique and manipulated with trembling one. In either group, the treatment was given once daily, continuously for 2 weeks. Before and after treatment, separately, the score of Pittsburgh sleep quality index (PSQI) and the score of Chinese perceived stress scale (CPSS) were observed, as well as the parameters monitored by polysomnography, i.g. total sleep time (TST), sleep onset latency (SOL), wakefulness after the sleep onset (WASO), sleep efficiency (SE), the percentages of the time of rapid eye movement sleep phase (REM) and non-rapid eye movement sleep phase 1, 2, 3 and 4 in TST (REM%, N1%, N2%, N3%). The efficacy was compared between two groups.
RESULTS
After treatment, the scores of each factor and the total scores of PSQI, as well as CPSS scores were all lower than those before treatment in the two groups (<0.01, <0.05); except the score for sleep quality, the score of each factor and the total score of PSQI, as well as CPSS score in the observation group were lower than those in the control group (<0.01, <0.05). After treatment, TST, SE%, REM% and N3% were increased and SOL, WASO, N1% were decreased as compared with before treatment in the two groups (<0.01, <0.05), and N2% in the observation group was decreased (<0.01); SE%, REM% and N3% in the observation group were higher than the control group (<0.05) and N1% and N2% were lower than the control group (<0.05). The total effective rate was 93.8% (30/32) in the observation group, higher than 87.1% (27/31) in the control group (<0.05).
CONCLUSION
's scalp acupuncture, on the base of routine acupuncture, obviously improves the sleep quality and perceived stress and adjusts the sleep structure in the patients with insomnia.
目的
比较[具体名称]头皮针联合传统针刺与单纯传统针刺治疗失眠的疗效。
方法
将66例失眠患者随机分为观察组（33例，脱落1例）和对照组（33例，脱落2例）。对照组采用常规针刺疗法针刺神门（HT 7）、百会（GV 20）、照海（KI 6）、三阴交（SP 6）等穴位。观察组在对照组治疗基础上，于[具体穴位名称]等部位加用[具体名称]头皮针疗法。于这些头皮穴位处垂直进针，采用飞针手法进针，行震颤手法行针。两组均每日治疗1次，连续治疗2周。分别观察治疗前后匹兹堡睡眠质量指数（PSQI）评分、中国知觉压力量表（CPSS）评分，以及多导睡眠图监测参数，即总睡眠时间（TST）、入睡潜伏期（SOL）、睡眠开始后觉醒时间（WASO）、睡眠效率（SE）、快速眼动睡眠期（REM）及非快速眼动睡眠期1、2、3、4在TST中的所占百分比（REM%、N1%、N2%、N3%）。比较两组疗效。
结果
治疗后，两组各因子评分及PSQI总分、CPSS评分均低于治疗前（<0.01，<0.05）；除睡眠质量评分外，观察组各因子评分及PSQI总分、CPSS评分均低于对照组（<0.01，<0.05）。治疗后，两组TST、SE%、REM%、N3%较治疗前升高，SOL、WASO、N1%降低（<0.01，<0.05），观察组N2%降低（<0.01）；观察组SE%、REM%、N3%高于对照组（<0.05），N1%、N2%低于对照组（<0.05）。观察组总有效率为93.8%（30/32），高于对照组的87.1%（27/31）（<0.05）。
结论
[具体名称]头皮针在常规针刺基础上，能明显改善失眠患者的睡眠质量和知觉压力，调整睡眠结构。
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