头皮花针治疗肿瘤化疗后失眠患者的临床应用及其选穴规律与应用优越性实证研究

目的:探讨头皮花针治疗肿瘤化疗后失眠患者的临床应用及其选穴规律与应用优越性。方法:选取2014年2月至2017年11月就诊于本院肿瘤科住院部行化疗治疗的肿瘤患者共200例作为研究对象，所有患者均伴有不同程度的化疗后失眠。采用随机数表法将其分为治疗组（100例）和对照组（100例），对照组采用常规头针治疗，治疗组则采用头皮花针治疗，评价两组疗效差异。结果:治疗组患者总有效率为92.0%，对照组为84.0%，差异无统计学意义（P>0.05）；治疗前后两组PSQI评分比较无明显差异（P>0.05）；治疗结束后两组患者生活质量评分均显著改善，组间比较治疗组显著优于对照组（P<0.05）；治疗期间观察组不良反应发生率为11.00%，显著低于对照组的30.00%（P<0.05）；随访调查显示治疗组失眠复发率为9.00%，明显低于对照组的29.00%（P<0.05）。结论:头皮花针治疗肿瘤化疗后失眠症状效果显著，具有操作方便快捷、副作用少等优点，治疗安全性高，值得临床推广应用。

Clinical application of scalp flower acupuncture in treating patients with insomnia after tumor chemotherapy and its empirical study on the selection of acupoints and application superiority

Objective:To investigate the clinical application of scalp flower acupuncture in the treatment of patients with insomnia after tumor chemotherapy and its superiority.Methods:A total of 200 patients with tumors that underwent chemotherapy in the oncology department of our hospital from February 2014 to November 2017 were enrolled.All patients were accompanied by different degrees of insomnia after chemotherapy.They were divided into treatment group (100 cases) and control group (100 cases) by random number table method.The control group was treated with conventional scalp acupuncture，and the treatment group was treated with scalp flower needle to evaluate the difference between curative effect on the two groups.Results:The total effective rate was 92.0% in the treatment group and 84.0% in the control group.There was no significant difference in the data (P>0.05).There was no significant difference in the PSQI score of the two groups before and after treatment (P>0.05).The quality of life scores of the patients in the two groups were significantly improved.And the treatment groups was significantly better than that of the control group (P<0.05).The incidence of adverse reactions in the observation group was 11.00%，which was significantly lower than that of the control group (30.00%，P<0.05).Follow-up survey showed that the recurrence rate of insomnia in the treatment groups was 9.00%，which was significantly lower than that in the control group 29.00%(P<0.05).Conclusion:The scalp flower acupuncture has obvious effects on insomnia after tumor chemotherapy.It has the advantages of convenient operation，less side effects，high safety and is worthy of clinical application.