摘要
目的:评价头部穴位埋线配合足底按摩治疗顽固性失眠症的临床疗效。方法:将49例患者随机分为观察组(25例)和对照组(24例)。观察组采用穴位埋线法,穴取百会、神庭、四神聪等,同时配合足底按摩;对照组口服艾司唑仑治疗。评定两组临床疗效和治疗前后匹兹堡睡眠质量指数(PSQI)评分。结果:观察组的总有效率为92.0%(23/25),对照组的总有效率为83.3%(20/24),观察组疗效优于对照组(P<0.05)。两组在治疗后PSQI各因子得分除对照组日间功能障碍一项外,较治疗前均显著降低(P<0.05,P<0.01)。观察组在睡眠质量、入睡时间、睡眠障碍、日间功能障碍等项目中优于对照组(P<0.05,P<0.01);对照组在延长睡眠时间方面优于观察组(P<0.05)。结论:头部穴位埋线配合足底按摩能显著改善失眠患者的睡眠质量和日间功能。
Objective To assess the clinical therapeutic effect of acupoint catgut embedding at head-acupoint combined with massage of sole on refractory insomnia. Methods Forty-nine cases were randomly divided into an observation group （n=25） and a control group （n= 24）. The observation group was treated with acupoint catgut embed- ding at Baihui （GV 20）, Shenting （GV 24）, Sishencong （EX-HN 1）, etc. combined with massage of sole; the control group was treaded with oral administration of Estazolam. The clinical therapeutic effects and scores for Pittsburgh Sleep Quality Index （PSQI） were assessed before and after treatment in the two groups. Results The total effective rate was 92.0% （23/25） in the observation group and 83.3% （20/24） in the control group with a significant difference between the two groups （P〈0. 05）. After treatment, there were significant differences in scores for various factor in the PSQI （P〈0. 05, P〈0. 01）, except day time functional state in the control group. The improvements of sleep quality, time duration of patients going into sleep, sleep disorder and daytime functional state in the observation group were superior to those in the control group （P〈0.05,P〈0. 01）. The control group was superior to the observation group in the prolongation of hours of sleep （P〈0. 05）. Conclusion Acupoint catgut embedding at head-acupoint combined with massage of sole can obviously improve sleeping quality and daytime functional state of the patients with insomnia.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第2期117-120,共4页
Chinese Acupuncture & Moxibustion
关键词
失眠症
针灸疗法
头穴
埋线
足
Insomnia
Acupunerure-Moxibustion
Head-Point
Embedding,Thread
Foot
