【摘要】 目的:观察针灸“相对穴”对老年慢性失眠症的临床疗效。方法:选取2019年11月至2021年3月河北省沧州中西医结合医院针灸科门诊就诊的老年慢性失眠患者30例，采用“相对穴”针灸治疗，以内关与外关为主穴，艾灸命门、神阙穴; 1次/d,6 d为1个疗程，休息1 d后，继续下个疗程。治疗4周后观察失眠严重指数(ISI)评分、匹兹堡睡眠质量指数(PSQI)评分情况，治疗结束后3个月进行随访。结果:针灸“相对穴”改善老年慢性失眠症的有效率为90%，治疗后患者的ISI评分及PSQI评分较治疗前有明显降低(P <0.05);随访的有效率为86.67%，与治疗前比较随访期患者的ISI评分及PSQI评分仍有明显降低(P <0.05)。结论:“相对穴”针灸能有效治疗老年慢性失眠，提高老年人的睡眠质量。更多还原

【Abstract】 Objective: To explore the clinical effect of acupuncture and moxibustion on Complementary Acupoints to senile intractable insomnia. Methods: A total of 30 elderly patients selected and admitted to the outpatient department of Acupuncture Department of Cangzhou Integrated Traditional Chinese and Western Medicine Hospital,Hebei Province from November 2019 to March2021 was treated with acupuncture from PC 6( nèi guān) to SJ 5( wài guān) and moxibustion at RN8( shén quē),DU4( mìng mén). All patients were treated once a day,six times a week for four weeks in total. Follow ups were conducted at the third months after the end of treatment. The scores of insomnia severity index( ISI) and Pittsburgh sleep quality index( PSQI) were observed after 4 weeks of treatment,and followed up 3 months after the end of treatment. Results: After treatment,the total effective rate was90%,compared with before treatment. The patient’s ISI scores and PSQI scores were significantly decreased( P < 0. 05). The effective rate of follow-up was 86. 67%. Compared with that before treatment,the ISI score and PSQI score of patients in follow-up period were still significantly lower( P < 0. 05). Conclusion: Acupuncture and moxibustion on Complementary Acupointscan effectively treat intractable insomnia in the elderly and improve their sleep quality.更多还原