【摘要】 目的探讨清肝安神法与镇脑安神法电针治疗原发性失眠症(PI)的疗效及其对睡眠结构的影响。方法将82例患者随机分为清肝安神组(清肝组)、镇脑安神组(镇脑组)各41例。清肝组取穴太冲、足临泣、神门、内关,镇脑组取穴百会、四神聪、神庭、安眠。两组均治疗10次为1个疗程,治疗后及随访时(结束后2周)评价疗效并观察两组患者治疗前后匹兹堡睡眠质量指数(PSQI)各因子及总分评分。结果治疗后清肝组总有效率为97.4%,镇脑组为85.3%,两组比较差异无统计学意义(P>0.05);随访时清肝组总有效率为97.4%,镇脑组为70.7%,两组比较差异有统计学意义(P<0.01)。治疗后及随访时两组患者PSQI评分中睡眠质量、入睡时间、睡眠时间、睡眠效率、日间功能等因子积分均较治疗前明显下降(P<0.01);镇脑组睡眠障碍积分治疗后与治疗前比较亦明显减少(P<0.01)。在睡眠效率积分方面,清肝组在治疗后及随访时均明显低于镇脑组(P<0.01)。在PSQI总分方面,清肝组在随访时低于镇脑组(P<0.01)。结论清肝安神法与镇脑安神法电针治疗PI均安全有效,清肝安神法疗效更佳。更多还原

【Abstract】 Objective To study the efficacy of electroacupuncture with liver-clearing spirit-quieting method and brain-settling spirit-quieting method for primary insomnia(PI) and the effect on sleep structure.Methods Eighty-two cases of PI were randomized into the liver-clearing spirit-quieting group(liver-clearing group) and brain-settling spirit-quieting group(brain-settling group),with 41 in each.The liver-clearing group was given electroacupuncture on bilateral Taichong(LR3),Zulinqi(GB41),Shenmen(TF4) and Neiguan(PC6).The brain-settling group was given electroacupuncture on Baihui(DU20),Sishencong(EX-HN1),Shenting(DU24) and bilateral Anmian(EX-HN).Both groups were treated for 10 times as one treatment course.After treatment and in the follow-up period,the efficacy and scores of each factor and total score of the Pittsburgh Sleep Quality Index(PSQI) were evaluated in both groups.Results The total effective rate of the liver-clearing group and brain-settling group was 97.4% and 85.3% respectively,with no significant difference between groups(P>0.05).In the follow-up period,the total effective rate of the liver-clearing group and brain-settling group was 97.4% and 70.7% respectively,with significant difference between groups(P<0.01).After treatment and in the follow-up period,the factor scores of PSQI such as sleep quality,sleep latency,sleep time,sleep efficiency and daytime function decreased significantly in both groups(P<0.01).After treatment,the scores of sleep disorders decreased significantly in the brain-settling group(P<0.01).After treatment and in the follow-up period,the scores of sleep efficacy in the liver-clearing spirit-quieting group were significantly lower than those in the brain-settling group(P<0.01).Conclusion Electroacupuncture with liver-clearing spirit-quieting method or brain-settling spirit-quieting method for PI is safe and effective,especially with brain-settling spirit-quieting method.更多还原