摘要
目的:观察眼针治疗卒中后失眠的临床疗效。方法:60例卒中后失眠患者随机分为眼针组(30例)与常规针刺组(30例),眼针组针刺双侧上焦区与心区,常规针刺组针刺印堂、四神聪、安眠等穴位,每次20min,均每日1次,15d为1个疗程,共治疗2个疗程。对两组治疗前后匹兹堡睡眠质量指数量表(PSQI)评分及临床疗效进行比较。结果:眼针组总有效率为96.7%(29/30),常规针刺组总有效率为86.7%(26/30),差异无统计学意义(P>0.05)。眼针组与常规针刺组治疗后PSQI总分较治疗前均降低(P<0.01),眼针组在入睡时间、睡眠障碍、日间功能障碍评分方面改善优于常规针刺组,差异有统计学意义(P<0.05)。结论:眼针与常规针刺治疗卒中后失眠均有效,在缩短入睡时间,改善睡眠障碍与日间功能障碍方面眼针优于常规针刺。
Objective To observe the therapeutic effect of eye-acupuncture therapy for post-stroke insomnia.Methods Sixty patients（45-70 years in age）with post-stroke insomnia were randomized into eye-acupuncture group and routine acupuncture（body acupuncture）group（30cases in each）.Patients of the eye-acupuncture group were treated by acupuncture stimulation of bilateral Shangjiao（Upper-energizer）and Xin（Heart）regions and those of the routine acupuncture group treated by acupuncture stimulation of Baihui（GV 20）,Sishencong（EX-HN 1）,Anmian（EX-HN 16）,etc.After Deqi,the filiform needles were retained for 20 min,and the treatment in both groups was conducted once a day,with 15 days being one therapeutic course and 2courses altogether.The Pittsburgh Sleep Quality Index（PSQI）including the subjective sleep quality,sleep latency,sleep duration,habitual sleep efficiency,sleep disturbances,daytime dysfunction,and total PSQI score was used to evaluate the overall sleep quality.The clinical efficacy was assessed according to the＂Guiding Principles of Clinical Trials for New Drugs of Traditional Chinese Medicine＂formulated by Chinese Ministry of Health.Results Following the treatment,of the two 30 cases in the eyeand routine acupuncture groups,21 and 9experienced a marked improvement in their symptoms,8and 17 were effective,and 1and 4invalid,with the effective rate being 96.7% and 86.7%,respectively.The PSQI scores of the subjective sleep quality,sleep latency,sleep duration,habitual sleep efficiency,sleep disturbances,daytime dysfunction,and the total PSQI score were all significantly decreased in comparison with pre-treatment in each group（P0.01）.The therapeutic effect of the eye-acupuncture was markedly superior to those of routine acupuncture in reducing sleep latency,sleep disturbances and daytime dysfunction（P0.05）,but without significant differences between the two groups in the effective rate,sleep quality,sleep duration,sleep efficiency and total PSQI score（P0.05）.Conclusion Bot
作者
刘露阳
王鹏琴
LIU Lu-yang WANG Peng qin(Postgraduate Student School, Liaoning University of Traditional Chinese Medicine, Shenyang 110032, China The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang 110032)
出处
《针刺研究》
CAS
CSCD
北大核心
2017年第1期67-71,共5页
Acupuncture Research
基金
2014国家行业专项眼针(No.201407001)
辽宁彭氏眼针学术流派工作室建设项目(No.LPGZS 2012-09)
关键词
眼针
卒中后失眠
常规针刺
随机对照试验
Eye-acupuncture therapy
Post-stroke insomnia
Routine acupuncture
Randomized controlled trial
