摘要
目的:比较疏肝理脾与调理督脉取穴针刺及口服西药治疗围绝经期失眠症的疗效差异。方法:将156例围绝经期失眠症患者随机分为疏肝理脾组、调理督脉组和西药组,每组52例。疏肝理脾组针刺中脘、大横、三阴交、太冲等穴;调理督脉组针刺百会、风府、神庭、印堂等穴;西药组口服艾司唑仑片1mg,均每日治疗1次,共治疗30天。评定各组治疗前后匹兹堡睡眠质量指数(PSQI)量表各因子评分及总分,并评定各组疗效。结果:治疗后疏肝理脾组和调理督脉组的睡眠率明显高于西药组(均P<0.05);疏肝理脾组和调理督脉组的总有效率亦明显高于西药组[86.5%(45/52)、82.7%(43/52)vs 63.5%(33/52),均P<0.05];疏肝理脾组的痊愈率明显高于调理督脉组和西药组[48.1%(25/52)vs 23.1%(12/52)、25.0%(13/52),均P<0.05];治疗后疏肝理脾组和调理督脉组PSQI各因子评分及总分均显著改善(P<0.01,P<0.05),西药组仅入睡时间、睡眠效率评分及总分有改善(均P<0.05);疏肝理脾组睡眠质量、睡眠时间、睡眠障碍及日间功能障碍评分亦显著低于西药组(均P<0.05),而调理督脉组睡眠质量、睡眠时间及日间功能障碍评分显著低于西药组(均P<0.05),疏肝理脾组总分显著低于调理督脉组和西药组(均P<0.05)。结论:针刺法治疗围绝经期失眠症疗效优于口服艾司唑仑片,在两种组穴针刺中,疏肝理脾取穴效果更佳。
Objective To compare the efficacy difference among acupuncture smoothing-liver and regulating- spleen method, regulating Governor Vessel method and oral administration of western medicine for menopausal in- somnia. Methods One hundred and fifty-six cases of menopausal insomnia were randomized into a smoothing-liver and regulating-spleen group （group A）, a regulating Governor Vessel group （group B） and a medication group （group C）, 52 cases in each one. Acupuncture at Zhongwan （CV 12）, Daheng （SP 15）, Sanyinjiao （SP 6） and Taichong （LR 3）, etc. was applied in the group At acupuncture at Baihui （GV 20）, Fengfu （GV 16）, Shenting （GV 24） and Yintang （GV 29）, etc. was used in the group B; oral administration of estazolam tablets （1 mg each- day） was adapted in the group C, all once a day for totally 30 days. The each item score and total score in Pitts- burgh sleep quality index （PSQI） were evaluated before and after treatment in each group, also the efficacy in each group was assessed. Results After the treatment, the sleeping rate in the group A and B was significantly higher than that in the group C （both P〈0.05） ; the total effective rate in the Group A and B was also significantly higher than that in the group C [86.5% （45/52） and 82.7% （43/52） vs 63.5% （33/52）, both P〈0.05]; the total cured rate in the group A was significantly higher than those in the group B and C [-48.1% （25/52） vs 23. l% （12/52） and 25.0%（13/52）, both P〈0.05]. Each item score and total score of PSQI were all improved after treatment in the group A and B （P〈0. 01, P〈0.05）, while only sleeping time, sleeping efficiency and total score were improved in the group C （all P d0.05）. The sleeping quality, sleeping time, sleeping difficulty and daytime dysfunction in the group A were all lower than those in the group C （all P〈0.05）. The sleeping quality, sleeping time and daytime dysfunction in the goup B were all lower than those in the group C （all P〈0.05）. The total score in the group A was significantly lower than that in thegroup B and C （both P〈0.05）. Conclusion Acupuncture has better effect for menopausal insomnia than estazo- lain. Between the two acupuncture methods, the acupuncture method of smoothing-liver and regulating-spleen has a better effect.
出处
《中国针灸》
CAS
CSCD
北大核心
2014年第8期759-762,共4页
Chinese Acupuncture & Moxibustion
关键词
围绝经期失眠
针刺
疏肝理脾
调理督脉
menopausal insomnia
acupuncture
smoothing-liver and regulating-spleen
regulating Governor Vessel
