CAJ | 학술논문

目的：根据多导睡眠脑电图分析,观察阴阳气血配穴针刺治疗失眠症的临床疗效。方法将75例失眠症患者随机分为治疗组38例和对照组37例。治疗组采用阴阳气血配穴针刺治疗,对照组采用口服艾司唑仑治疗。治疗2个疗程后,采用多导睡眠脑电图评估两组患者治疗前后睡眠变化情况,并比较两组临床疗效。结果两组治疗后睡眠进程各项指标(睡眠潜伏期、REM潜伏期、总睡眠时间以及睡眠效率)与同组治疗前比较,差异均具有统计学意义(P＜0.01)。治疗组治疗后NREM期时间和REM期时间与同组治疗前比较,差异均具有统计学意义(P＜0.01)。对照组治疗后REM期时间与同组治疗前比较,差异具有统计学意义(P＜0.01)。治疗组治疗后NREM期时间及REM期时间与对照组比较,差异均具有统计学意义(P＜0.01)。治疗组治疗后NREM睡眠中S1期、S2期、S3期、S4期睡眠时间与同组治疗前比较,差异均具有统计学意义(P＜0.01)。对照组治疗后NREM睡眠中S1期、S2期睡眠时间与同组治疗前比较,差异具有统计学意义(P＜0.01,P＜0.05)。治疗组治疗后NREM睡眠中S1期、S2期、S3期、S4期睡眠时间与对照组比较,差异均具有统计学意义(P＜0.01)。治疗组总有效率为73.7%,对照组为75.7%,两组比较差异无统计学意义(P＞0.05)。结论阴阳气血配穴针刺是一种治疗失眠症的有效方法,可优化失眠患者睡眠结构,提高患者睡眠质量。
목적：근거다도수면뇌전도분석,관찰음양기혈배혈침자치료실면증적림상료효。방법장75례실면증환자수궤분위치료조38례화대조조37례。치료조채용음양기혈배혈침자치료,대조조채용구복애사서륜치료。치료2개료정후,채용다도수면뇌전도평고량조환자치료전후수면변화정황,병비교량조림상료효。결과량조치료후수면진정각항지표(수면잠복기、REM잠복기、총수면시간이급수면효솔)여동조치료전비교,차이균구유통계학의의(P＜0.01)。치료조치료후NREM기시간화REM기시간여동조치료전비교,차이균구유통계학의의(P＜0.01)。대조조치료후REM기시간여동조치료전비교,차이구유통계학의의(P＜0.01)。치료조치료후NREM기시간급REM기시간여대조조비교,차이균구유통계학의의(P＜0.01)。치료조치료후NREM수면중S1기、S2기、S3기、S4기수면시간여동조치료전비교,차이균구유통계학의의(P＜0.01)。대조조치료후NREM수면중S1기、S2기수면시간여동조치료전비교,차이구유통계학의의(P＜0.01,P＜0.05)。치료조치료후NREM수면중S1기、S2기、S3기、S4기수면시간여대조조비교,차이균구유통계학의의(P＜0.01)。치료조총유효솔위73.7%,대조조위75.7%,량조비교차이무통계학의의(P＞0.05)。결론음양기혈배혈침자시일충치료실면증적유효방법,가우화실면환자수면결구,제고환자수면질량。
Objective To observe the clinical efficacy of acupuncture with points selection based on yin-yang and qi-blood in treating insomnia by using polysomnography.Method Seventy-five insomnia patients were randomized into a treatment group of 38 cases and a control group of 37 cases. The treatment group was intervened by acupuncture with points selection based on yin-yang and qi-blood, while the control group was by oral administration of Estazolam. The polysomnography was used to assess sleep condition before and after 2 treatment courses, and the clinical efficacies were compared between the two groups.Result The sleep parameters [sleep latency, rapid eye movement (REM) latency, total sleep duration, and sleep efficiency) were significantly changed after the treatment in both groups (P<0.01). The Non-REM (NREM) and REM duration of the treatment group were significantly changed after the treatment (P<0.01). The REM duration of the control group was significantly changed after the treatment (P<0.01). After the treatment, the NREM and REM durations of the treatment group were significantly different from that of the control group (P<0.01). The sleep durations in S1, S2, S3, and S4 stages during NREM were significantly changed in the treatment group after the intervention (P<0.01). The sleep duration in S1, S2 during NREM was markedly changed in the control group after the intervention (P<0.01 ,P<0.05). After the treatment, the sleep durations in S1, S2, S3, and S4 during NREM of the treatment group were significantly different from that of the control group (P<0.01). The total effective rate was 73.7% in the treatment group versus 75.7% in the control group, and the difference was statistically insignificant (P>0.05).Conclusion Acupuncture with points selection based on yin-yang and qi-blood is effective in treating insomnia, and it can improve the sleep structure and quality.