电针配合走罐治疗失眠症疗效观察

目的观察电针配合走罐治疗失眠症的临床疗效。方法将106例失眠症患者随机分为针罐组、电针组、药物组，其中针罐组42例，电针组与药物组均为32例。针罐组采用电针配合走罐治疗，电针组采用电针治疗，药物组采用口服药物治疗，观察临床疗效及4星期和8星期后复发率。结果针罐组总有效率为90．5％，电针组为75．0％，药物组为62．5％。3组间总有效率比较差异有统计学意义（P〈0．05）：针罐组与电针组比较差异有统计学意义（P〈0．05）：电针组与药物组比较差异无统计学意义（P〉0．05）：针罐组与药物组比较差异有统计学意义（P〈0．05）。针罐组、电针组和药物组治疗后4星期和8星期的复发率分别为15．8％、20．8％、55．0％和18．4％、25．0％、80．0％。结论针罐组总有效率优于电针组和药物组，针罐组治疗后4星期复发率低于药物组和电针组，治疗后8星期针罐组复发率与电针组相近，但均低于药物组。

Efficacy Observation on Electroacupuncture Combined with Moving Cupping for Insomnia

Objective To observe the clinical efficacy of electroacupuncture and moving cupping in treating insomnia. Method A hundred and six insomnia patients were randomized into an acupuncture-cupping group （n=42）, an electroacupuncture group （n=32）, and a medication group （n=32）. The acupuncture-cupping group was treated by electroacupuncture plus moving cupping; the electroacupuncture group was by electroacupuncture treatment; the medication group was by orally-taken medication. Therapeutic efficacy was evaluated, as well as the relapse rates in 4 weeks and 8 weeks after treatment. Result The total effective rate was 90.5% in the acupuncture-cupping group, versus 75.0% in the electroacupuncture group and 62.5% in the medication group, and the differences among the three groups were statistically significant （P〈0.05）; difference between the acupuncture-cupping group and electroacupuncture group was statistically significant （P〈0.05）; difference between the electroacupuncture group and medication group was statistically insignificant （P 〉 0.05）; difference between acupuncture-cupping group and medication group was statistically significant （P〈0.05）. The relapse rates in the acupuncture-cupping group, electroacupuncture group, and medication group were respectively 15.8%, 20.8% and 55.0% in 4 weeks after treatment, and were 18.4%, 25.0% and 80.0% in 8 weeks after treatment. Conclusion It reveals that the total effective rate of acupuncture-cupping group is superior to that of electroacupuncture group and medication group, and the relapse rate of acupuncture-cupping group is lower than that of medication group and electroacupuncture group in 4 weeks after treatment; the relapse rate of acupuncture-cupping group is approaching to that of the elctroacupuncture group, but yet both of them were lower than that of the medication group.