疏肝调神针刺法治疗抑郁相关失眠的临床疗效
发布时间：2019-03-07 08:43
【摘要】：目的探讨疏肝调神针刺法治疗抑郁相关失眠的临床疗效。方法将80例患者随机分为疏肝调神针刺组和非穴位浅刺组,每组40例。疏肝调神组取针刺双侧百会、印堂、合谷、太冲、神门、三阴交、安眠,肝俞、心俞埋针;非穴浅刺组取百会旁、印堂旁、合谷旁、太冲旁、神门旁、三阴交旁、安眠旁,均为各穴水平向左旁开0.5 cm,针身刺入穴位皮肤浅层0.2~0.3 cm,且进针后不行任何手法,心俞旁、肝俞旁埋王不留行籽;2次/w,持续8 w,共16次。观察两组针刺前、针刺4、8 w和随访4 w时的匹兹堡睡眠量表(PSQI)及汉密尔顿抑郁量表(HAMD)总分改善情况。结果疏肝调神组1例因针刺后头痛、3例因疗效不能达到预期退出研究,实际纳入36例受试者;非穴浅刺组6例患者因疗效未达预期值而退出,实际纳入34例。疏肝调神针刺组PSQI在治疗4、8 w较治疗前降低(P0.05),并且在随访4 w时评分基本维持在治疗8 w水平(P0.05);HAMD治疗4、8 w较治疗前显著下降(P0.05),在随访4 w时有上升趋势,但差异无统计学意义(P0.05)。非穴浅刺组PSQI在治疗后8 w较治疗前下降(P0.05),在随访4 w较治疗8 w时有上升趋势;HAMD在治疗4、8 w时较治疗前降低(P0.05),随访4 w时升高。疏肝调神组在治疗各时点PSQI、HAMD总分均较非穴浅刺组降低显著。基于PSQI和HAMD减分率的疗效提示疏肝调神针法可提高睡眠效率和抗抑郁疗效。结论疏肝调神针刺法和非穴浅刺组可改善抑郁相关失眠患者的PSQI、HAMD总分,但前者较后者起效更快更显著更持久。
[Abstract]:Objective to explore the clinical effect of soothing the liver and regulating the spirit by acupuncture in the treatment of depression-related insomnia. Methods 80 patients were randomly divided into soothing liver-regulating acupuncture group and non-acupoint superficial acupuncture group, with 40 cases in each group. Shugan Tiaoshen group to acupuncture bilateral Baihui, Yintang, Hegu, Taichong, Shenmen, Sanyin Jiao, sleep, Ganyu, Xinshu buried needle; In the non-acupoint shallow prick group, the patients in the non-acupoint shallow acupuncture group were taken from the side of the hundred meeting, the printing hall, the Hegu side, the Taichong side, the Shenmen side, the side of the Sanyin intersection, the side of the sleeping side, and all the points were opened to the left for 0.5 cm, needle body puncture into the superficial layer of the acupoint skin 0.2 And after the needle can not be any manipulation, next to the heart, liver next to the king buried no seeds; 2 times / w, lasting 8 w. a total of 16 times. The total scores of Pittsburgh sleep scale (PSQI) and Hamilton depression scale (HAMD) were improved before acupuncture, at 4, 8 weeks after acupuncture and 4 weeks after follow-up. Results in the group of soothing liver and regulating mind, one case had headache after acupuncture, 3 cases had failed to achieve the expected curative effect, 36 cases had actually been enrolled in the study, and 6 cases in the group of non-acupoint shallow acupuncture had withdrawn because the curative effect did not reach the expected value, and 34 cases had actually been included in the group of non-acupoint shallow acupuncture. In the treatment group, PSQI was lower at 4 weeks and 8 weeks after treatment than that before treatment (P0.05), and the score was maintained at the level of 8 weeks after 4 weeks of follow-up (P0.05). HAMD treatment 4, 8 weeks than before treatment significantly decreased (P0.05), at 4 weeks follow-up trend increased, but there was no significant difference (P0.05). In the non-acupoint superficial acupuncture group, PSQI decreased at 8 weeks after treatment (P0.05), and increased at 4 weeks after treatment compared with 8 weeks after treatment, and HAMD decreased at 4 and 8 weeks after treatment (P0.05), and increased at 4 weeks after follow-up. The total score of PSQI,HAMD in the Shugan Tiaoshen group was significantly lower than that in the non-acupoint shallow acupuncture group at each time point. The results based on the reduction rate of PSQI and HAMD suggest that the method of soothing the liver and regulating the mind can improve the sleep efficiency and the antidepressant effect. Conclusion the total score of PSQI,HAMD in depression-related insomnia patients can be improved by soothing liver-regulating acupuncture and non-acupoint shallow acupuncture, but the effect of the former is faster and more lasting than that of the latter.
