心俞穴刺络拔罐治疗心火亢盛型不寐临床观察

目的:评价心俞穴刺络拔罐治疗心火亢盛型不寐的临床疗效。方法:选择门诊符合条件的不寐患者60例,按随机数字表法分成治疗组30例和对照组30例,治疗组采用心俞穴刺络拔罐联合针刺治疗,对照组采用常规针刺治疗,治疗1周后比较两组的临床疗效及治疗前后汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分,治疗前、治疗后1 d、治疗后3 d、治疗后7 d匹兹堡睡眠质量指数(PSQI)各因子及总分评分。结果:治疗后两组临床疗效相当(P>0.05);治疗组、对照组HAMA、HAMD评分均低于治疗前,治疗组下降明显,与对照组比较差异有统计学意义(P<0.05);两组治疗后1 d PSQI各项评分及总评分与治疗前比较,差异均有统计学意义(P<0.05),且治疗组主观睡眠质量和睡眠时间因子,与对照组比较差异有统计学意义(P<0.05);两组治疗后3 d PSQI各项评分及总评分与治疗后1 d比较,差异有统计学意义(P<0.05),治疗组在PSQI总分、主观睡眠质量、入睡时间方面,与对照组比较,差异有统计学意义(P<0.05);两组治疗后7 d与治疗后3 d比较,差异无统计学意义(P>0.05)。结论:心俞穴刺络拔罐对心火亢盛型不寐有效,在治疗后3 d效果最明显。

Clinical Observation on Collateral Pricking and Cupping Xinshu (BL15) Acupoint in Treatment of Insomnia with Exuberance of Heart Fire Type

Objective:To evaluate the clinical efficacy of collateral pricking and cupping Xinshu(BL15)acupoint in the treatment of insomnia with exuberance of heart fire type. Methods:A total of 60 patients with insomnia who were eligible for outpatients were divided into the treatment group(n= 30) and the control group(n= 30) according to the random number table.The treatment group was treated with collateral pricking and cupping Xinshu acupoint combined with acupuncture. The control group received conventional acupuncture treatment. One week later,the clinical efficacy of the two groups was compared. Hamilton anxiety scale(HAMA) and Hamilton depression scale(HAMD) scores before and after treatment were compared. Pittsburgh sleep quality index(PSQI) factor scores and total scores before treatment,1 day after treatment,3 days after treatment,and 7 days after treatment were compared. Results:After treatment,the clinical efficacy of the two groups was comparable(P> 0.05).The HAMA and HAMD scores of the treatment group and the control group were lower than those before treatment,and the treatment group decreased significantly. Compared with the control group,the difference was statistical significance(P< 0.05). Compared with before treatment,The factor scores and total scores of PSQI 1 day after treatment of the two groups had statistical significance(P< 0.05). And the subjective sleep quality and sleep time factor of the treatment group were statistical significance compared with those of the control group(P< 0.05). The scores and total scores of PSQI were statistical significance between 3 days and1 day after treatment(P< 0.05). The total score of PSQI,subjective sleep quality,and sleep time of the treatment group were compared with those of the control group with statistical significance(P< 0.05). There was no statistical significance between the two groups 7 days and 3 days after treatment(P> 0.05).Conclusion:Collateral pricking and cupping Xinshu acupoint was effective to insomnia with exuberance of heart fire type,with pronounced effect 3 days after treatment.