调神针刺法对原发性失眠患者睡眠质量及过度觉醒的影响

摘要

Objective:To observe the clinical effect of Tiaoshen acupuncture therapy on sleep quality and hyperarousal state in primary insomnia.Methods:Totally 60 patients with primary insomnia were recruited and randomized in a ratio of 1 ∶ 1 to the intervention group (real acupuncture) and the control group (sham acupuncture).Du20,DU24,GB13,EXHN1,SP6,PC6,HT7 were punctured.Needle manipulation was applied to achieve "De Qi".Sham acupuncture was conducted by needling the acupoints of LI-14,LI-10,SJ4,SJ5,GB31,ST32 and GB31."De Qi" was avoided.Needle retention was 30 minutes.All the participants received acupuncture therapy with three times a week for 4 weeks.The Pittsburgh Sleep Quality Index (PSQI) and sleep diaries (including Sleep Latency-SL,Wake after Sleep Onset-WASO,total sleep time-TST)were used to assess sleep quality and Hyperarousal Scale (HAS) was used to assess hyperarousal state.Results:Compared to those in the control group,PSQI and HAS scores,sleep latency,number of wake after sleep onset were decreased and the total sleep time was increased in the intervention group (P ＜ 0.05).Conclusion:The Tiaoshen acupuncture therapy is effective for decreasing the hyperarousal in patients with primary insomnia and is helpful for improving the sleep quality.%目的:研究针刺对原发性失眠(PI)患者睡眠质量及过度觉醒状态的影响.方法:60例PI患者,按1∶1比例随机分为治疗组(n=30)和对照组(n=30),治疗组给予调神法针刺百会、四神聪、本神、神庭、内关、神门,对照组予针刺无效穴臂臑、外关、风市等,两组均隔日针刺1次,疗程4周.采用匹兹堡睡眠质量指数(PSQI)和睡眠日志评估患者睡眠情况,采用过度觉醒量表(HAS)评估患者日间过度觉醒程度.结果:治疗组PSQI、睡眠日志的入睡潜伏期及入睡后觉醒次数、总睡眠时间、HAS的改善优于对照组(P＜0.05).结论:调神针刺法较针刺无效穴可有效降低原发性失眠患者过度觉醒状态,提高睡眠质量.