【目的】观察气机升降针法治疗肝郁型失眠患者的临床疗效。【方法】将符合纳入标准的60例失眠患者随机分为治疗组和对照组各30例。治疗组给予气机升降针法治疗，对照组给予常规针法治疗。观察2组治疗前后多导睡眠图（PSG）、匹兹堡睡眠质量指数（PSQI）及临床疗效变化情况。【结果】（1）治疗后，2组患者睡眠总时间、深睡眠时间及快速眼球运动（REM）睡眠时间均有所延长，睡眠潜伏期缩短，觉醒次数减少（P<0.05）。治疗组睡眠总时间、深睡眠时间以及REM睡眠时间改善作用优于对照组（P<0.05）。（2）治疗后，2组患者PSQI评分均降低（P<0.01），治疗组降低作用优于对照组（P<0.01）。（3）治疗组和对照组总有效率分别为93.33%和76.67%，治疗组疗效优于对照组（P<0.01）。【结论】气机升降针法治疗肝郁型失眠与常规针法比较疗效更为显著，其操作简便，方法新颖。%Objective To investigate the clinical effect of acupuncture therapy for ascending and descending Qi for the treatment of insomnia with the syndrome of liver stagnation. Methods Sixty quantified patients were randomized into 2 groups, 30 cases in each group. The patients in the treatment group were treated by acupuncture therapy for ascending and descending Qi, and the control group was given conventional acupuncture therapy. The polysomnography ( PSG) results and Pittsburgh sleep quality index ( PSQI) were compared before and after treatment, and the clinical efficacy was evaluated after treatment in the two groups. Results ( 1) The parameters of total sleep time, deep sleep time and rapid eye movement ( REM) time were prolonged, and the sleep latency and waking-up frequency in both groups were reduced after treatment (P<0.05 compared with those before treatment), and the improvement of total sleep time, deep sleep time and REM time in the treatment group was significantly superior to that in the control group (P<0.05). (2) PSQI scores in both groups were reduced after treatment ( P<0.01 compared with those before treatment) , and the reduction in the treatment group was more significant than that in the control group (P<0.01). (3) The total effective rate in the treatment group was 93.33%and was 76.67%in the control group. The efficacy in the treatment group was better than that in the control group (P<0.01). Conclusion Acupuncture therapy for ascending and descending Qi has better effect on insomnia with liver stagnation than conventional acupuncture therapy, being practical and innovative.
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