督脉灸配合耳穴贴压治疗失眠症疗效观察

·624·Shanghai J Acu-mox, Jul 2014, Vol 33, No 7文章编号:1005-0957(2014)07-0624-03·临床研究·督脉灸配合耳穴贴压治疗失眠症疗效观察

马恰怡1,李艳1,曹莲瑛1,张奕奕 2

(1.上海长宁区天山中医医院,上海 200051;2.长宁区虹桥街道社区卫生服务中心,上海 200051)

【摘要】目的观察督脉灸配合耳穴贴压治疗失眠症的临床疗效。方法将206例失眠症患者随机分成治疗组和对照组,每组103例。治疗组采用督脉灸配合耳穴贴压治疗,对照组采用单纯耳穴贴压治疗。记录两组治疗前后匹兹堡睡眠质量指数(PSQI)量表评分,并比较两组临床疗效。结果两组治疗后PSQI量表各项评分及总分与同组治疗前比较,差异均具有统计学意义(P＜0.01,P＜0.05)。治疗组治疗后PSQI量表中睡眠质量、睡眠效率、日间功能评分及总分与对照组比较,差异均具有统计学意义(P＜0.01,P＜0.05)。治疗组总有效率为82.8%,对照组为78.1%,两组临床疗效比较,差异具有统计学意义(P＜0.05)。结论督脉灸配合耳穴贴压是一种治疗失眠症的有效方法。

【关键词】针灸疗法;失眠症;耳穴贴压;匹兹堡睡眠质量指数量表

【中图分类号】 R246.6 【文献标志码】 A

DOI:10.13460/j.issn.1005-0957.2014.07.0624

Therapeutic Observation of Moxibustion at the Governor Vessel plus Auricular Point Sticking for Insomnia MA qia-yi1, LI Yan2, CAO Lian-ying2, ZHANG Yi-yi2. 1.Shanghai Tianshan Hospital,Shanghai 200051,China; 2.Shanghai Changning Hongqiao Hospital,Shanghai 200051,China

[Abstract] Objective To observe the clinical efficacy of moxibustion at the Governor Vessel plus auricular point sticking in treating insomnia. Methods Totally 206 insomnia patients were randomized into a treatment group and a control group, 103 in each group. The treatment group was intervened by moxibustion at the Governor Vessel plus auricular point sticking, while the control group was only by auricular point sticking. Pittsburgh Sleep Quality Index (PSQI) scores of the two groups were recorded before and after treatment, and the clinical efficacies were compared. Results After intervention, the component and total scores of PSQI were changed significantly in both groups (P＜0.01, P＜0.05). After intervention, in comparing the sleep quality, sleep efficiency, and daytime function of PSQI between the two groups, the differences were statistically significant (P＜0.01, P＜0.05). The total effective rate was 82.8% in the treatment group versus 78.1% in the control group, and the difference was statistically significant(P＜0.05). Conclusion Moxibustion at the Governor Vessel plus auricular point sticking is an effective method in treating insomnia. [Key words]Acupuncture-moxibustion; Insomnia; Auricular point sticking; Pittsburgh Sleep Quality Index

失眠症是以经常不能获得正常睡眠为特征的一类病症,常表现为难以入睡、睡眠不深、多梦、早醒,或醒后不易再睡,醒后不适感、疲乏,或白天困倦等。随着现代生活的快节奏,生活压力的增大,越来越多的人饱受失眠的困扰,预计2020年全世界受失眠症困扰的人群将超过7亿[1]。失眠症的治疗现在多用苯二氮卓类药物,但很多人因担心药物的成瘾性及戒断综合征等副反应而不敢服用[2-3]。笔者采用督脉灸配合耳穴贴压治疗失眠症患者103例,并与单纯耳穴贴压治疗103例相比较,现报告如下。

1 临床资料

1.1 一般资料

206例患者均为2010年2月至2013年6月我院门诊患者,随机分为治疗组和对照组,每组103例。最终完成治疗195例,其中治疗组99例,对照组96例。治疗组中男38例,女61例;年龄最小20岁,最大64岁,平均(38±13)岁;病程最短0.5年,最长20年,平均(7.48±4.57)年。对照组中男33例,女63例;年龄最小21岁,最大62岁,平均(37±12)岁;病程最短0.5年,最长20年,平均(7.13±4.92)年。两组性别、年龄、病程比较,差异无统计学意义(P＞0.05),具有可比性。

1.2 纳入标准

①符合中国精神障碍分类与诊断标准第3版(CCMD-3)失眠症的诊断标准;②治疗前匹兹堡睡眠质量指数(PSQI)量表[4]各项评分均＞7分。

1.3 排除标准

①入院前1星期内曾服用镇静安神药者;②有糖尿病,心、肝、脾、肾严重原发性疾病和严重精神疾病患者;③妊娠期及哺乳期妇女。

2 治疗方法

2.1 治疗组

2.1.1 督脉灸

以背部督脉经(上至大椎穴,下至腰阳关)为主。患