多元时间针法治疗失眠症疗效对照观察

目的:比较多元时间针法与常规针刺法治疗失眠症的疗效差异。方法:将50例患者随机分为时间针法组、常规针刺组,每组25例。两组取穴相同,均取足三里、三阴交、神门、尺泽等,时间针法组按照患者就诊时间,首先针刺上述穴位中属于该时辰气血旺盛经脉上的特定穴,再按照十二经循行顺序依次针刺其他特定穴;常规针刺组按常规从上向下顺序取穴。两组均隔日治疗1次,共治疗6次。采用匹兹堡睡眠质量指数(PSQI)量表,评定两组患者治疗前后PSQI总分和各分项积分。结果:两组治疗后PSQI总分均明显降低(均P<0.05),且治疗后时间针法组PSQI总分低于常规针刺组(7.20±2.45vs 9.44±3.07,P<0.05);时间针法组对睡眠质量、睡眠时间、睡眠效率及睡眠障碍积分的改善优于常规针刺组(均P<0.05)。结论:多元时间针法治疗失眠症可明显改善睡眠,其疗效优于常规针刺。

Clinical observation on insomnia treated with multivariate acupuncture of chronomedicine

Objective To compare the efficacy difference between multivariate acupuncture of chronomedicine and conventional acupuncture in the treatment of insomnia.Methods Fifty cases were randomly divided into a multivariate acupuncture of chronomedicine group(group A) and a rountine acupuncture group(group B),25 cases in each one.The acupoints selected were same in each group,such as Zusanli(ST 36),Sanyinjiao(SP 6),Shenmen(HT 7) and Chize(LU 5),etc.In group A,the patient was treated according to visit time.In light of the time division,the special acupoint of the on-duty meridian that qi and blood were abundant specifically was picked up at first.The other acupoints were punctured in the sequence of qi and blood flow among twelve meridians.In group B,the acupoints were punctured from up to down in terms of acupoint locations.Acupuncture was given once every two days in either group.Totally,6 treatments were required.Pittsburgh Sleep Quality Index(PSQI) was adopted to assess PSQI total score and the score of each item before and after treatment for the patients in two groups.Results PSQI total score was reduced apparently after treatment in either group(both P<0.05).The score in group A was lower than that in group B after treatment(7.20±2.45 vs 9.44±3.07,P<0.05).After treatment,the improvements of the scores of sleep quality,sleep duration,sleep efficiency and sleep disturbance in group A were superior to those in group B(all P<0.05).Conclusion The multivariate acupuncture of chronomedicine improves sleep apparently for the patients with insomnia and its efficacy is better than that of conventional acupuncture.