上海针灸杂志2026，Vol.45Issue(9)：966-972,7.DOI:10.13460/j.issn.1005-0957.2026.14.0043
调神针法治疗原发性失眠症的疗效观察
Clinical efficacy of the Tiao Shen acupuncture method for primary insomnia
摘要
Abstract
Objective To observe the clinical efficacy of the Tiao Shen acupuncture method in the treatment of primary insomnia(PI).Method A total of 74 patients with PI were randomly assigned to a treatment group(37 cases)and a control group(37 cases,with 2 dropouts).The treatment group received the Tiaoshen acupuncture method,whereas the control group received sham acupuncture using the Park sham device.Changes in Pittsburgh sleep quality index(PSQI),self-rating anxiety scale(SAS),self-rating depression scale(SDS),Epworth sleepiness scale(ESS),and fatigue scale-14(FS-14)scores were assessed before treatment,after treatment,and at follow-up.Clinical efficacy was compared between the two groups.Polysomnography(PSG)and heart rate variability(HRV)parameters were evaluated after treatment.Result In the treatment group,PSQI scores after treatment and at follow-up were lower than those before treatment(P＜0.05).In both groups,PSQI scores at follow-up were higher than those immediately after treatment(P＜0.05).The treatment group had lower PSQI scores than the control group both after treatment and at follow-up(P＜0.05).In the treatment group,SAS and SDS scores decreased significantly after treatment compared with baseline(P＜0.05),and SDS scores at follow-up remained lower than baseline values(P＜0.05).In both groups,SAS and SDS scores at follow-up were higher than those after treatment(P＜0.05).After treatment,SAS and SDS scores in the treatment group were lower than those in the control group(P＜0.05).After treatment,ESS and FS-14 scores in the treatment group decreased significantly after treatment compared with baseline(P＜0.05),and FS-14 scores at follow-up remained lower than baseline values(P＜0.05).After treatment,ESS and FS-14 scores in the treatment group were lower than those in the control group(P＜0.05).PSG results showed that total sleep time and non-rapid eye movement 3 sleep duration were higher,whereas non-rapid eye movement 1 sleep duration was lower,in the treatment group than in the control group after treatment(P＜0.05).The low-frequency power/high-frequency power ratio of HRV was lower in the treatment group than in the control group after treatment(P＜0.05).Conclusion The Tiao Shen acupuncture method can improve sleep quality in patients with primary insomnia and also ameliorate emotional disturbances,daytime sleepiness,and fatigue.关键词
针刺疗法/失眠症/睡眠质量/情绪/疲劳Key words
Acupuncture therapy/Insomnia/Sleep quality/Emotion/Fatigue分类
医药卫生引用本文复制引用
刘盈君,林咸明,朱可安,李璐,周传龙,应佩佩,韩德雄,陈炜吉,王文芳,张全爱..调神针法治疗原发性失眠症的疗效观察[J].上海针灸杂志,2026,45(9):966-972,7.基金项目
国家自然科学基金项目(82205269) （82205269）
浙江省中医药科技计划项目(2023ZL476,2022ZB189,2024ZL531) （2023ZL476,2022ZB189,2024ZL531）
