文献类型：期刊文献

中文题名：“引阳入阴针法”治疗顽固性失眠症：随机对照研究

英文题名：Yinyang Ruyin acupuncture on refractory insomnia: a randomized controlled trial

作者：王银平[1];文新[2];冯喜莲[2];何天有[2]

第一作者：王银平

机构：[1]甘肃中医药大学针灸推拿学院,兰州730000;[2]甘肃中医药大学附属医院,兰州730000

第一机构：甘肃中医药大学针灸推拿学院

年份：2019

卷号：39

期号：11

起止页码：1155

中文期刊名：中国针灸

外文期刊名：Chinese Acupuncture & Moxibustion

收录：CSTPCD;;Scopus;北大核心:【北大核心2017】；CSCD:【CSCD2019_2020】；PubMed;

基金：国家中医药管理局第六批师带徒项目

语种：中文

中文关键词：顽固性失眠症;引阳入阴针法;匹兹堡睡眠质量指数(PSQI);针刺疗法

外文关键词：refractory insomnia;Yinyang Ruyin acupuncture;Pittsburgh sleep quality index(PSQI);acupuncture therapy

摘要：目的:比较"引阳入阴针法"与常规针刺法及口服艾司唑仑治疗顽固性失眠的疗效。方法:将180例顽固性失眠症患者随机分为引阳入阴针法组、常规针刺组和药物组,每组60例。引阳入阴针法组采用"引阳入阴针法"治疗,主穴取百会、外关、内关、胃俞、中脘、太溪,并根据不同证型加用配穴;常规针刺组主穴取百会、神门、三阴交、照海、申脉、安眠,配穴同引阳入阴针法组,均每日上午治疗1次,7次为一疗程,共治疗4个疗程;药物组口服艾司唑仑片1 mg,每日1次,睡前1 h服用,连续治疗4周。比较各组临床疗效、治疗前后匹兹堡睡眠质量指数(PSQI)评分。结果:引阳入阴针法组、常规针刺组和药物组总有效率分别为90.0%(54/60)、83.3%(50/60)、30.0%(18/60),引阳入阴针法组和常规针刺组均明显优于药物组(均P<0.05)。治疗后,引阳入阴针法组与常规针刺组PSQI各项指标评分与总分均显著降低(均P<0.05),药物组睡眠效率评分及总分显著降低(均P<0.05);引阳入阴针法组入睡时间、睡眠效率、睡眠障碍、日间功能障碍评分及总分治疗前后差值明显高于常规针刺组(均P<0.05),引阳入阴针法组PSQI各项指标评分与总分治疗前后差值明显高于药物组(均P<0.05);常规针刺组睡眠质量、入睡时间、睡眠时间、睡眠障碍、日间功能障碍评分及总分治疗前后差值明显高于药物组(均P<0.05)。结论:"引阳入阴针法"治疗顽固性失眠症疗效优于口服艾司唑仑片和常规针刺治疗。
Objective To compare the therapeutic effect of Yinyang Ruyin acupuncture, conventional acupuncture and oral estazolam tablet on refractory insomnia. Methods A total of 180 patients with refractory insomnia were randomized into a Yinyang Ruyin acupuncture group, a conventional acupuncture group and a medication group, 60 cases in each group. In the Yinyang Ruyin acupuncture group, Yinyang Ruyin acupuncture was applied at Baihui(GV 20), Waiguan(TE 5), Neiguan(PC 6), Weishu(BL 21), Zhongwan(CV 12) and Taixi(KI 3);in the conventional acupuncture group, conventional acupuncture was applied at Baihui(GV 20), Shenmen(HT 7), Sanyinjiao(SP 6), Zhaohai(KI 6), Shenmai(BL 62) and Anmian(Extra). Supplementary acupoints were added according to different patterns in the two acupuncture groups, and the treatment was given once a day, 7 times as one course and 4 courses were required. In the medication groups, estazolam was taken orally 1 h before sleep, 1 mg each time, once a day for 4 weeks. The Pittsburgh sleep quality index(PSQI) score was observed before and after treatment and the therapeutic effect was evaluated in the 3 groups.Results The total effective rates in the Yinyang Ruyin acupuncture group and the conventional acupuncture group were 90.0%(54/60) and 83.3%(50/60), which were superior to 30.0%(18/60) in the medication group(both P<0.05). Compared before treatment, the PSQI scores were significantly reduced in the two acupuncture groups(all P<0.05), the sleep efficiency and the total score of PSQI were reduced in the medication group(both P<0.05). After treatment, the changes of sleep latency, sleep efficiency, sleep disorder, daytime function and total score of PSQI in the Yinyang Ruyin acupuncture group were significantly larger than those in the conventional acupuncture group(all P<0.05). The changes of PSQI scores in the Yinyang Ruyin acupuncture group were significantly larger than the medication group(all P<0.05). The changes of sleep quality, sleep latency, sleep time, sleep disorder, daytime function and total score of PSQI in the conventional acupuncture group were significantly larger than the medication group(all P<0.05). Conclusion The therapeutic effect of Yinyang Ruyin acupuncture on refractory insomnia is superior to estazolam and conventional acupuncture.