上海针灸杂志2024，Vol.43Issue(5)：527-533,7.DOI:10.13460/j.issn.1005-0957.2024.05.0527
针刺配合穴位贴敷治疗失眠的疗效观察
Therapeutic observation of acupuncture combined with point application for insomnia
摘要
Abstract
Objective To observe the clinical efficacy of acupuncture plus aromatic point application in treating insomnia.Method Ninety patients with insomnia were randomized into a treatment group and a control group,with 45 cases in each group.The treatment group was intervened by acupuncture plus aromatic point application[Wu Zhu Yu(Fructus Evodiae),Rou Gui(Cortex Cinnamomi),and Su He Xiang(Styrax)],and the control group was treated with acupuncture plus conventional point application[Wu Zhu Yu(Fructus Evodiae)and Rou Gui(Cortex Cinnamomi)].Before and after 2 and 4 weeks of treatment,the following outcome measures were observed:the Pittsburgh sleep quality index(PSQI)scores(sleep quality,sleep latency,sleep duration,sleep efficiency,sleep disturbance,diurnal dysfunction,and general score)and polysomnography parameters[total sleep time and the lengths of non-rapid eye movement(NREM)stage Ⅰ,NREM stage Ⅱ,NREM stage Ⅲ,and rapid eye movement(REM)stage].The clinical efficacy was also compared between the two groups.Result After 2 and 4 weeks of treatment,the scores for all components of the PSQI,except for sleep duration,significantly decreased compared to the same group's pre-treatment scores(P＜0.05);After 2 and 4 weeks of treatment,the scores for all components of the PSQI,except for sleep efficiency,significantly decreased in the control group compared to their pre-treatment scores(P＜0.05);the sleep quality,sleep disturbance,and general scores were lower in the treatment group than in the control group with statistical significance(P＜0.05).After 2-week treatment,the treatment group showed a significant decrease in the lengths of NREM stages Ⅰ and Ⅱ and a significant increase in the length of NREM stage Ⅲ compared to the baseline(P＜0.05);after 4-week treatment,the treatment group showed a significant decrease in the lengths of NREM stages Ⅰ and Ⅱ and REM stage and a significant increase in the total sleep time and the length of NREM stage Ⅲ compared to the baseline(P＜0.05).After 4-week treatment,the control group had a significant decrease in the lengths of NREM stages Ⅰ and Ⅱand a significant increase in the total sleep time and the length of NREM stage Ⅲ compared to the baseline(P＜0.05).The two groups were significantly different in comparing the lengths of NREM stages Ⅰ,Ⅱ,and Ⅲ after 2-week treatment and in comparing the total sleep time and the lengths of NREM stage Ⅲ and REM stage after 4-week treatment(P＜0.05).The total effective rate was 77.8%in the treatment group,higher than 66.7%in the control group,and the difference was statistically significant(P＜0.05).Conclusion Acupuncture plus aromatic point application is an effective method in treating insomnia,and it takes a shorter time to act compared to the conventional point application.关键词
针刺疗法/穴位贴敷法/失眠/睡眠障碍/芳香疗法/匹兹堡睡眠质量指数/多导睡眠监测Key words
Acupuncture therapy/Point application therapy/Insomnia/Sleep disorders/Aromatherapy/Pittsburgh sleep quality index/Polysomnography分类
医药卫生引用本文复制引用
顾启超,高垣,沈卫东..针刺配合穴位贴敷治疗失眠的疗效观察[J].上海针灸杂志,2024,43(5):527-533,7.基金项目
上海市浦东新区卫生系统名中医工作室建设项目(PWRzm2020-05) （PWRzm2020-05）
上海市中西医结合学会科研基金项目(SHCIM202102) （SHCIM202102）
