五音疗法结合头针治疗失眠虚证的临床观察

目的：探讨中医五音结合头针疗法治疗失眠虚证患者的临床疗效。方法：将87例患者随机分为3组，药物组（30例）、头针组（28例）、五音组（29例）。药物组以口服舒乐安定治疗；头针组以百会、四神聪（左、右）、神庭、头维为主穴；五音组以辨证选取中医五行音乐结合头针治疗。在治疗前后分别应用匹兹堡睡眠量表（ PSQI ）及睡眠率评定3组的睡眠质量。结果：药物组总有效率为70．0％，头针组为82.1％，五音组为86．2％，3组比较差异具有统计学意义（ P＜0．01）；治疗后3组患者PSQI积分及差值比较，具有统计学意义（P＜0．05），且在主观睡眠质量、睡眠潜伏期、白天功能紊乱上五音组效果更显著（P＜0．01）。结论：五音结合头针疗法和头针疗法是治疗失眠虚证的有效方法，其中五音结合头针疗法更优。

Clinical Observation of Insomnia Deficiency by the Five Tone Therapy with Scalp Acupuncture

Objective：To discuss the clinical efficacy of insomnia deficiency by the five tone therapy with scalp acupuncture.Methods：Divide 87 cases into three groups randomly,which were drug group（30 cases）,scalp ac-upuncture group（28 cases） and the five tone therapy group（29 cases）.The drug group was treated by estazo-lam;the scalp acupuncture group was treated by Baihui ,Sishencong ,Shenting and Touwei;the five tone therapy group was dialectically treated by the five tone therapy with scalp acupuncture .Assess the quality of sleep at the beginning and the end by PSQI and sleep rate .Results：The total effective rate of the drug group was 70 .0%;the rate of scalp acupuncture group was 82 .1%,and the rate of five tone therapy group was 86 .2%.The differ-ence of the comparison of three groups had a statistical significance （ P〈0 .01 ）;the comparison of PSQI inte-grals and differences after the treatment of three groups had a statistical significance （ P〈0 .05 ） .The five tone therapy group had a better result according to subjective sleep quality , sleep latency and daytime dysfunction （ P〈0 .01 ） .Conclusion：The five tone therapy with scalp acupuncture and the scalp acupuncture are effective methods for treating insomnia deficiency .What is more ,the five tone therapy with scalp acupuncture is better .