针刺研究2025，Vol.50Issue(10)：1186-1193,8.DOI:10.13702/j.1000-0607.20240868
"通督调神"针法治疗失眠症的真实世界研究
A real-world study on the efficacy of"Tongdu Tiaoshen"needling in the treatment of insomnia
摘要
Abstract
Objective To investigate the efficacy of"Tongdu Tiaoshen"needling(draging the Governor Vessel and normalizing mental activities)in the treatment of insomnia in the clinical real world and to explore the influencing factors of clinical efficacy.Methods A total of 227 patients with insomnia were given"Tongdu Tiaoshen"(freeing the Governor Vessel and regulating the spirit)needling,with electroacupuncture(EA)applied at Baihui(GV20),Yintang(GV24+),bilateral Shenmen(HT7),and bilateral Sanyinjiao(SP6)for 30 min each time.Based on the number of treatments,the patients were divided into 2 cohorts:the<6 times group(227 cases)and the≥6 times group(74 cases).Then,propensity score matching was used to balance the confounding factors between the cohorts.Patients with<6 treatments within 4 weeks were included in the low-frequency group(37 cases),and patients with≥6 treatments were included in the high-frequency group(37 cases).Propensity score matching was used to balance the confounding factors between the cohorts.Before and after treatment,the Pittsburgh sleep quality index(PSQI),fatigue severity scale(FSS),self-rating depression scale(SDS),and self-rating anxiety scale(SAS)scores of the patients were evaluated.The therapeutic effect was assessed.Results Following the treatment,the PSQI and FSS scores of the high-frequency treatment group and the low-frequency treatment group were all decreased(P<0.05),while the FSS score of the high-frequency treatment group was lower than that of the low-frequency treatment group(P<0.05).There were no significant differences in SDS scores between the two groups.The high-frequency treatment group showed a significant decrease(P<0.05)in SAS scores after treatment than that before treatment,whereas no significant difference was observed in the low-frequency group,additionally,the high-frequency treatment group was lower than the low-frequency treatment group(P<0.05).Conclusion"Tongdu Tiaoshen"needling can effectively treat insomnia,relieve fatigue and anxiety in patients with insomnia.The number of treatment significantly affects the clinical efficacy in treating insomnia.关键词
"通督调神"针法/失眠症/真实世界研究/疗效评价Key words
"Tongdu Tiaoshen"needling/Insomnia/Real-world study/Efficacy evaluation引用本文复制引用
江静,王晓秋,秦珊,万青云,吴文忠,刘成勇.."通督调神"针法治疗失眠症的真实世界研究[J].针刺研究,2025,50(10):1186-1193,8.基金项目
国家自然科学基金项目(No.82274631、82205252、82305384) （No.82274631、82205252、82305384）
江苏省中医药领军人才项目(No.82274631SLJ0313) （No.82274631SLJ0313）
江苏省重点研发(社会发展)面上项目(No.82274631BE2023793) （社会发展）
南京中医药大学针药结合教育部重点实验室主任基金项目(No.AML202301) （No.AML202301）
江苏省中医药管理局基地项目(No.JD2022SZXMS01) （No.JD2022SZXMS01）
江苏省中医药科技发展计划项目(No.MS2023026) （No.MS2023026）
