电项针疗法治疗原发性失眠症临床观察

目的比较电项针疗法与传统针刺法改善原发性失眠患者睡眠的临床疗效差异。方法将符合纳入标准的72例原发性失眠患者随机分为治疗组和对照组,每组36例,治疗过程中治疗组脱落1例,对照组脱落2例。治疗组以针刺项部腧穴为主并通以脉冲电流,对照组采用传统针刺法,两组均每周治疗6次,连续治疗4周,治疗结束2个月后随访。于治疗前后观察两组匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)、汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)及PSQI疗效的变化并进行对比分析。结果治疗组总有效率为91.4%,明显高于对照组的70.6%,差异有统计学意义(P<0.05)。两组治疗后PSQI各项评分及总分均较治疗前显著降低(P<0.05),且治疗组睡眠质量和日间功能两项评分明显低于对照组(P<0.05)。两组治疗后HAMA、HAMD评分均明显下降(P<0.05),且治疗组明显低于对照组(P<0.05)。结论电项针疗法治疗原发性失眠具有确切的临床疗效,可有效改善患者的睡眠质量、延长睡眠时间及缓解焦虑、抑郁程度,其疗效优于传统针刺法。

Clinical Observation of Electroacupuncture at Nape Acupoints for Primary Insomnia

Objective To compare the clinical efficacy between electroacupuncture at nape acupoints and ordinary acupuncture in treating primary insomnia patients.Method Seventy-two eligible patients with primary insomnia were randomized into a treatment group and a control group,with 36 cases in each group.The treatment group had 1 and the control group had 2 dropouts.The treatment group was intervened by acupuncture at nape acupoints plus pulse current,and the control group was treated with ordinary acupuncture.The two groups were both treated 6 times a week for 4 consecutive weeks.Follow-up study was conducted 2 months after the end of the treatment.Changes in the Pittsburgh Sleep Quality Index(PSQI),Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA)and PSQI-based therapeutic efficacy in the two groups were observed and comparatively analyzed.Result The total effective rate was 91.4%in the treatment group,significantly higher than 70.6%in the control group,and the difference was statistically significant(P<0.05).The component and global PSQI scores dropped significantly after treatment in both groups(P<0.05),and the component scores of sleep quality and daytime function were markedly lower in the treatment group than in the control group(P<0.05).The HAMA and HAMD scores decreased significantly after treatment in both groups(P<0.05),and were markedly lower in the treatment group than in the control group(P<0.05).Conclusion Electroacupuncture at nape acupoints can produce valid clinical efficacy for primary insomnia.It can effectively improve patient’s sleep quality,extend sleep duration,and reduce anxiety and depression degree,and its therapeutic efficacy is more significant than that of ordinary acupuncture.