上海针灸杂志2025，Vol.44Issue(12)：1424-1430,7.DOI:10.13460/j.issn.1005-0957.2025.14.0005
电针联合失眠认知行为疗法治疗急性失眠:随机、单盲、安慰对照试验
Electroacupuncture combined with cognitive behavioral therapy for insomnia in the treatment of acute insomnia:a randomized,single-blind,sham-controlled trial
摘要
Abstract
Objective To observe the clinical efficacy and safety of electroacupuncture combined with cognitive behavioral therapy for insomnia(CBT-I)in the treatment of acute insomnia.Method Sixty-six patients with acute insomnia were divided into a treatment group and a control group according to block randomization,with 33 cases in each group.The treatment group received electroacupuncture combined with CBT-I,while the control group received sham acupuncture(non-acupoint sham electroacupuncture)combined with CBT-I.Changes in the insomnia severity index(ISI),Pittsburgh sleep quality index(PSQI),Ford insomnia response to stress test(FIRST)score,sleep hygiene practice scale(SHPS)score,sleep latency(SL),number of arousals(NA),total sleep time(TST),and sleep efficiency(SE)before treatment,after treatment,and during follow-up were observed,and safety in both groups was compared.Result After treatment,ISI and PSQI total scores in both groups were lower than before treatment(P＜0.05),and the treatment group showed lower scores than the control group(P＜0.05).After treatment,FIRST scores and SHPS total scores in both groups were lower than before treatment(P＜0.05);however,the differences between the two groups after treatment were not statistically significant(P＞0.05).After treatment,SL and NA in both groups were lower than before treatment(P＜0.05),and SE and TST were higher than before treatment(P＜0.05);SL in the treatment group was lower than in the control group(P＜0.05),while SE in the treatment group was higher than in the control group(P＜0.05).The total incidence of adverse events showed no significant difference between the two groups(P＞0.05).Conclusion Electroacupuncture combined with CBT-I can significantly improve insomnia severity and sleep quality in patients with acute insomnia,and it has high safety.关键词
针刺疗法/电针/认知行为疗法/失眠/入睡和睡眠障碍/随机对照试验Key words
Acupuncture therapy/Electroacupuncture/Cognitive behavioral therapy/Insomnia/Sleep initiation and maintenance disorders/Randomized controlled trial分类
医药卫生引用本文复制引用
FENG Zhiwei,SUN Wenjun,HAN Shan,ZHANG Chongyang,PAN Ting,DI Xueshi,BAI Xue,BAI Peng..电针联合失眠认知行为疗法治疗急性失眠:随机、单盲、安慰对照试验[J].上海针灸杂志,2025,44(12):1424-1430,7.基金项目
青年岐黄学者支持项目[国中医药人教函(2022)256号] （2022）
北京中医药大学研究生自主科研课题项目(ZJKT2023104) （ZJKT2023104）
