上海针灸杂志
上海針灸雜誌
상해침구잡지
SHANGHAI JOURNAL OF ACUPUNCTURE AND MOXIBUSTION
2015年
4期
323-325
,共3页
围绝经期综合征%失眠症%PSQI评分%针刺%穴位疗法%埋线
圍絕經期綜閤徵%失眠癥%PSQI評分%針刺%穴位療法%埋線
위절경기종합정%실면증%PSQI평분%침자%혈위요법%매선
Perimenopausal syndrome%Insomnia%PSQI score%Acupuncture%Acupoint therapy%Embedding,Thread
目的：观察穴位埋线治疗女性更年期失眠的临床疗效。方法选取门诊女性更年期失眠患者60例，随机均衡分成埋线组和针刺组，每组30例。埋线组选取心俞、肝俞、脾俞、肾俞、气海、关元、内关、足三里、三阴交进行埋线治疗，每星期1次，连续埋3次为1个疗程；针刺组选取与埋线组相同的穴位，常规刺法，每星期3次，疗程同埋线组。以匹兹堡睡眠质量指数(PSQI)量表评分，于疗程结束后30 d随访观察持续疗效。结果两组总有效率比较差异无统计学意义(P＞0.05)，治疗前后PSQI评分组内比较差异均有统计学意义(P＜0.01)，随访后埋线组的PSQI总分、睡眠质量、催眠药物及日间功能评分与针刺组比较差异有统计学意义(P＜0.01)。结论与针刺治疗女性更年期失眠相比，埋线治疗持续疗效显著。
目的：觀察穴位埋線治療女性更年期失眠的臨床療效。方法選取門診女性更年期失眠患者60例，隨機均衡分成埋線組和針刺組，每組30例。埋線組選取心俞、肝俞、脾俞、腎俞、氣海、關元、內關、足三裏、三陰交進行埋線治療，每星期1次，連續埋3次為1箇療程；針刺組選取與埋線組相同的穴位，常規刺法，每星期3次，療程同埋線組。以匹玆堡睡眠質量指數(PSQI)量錶評分，于療程結束後30 d隨訪觀察持續療效。結果兩組總有效率比較差異無統計學意義(P＞0.05)，治療前後PSQI評分組內比較差異均有統計學意義(P＜0.01)，隨訪後埋線組的PSQI總分、睡眠質量、催眠藥物及日間功能評分與針刺組比較差異有統計學意義(P＜0.01)。結論與針刺治療女性更年期失眠相比，埋線治療持續療效顯著。
목적：관찰혈위매선치료녀성경년기실면적림상료효。방법선취문진녀성경년기실면환자60례，수궤균형분성매선조화침자조，매조30례。매선조선취심유、간유、비유、신유、기해、관원、내관、족삼리、삼음교진행매선치료，매성기1차，련속매3차위1개료정；침자조선취여매선조상동적혈위，상규자법，매성기3차，료정동매선조。이필자보수면질량지수(PSQI)량표평분，우료정결속후30 d수방관찰지속료효。결과량조총유효솔비교차이무통계학의의(P＞0.05)，치료전후PSQI평분조내비교차이균유통계학의의(P＜0.01)，수방후매선조적PSQI총분、수면질량、최면약물급일간공능평분여침자조비교차이유통계학의의(P＜0.01)。결론여침자치료녀성경년기실면상비，매선치료지속료효현저。
ObjectiveTo observe the clinical efficacy of acupoint thread-embedding in treating perimenopausal insomnia in women.MethodSixty outpatients with perimenopausal insomnia were randomized into a thread-embedding group and an acupuncture group, 30 in each group. The thread-embedding group was intervened by acupoint thread-embedding by selecting Xinshu (BL15), Ganshu (BL18), Pishu (BL20), Shenshu (BL23), Qihai (CV6), Guanyuan (CV4), Neiguan (PC6), Zusanli (ST36), and Sanyinjiao (SP6), once a week, successive 3 sessions as a treatment course; the acupuncture group was intervened by regular acupuncture by selecting the same acupoints following the same treatment course, 3sessions a week. The Pittsburgh Sleep Quality Index (PSQI) was adopted for evaluation, and a 30-d follow-up was conducted for observing the efficacy.ResultThere was no significant difference in comparing the total effective rate between the two groups (P>0.05). After intervention, the PSQI scores were significantly changed in both groups (P<0.01). In the follow-up, the PSQI global score, sleep quality, sleeping pills, and daytime function scores in the thread-embedding group were significantly differentfrom that in the acupuncture group (P<0.01). ConclusionThread-embedding can produce a more significant efficacy than using acupuncture in treating perimenopausal insomnia in women.
