蒙医温针治疗赫依偏盛型失眠症的随机对照试验

目的评价蒙医温针治疗赫依偏盛型失眠症的近期疗效及安全性。方法将80例赫依偏盛型失眠症患者随机分为治疗组和对照组各40例。治疗组给予蒙医温针治疗,对照组采用Streitberger针进行安慰剂针刺。观察2组治疗前后失眠严重程度指数(ISI)量表评分及睡眠脑电图的变化情况。结果治疗组治疗前后ISI评分有显著性差异(P<0.05);治疗组治疗后睡眠总时间延长、睡眠潜伏期缩短、睡眠效率相应提高,且睡眠结构有所变化,即N1期睡眠比例减少,REM睡眠比例增多(均P<0.05)。组间比较,除N2期睡眠及N3+N4期睡眠时间无差异,其余睡眠参数差异均具有统计学意义(均P<0.05)。结论蒙医温针可改善赫依偏盛型失眠患者的睡眠质量,调节失眠症患者睡眠结构及睡眠进程,且安全性高。

Randomized Controlled Trial of Warming Acupuncture in the Treatment of Heyi Partial Insomnia Patients by Mongolian Medicine

Objective:To evaluate the short-term efficacy and safety of warming acupuncture in the treatment of Heyi partial insomnia patients by Mongolian medicine.Methods:80 patients with Heyi partial insomnia were randomly divided into a treatment group and a control group,40 cases per group.The treatment group was treated with Mongolian warming acupuncture and the control group was treated with Streitberger needle for placebo acupuncture.The changes of insomnia severity index(ISI)scale and sleep EEG before and after treatment were observed in the two groups.Results:There were significant differences in ISI scores before and after treatment in the treatment group(P<0.05).After treatment,the total sleep time was prolonged,the sleep latency was shortened,the sleep efficiency was correspondingly improved,and the sleep structure was changed,that is,the proportion of sleep in N1 phase was reduced.The proportion of REM sleep was increased(all P<0.05).The comparison between the groups showed the differences in sleep parameters were statistically significant(all P<0.05),except for N2 sleep and N3+N4 sleep time,.Conclusion:The warming acupuncture used by Mongolian doctors can improve the sleep quality of patients with Heyi partial insomnia,regulate the sleep structure and sleep process of the patients with high safety.