摘要
目的:观察穴位埋线治疗失眠症的临床疗效。方法:将165例失眠症患者随机分为埋线组55例,针刺组53例,药物组57例,以匹茨堡睡眠质量指数量表及症状分级量化标准观察,分别在治疗前、疗程结束时以及疗程结束后1个月进行评测。结果:埋线组、针刺组和药物组均能有效改善患者的失眠状况。疗程结束时埋线组总有效率54.76%,针刺组总有效率44.12%,两组之间有显著性差异(P<0.05),埋线组优于针刺组;药物组总有效率52.17%,与埋线组之间无显著性差异(P>0.05),埋线组疗效与药物组接近。疗程结束后1月埋线组总有效率73.81%,针刺组总有效率52.94%,药物组总有效率50.00%,埋线组与针刺组及药物组之间均有显著性差异(P<0.01),埋线组优于针刺组及药物组。3组患者治疗前PSQI评分无显著性差异;疗程结束时埋线组与针刺组的PSQI评分有显著性差异(P<0.05),埋线组优于针刺组,埋线组与药物组的PSQI评分无显著性差异(P>0.05),埋线组疗效与药物组接近;疗程结束后1月埋线组的PSQI评分改善优于针刺组及药物组,均有显著性差异(P<0.05)。结论:穴位埋线治疗失眠症疗效优于针刺治疗,与口服药物(艾司唑仑片)近似;穴位埋线疗效维持时间长,治疗后效应优于口服药物及针刺治疗,不良反应发生较少,值得临床推广。
Objective： To observe the clinical efficacy of catgut-embedding therapy on patient with insomnia. Methods： 165cases of insomnia are randomly divided into 55cases of embedding group, 53cases of acupuncture group, 57cases of drug group in Pittsburgh Sleep Quality Index scale quantitative criteria and grading of symptoms observed at baseline, at the end of treatment and one month after the end of the evaluation. Results ： embedding, acupuncture and drug group can effectively improve insomnia patients. At the end of treatment, the total efficiency of Embedding group is 54. 76% and the acupuncture group 44. 12% , there exists a significant difference （P 〈0. 05） , the former one is better; drugs group is 52. 17% , there is no significant difference （P〉 0.05） between the group and embedding. One month after the end of treatment, the total efficiency of embedding is 73.81%, the acupuncture group 52. 94%, and the drug group 50.00%, there exists significant difference between embedding group, acupuncture group and drug group （P 〈0. 01 ）, the embedding group is better than the acupuncture group and the drug group. Before the treatment, three groups of patients＇ PSQI score is no significant difference ; But at the end of the treatment, the PSQI score between embedding one and the acupuncture one is significantly different （ P 〈0.05 ）, and the fomer one is better; the embedding group and drug group is no significant difference （P〉 0.05 ）, and the efficacy is closer; One month after the treatment, the embedding group＇ PSQI score improves more than the acupuncture group and the drug group. There is significant difference （P 〈0.05）. Conclusion： catgut-embedding therapy on patient with insomnia＇s efficacy is better than acupuncturing and similar to drug （estazolam tablets）, catgut-embedding therapy maintaines longer and the adverse reactions is less. The catgut-embedding therapy is worthy of clinical application.
出处
《四川中医》
2014年第10期161-165,共5页
Journal of Sichuan of Traditional Chinese Medicine
