摘要
[目的]观察督脉十三针联合腹针治疗顽固性失眠疗效。[方法]使用随机平行对照方法,将92例门诊患者按就诊顺序号法简单随机分为两组。对照组46例艾司唑仑,2~4mg/次,1次/d。治疗组46例督脉十三针配合腹针,督脉十三针:长强、腰阳关、命门、悬枢、脊中、筋缩、至阳、神道、身柱、陶道、大椎、风府、百会,俯卧位,0.3mm×40mm毫针,长强开始,刺入13~30mm,得气后捻转,留针45min,1次/d;腹针,中脘、下脘、气海、关元深刺,双侧商曲中刺、双侧滑肉门浅刺,双侧气穴、双侧大横中刺;伴头痛、健忘加阴都浅刺;多梦下脘下方2mm浅刺;仰卧位,暴露腹部,据患者情况腹壁脂肪、体形等选取0.22mm×30mm^0.22mm×40mm毫针,不捻转或轻捻转慢提插,留针30min,1次/d。治疗10d为1疗程。观测临床症状、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、应用药物、日间功能、不良反应。连续治疗2疗程,督脉十三针疗程间隔2d,判定疗效。[结果]治疗组痊愈9例,显效28例,有效6例,无效3例,总有效率93.48%。对照组痊愈2例,显效31例,有效5例,无效8例,总有效率82.61%。治疗组疗效优于对照组(P<0.05)。症状、体征积分两组均有改善(P<0.05),治疗组改善优于对照组(P<0.05)。[结论]督脉十三针联合腹针治疗顽固性失眠效果显著,无严重不良反应,值得推广。
[Objective]To observe Du 13 G abdominal acupuncture combined effect of the treatment of intractable insomnia. [Methods]Using random parallel control method, 92 cases of outpatient treatment order number method is simple and randomized into two groups. The control group 46 cases estazolam, 2~4mg / second, 1 / d. Treatment group of 46 patients with abdominal Du 13 G needle. Du 13 G acupoints： Long strong Yaoyangguan, Vital, suspension pivot, ridges, muscle contraction, to Yang, Shinto, body column, Tao Tao, Ojo, wind House, Baihui, prone position, 0.3mm × 40 mm needles, acupuncture routine disinfection, with breathing, since the beginning of the long and strong points, piercing 13~30mm, after the gas twisting, needle 45 min, 1 times / d; abdominal acupuncture acupoints： deep stab in the abdominal cavity lower abdominal cavity deep stab, stab deep sea air, Guan Yuan deep stab, stab bilateral commercial song, double sliding door meat shallow stab, stab bilateral cavitation, bilateral large cross in the thorn, with headache, forgetfulness may increase with yin Du hole shallow stab; dreams 2mm below the lower part of the abdominal cavity shallow stab; supine position, exposing the abdomen, abdominal fat, according to the patient＇s condition, body shape and other select 0.22 mm × 30mm^0.22 mm × 40 mm needles, acupuncture routine disinfection, piercing, not to mention twisting or light twisting slowly inserted, the needle 30 min, 1 times / d. Treatment 10 d for a course of treatment. Observation of clinical symptoms, sleep quality, sleep time, sleep time, sleep efficiency, sleep disorders, using drugs, daytime function, adverse reactions. Continuous treatment of two courses, treatment interval between Du 13 G 2d, to determine efficacy. [Results]Treatment group recovered nine cases, effective in 28 cases, effective in 6 cases, 3 cases, the total efficiency of 93.48%. In the control group healed two cases, 31 cases markedly effective in 5 cases, 8 cases, the total efficiency of 82.61%. Treatment group than the con
出处
《实用中医内科杂志》
2015年第2期144-147,共4页
Journal of Practical Traditional Chinese Internal Medicine
关键词
顽固性失眠
督脉十三针
腹针
睡眠质量
入睡时间
睡眠时间
睡眠效率
睡眠障碍
应用药物
日间功能
中医药治疗
随机平行对照研究
ntractable insomnia
Du 13G
abdominal needles
sleep quality
sleep time
sleep efficiency
sleep disorders
using drugs
daytime function
Chinese medicine treatment
randomized controlled study in parallel