【作者单位】： 广州中医药大学第二附属医院;湖南省长沙市第四医院中医科;
【基金】：广东省科技项目(No.2013B032500008;2014A020221079)
【分类号】：R246.6
，
本文编号：2435954
[Abstract]:Objective to explore the clinical effect of soothing the liver and regulating the spirit by acupuncture in the treatment of depression-related insomnia. Methods 80 patients were randomly divided into soothing liver-regulating acupuncture group and non-acupoint superficial acupuncture group, with 40 cases in each group. Shugan Tiaoshen group to acupuncture bilateral Baihui, Yintang, Hegu, Taichong, Shenmen, Sanyin Jiao, sleep, Ganyu, Xinshu buried needle; In the non-acupoint shallow prick group, the patients in the non-acupoint shallow acupuncture group were taken from the side of the hundred meeting, the printing hall, the Hegu side, the Taichong side, the Shenmen side, the side of the Sanyin intersection, the side of the sleeping side, and all the points were opened to the left for 0.5 cm, needle body puncture into the superficial layer of the acupoint skin 0.2 And after the needle can not be any manipulation, next to the heart, liver next to the king buried no seeds; 2 times / w, lasting 8 w. a total of 16 times. The total scores of Pittsburgh sleep scale (PSQI) and Hamilton depression scale (HAMD) were improved before acupuncture, at 4, 8 weeks after acupuncture and 4 weeks after follow-up. Results in the group of soothing liver and regulating mind, one case had headache after acupuncture, 3 cases had failed to achieve the expected curative effect, 36 cases had actually been enrolled in the study, and 6 cases in the group of non-acupoint shallow acupuncture had withdrawn because the curative effect did not reach the expected value, and 34 cases had actually been included in the group of non-acupoint shallow acupuncture. In the treatment group, PSQI was lower at 4 weeks and 8 weeks after treatment than that before treatment (P0.05), and the score was maintained at the level of 8 weeks after 4 weeks of follow-up (P0.05). HAMD treatment 4, 8 weeks than before treatment significantly decreased (P0.05), at 4 weeks follow-up trend increased, but there was no significant difference (P0.05). In the non-acupoint superficial acupuncture group, PSQI decreased at 8 weeks after treatment (P0.05), and increased at 4 weeks after treatment compared with 8 weeks after treatment, and HAMD decreased at 4 and 8 weeks after treatment (P0.05), and increased at 4 weeks after follow-up. The total score of PSQI,HAMD in the Shugan Tiaoshen group was significantly lower than that in the non-acupoint shallow acupuncture group at each time point. The results based on the reduction rate of PSQI and HAMD suggest that the method of soothing the liver and regulating the mind can improve the sleep efficiency and the antidepressant effect. Conclusion the total score of PSQI,HAMD in depression-related insomnia patients can be improved by soothing liver-regulating acupuncture and non-acupoint shallow acupuncture, but the effect of the former is faster and more lasting than that of the latter.
【作者单位】： 广州中医药大学第二附属医院;湖南省长沙市第四医院中医科;
【基金】：广东省科技项目(No.2013B032500008;2014A020221079)
【分类号】：R246.6
，
本文编号：2435954
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