贵州医科大学学报

2015, v.40;No.183(12) 1409-1412

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针灸头部透穴疗法治疗失眠症的疗效及机制
Efficacy and Mechanism of Acupuncture on Head Therapy for Treatment of Insomnia

凌云;
LING Yun;Department of Recovery,Science City Hospital of Sichuan;

摘要(Abstract):

目的:观察针灸头部透穴疗法治疗失眠症的临床疗效及作用机制。方法:90例失眠症患者按照随机数字表分为治疗组和对照组,对照组给予常规针刺疗法,治疗组给予头部透穴疗法,采用焦虑自评量表(SAS)和匹兹堡睡眠质量量表(PSQI)评价两组患者治疗前后的焦虑状态和睡眠质量,取两组患者治疗前后静脉血,检测血清5-羟色胺(5-HT)、去甲肾上腺素(NA)和多巴胺(DA)水平,比较两组患者治疗后的效果。结果:治疗后两组患者的SAS和PSQI积分较治疗前均有降低,差异有统计学意义(P<0.05);治疗完成后治疗组的SAS和PSQI评分均低于对照组,差异有统计学意义(P<0.05);治疗完成后治疗组血清5-羟色胺、去甲肾上腺素和多巴胺水平均较治疗前升高,并高于对照组,差异有统计学意义(P<0.05);治疗组的总有效率为91.11%,显著高于对照组的73.33%,差异具有统计学意义(P<0.05)。结论:头部透穴疗法治疗失眠症临床疗效确切,可以改善患者的焦虑状态和睡眠质量,其作用机制与5-羟色胺、去甲肾上腺素和多巴胺水平有关。
Objective: To research the mechanism and the efficacy of acupuncture on head therapy for treatment of insomnia. Methods: Ninety insomnia patients were randomly divided into treatment group and control group. The control group used conventional acupuncture therapy,and the treatment group used the head point-through-point therapy. After treatment,SAS and PSQI were used to evaluate the anxiety status and sleep quality,and the levels of 5-HT,NE and DA were tested and compared after treatment. Results: The total effective rate of treatment group was 91. 11%,which was higher than that of control group( 73. 33%),differences were statistically significant( P ﹤ 0. 05). Before treatment the SAS and PSQI score have statistical significance( P > 0. 05); after treatment the scores of SAS and PSQI of treatment group were lower than the control group,differences were statistically significant( P < 0. 05). The levels of 5-HT,NE and DA of the treatment group were higher than that of control group,with statistical significance( P < 0. 05). Conclusion: The clinical efficacy of head point-through-point therapy for treatment of insomnia is good. It improves sleeping quality and elevates stress level.

关键词(KeyWords): 失眠症;头部透穴疗法;针刺疗法;神经递质
insomnia;head point-through-point therapy;acupuncture;neurotransmitter

Abstract:

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作者(Author): 凌云;
LING Yun;Department of Recovery,Science City Hospital of Sichuan;

Email:

DOI: 10.19367/j.cnki.1000-2707.2015.12.034

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