针灸治疗失眠随机平行对照研究

目的]观察针灸治疗失眠疗效。方法]使用随机平行对照方法,将40例门诊患者按就诊顺序号方法随机分为两组。对照组18例安定,5~10mg/次,1次/d,睡前口服。治疗组22例针灸治疗,选穴:涌泉、精明、肺俞、心俞、肾俞、脾俞、肝俞;患者平卧,75%酒精擦拭针灸部位,毫针0.3mm×40 mm;首取精明,嘱患者闭眼,以左手拇指抵住患者眼球,向外轻轻推按,右手持针沿框内侧下缘缓缓刺入0.8~1.0寸,忌提插、捻转等行针手法,留针20min,出针后以棉球按压针孔2min;针刺涌泉穴、五脏俞穴,行提插、捻转等手法,以平补平泻为主,留针20min;五脏精血亏虚,五脏俞穴可施行补法,1min/穴,留针30min。连续治疗10d为1疗程。观测临床症状、睡眠状况、不良反应。连续治疗3疗程,判定疗效。结果]治疗组痊愈10例,显效5例,有效5例,无效2例,总有效率90.90%。对照组痊愈3例,显效4例,有效6例,无效5例,总有效率72.20%。治疗组疗效优于对照组(P0.05)。结论]针灸治疗失眠效果显著,值得推广。

Acupuncture Treatment of Insomnia of Random Parallel Control

Objective ] To observe the curative effect of acupuncture treatment of insomnia. Methods ] Using randomized controlled methods, 55 patients were randomly divided into two groups. 25 cases in the control group were stable, 5 - 10mg/, 1 /d, orally at bedtime. Acupuncture in the treatment of 30 cases of treatment group. Acupoint selection：Yongquan, smart, Feishu, Xinshu, spleen Yu, liver Yu, shenshu. The patient supine, 75% alcohol wipe acupunctureneedle position, 0.3mm × 40 mm. First get smart, Zhu Huanzhe eyes closed, to the left thumb against the patientseye, gently push, right hand holding a needle along the lower edge frame inside slowly into 0.8 to 1 inches, avoidlifting, twisting, manipulation, the 20min, the needle pressing with a cotton ball pin 2min. Acupuncture of Yongquan, five Yu Xue, lift and thrust line, twirling reinforcing reducing techniques, in the fiat, the 20min. Five zang viscera blood deficiency, Yu Xueke performed the reinforcing method, lmin/point, the 30rain. The two groups were continuous treatment with 10d for 1 courses. Observation of clinical symptoms, adverse reaction. Continuous 3 courses of treatment, the curative effect. Results ] The treatment group cured 12 cases, effective in 9 cases, effective 6 cases, invalid 4 cases, the total efficiency of 86.70%. The control group cured 3 cases, effective in 5 cases, effective 10 cases, invalid 7 cases, the total efficiency of 72%. The treatment group was better than control group （P〈 0.05 ） . Conclusion ] Acupuncture treatment of insomnia effect is significant, worthy of promotion.