| 摘要: |
| 目的：观察应用针刀调整脊柱区带治疗原发性失眠临床疗效。方法：将122例原发性失眠患者随机分为3组，分别为：针刀治疗组40例、真针刺对照组41例和安慰针对照组41例。针刀治疗组采用针刀调整脊柱区带法，真针刺对照组采用常规针刺法，安慰针对照组采用安慰针法，评价治疗前后匹兹堡睡眠质量指数量表评分、焦虑自评量表评分、贝克抑郁量表评分、总睡眠时间、入睡潜伏期的变化，评价临床疗效。结果：经配对秩和检验，针刀治疗组、真针刺对照组治疗前后焦虑自评量表、贝克抑郁量表、匹兹堡睡眠质量指数量表比较，差异有统计学意义（P＜0.05）。安慰针对照组治疗前后焦虑自评量表、贝克抑郁量表比较，差异有统计学意义（P＜0.05），匹兹堡睡眠质量指数量表比较，差异无统计学意义（P＞0.05）。经多组独立样本秩和检验，治疗后3组间匹兹堡睡眠质量指数比较，差异有统计学意义（P＜0.05），而焦虑自评量表、贝克抑郁量表比较，差异无统计学意义（P＞0.05）。经两组独立样本秩和检验，匹兹堡睡眠质量指数量表，针刀治疗组与真针刺对照组、针刀治疗组与安慰针对照组、真针刺对照组与安慰针对照组比较，差异均有统计学意义（P＜0.0167）。经配对秩和检验，针刀治疗组、真针刺对照组治疗前后入眠潜伏期、总睡眠时间比较，差异均有统计学意义（P＜0.05）。安慰针对照组治疗前后入眠潜伏期比较，差异有统计学意义（P＜0.05）；安慰针对照组治疗前后总睡眠时间比较，差异无统计学意义（P＞0.05）。经多组独立样本秩和检验，治疗后3 组间入眠潜伏期和总睡眠时间比较，差异均有统计学意义（P＜0.05）。经两组独立样本秩和检验，入眠潜伏期和总睡眠时间指标，针刀治疗组与安慰针对照组、真针刺对照组与安慰针对照组比较差异均有统计学意义（P＜0.016 7）。以匹兹堡睡眠质量指数评价临床疗效，经等级资料多组样本秩和检验，针刀治疗组疗效优于真针刺对照组和安慰针对照组（Z=53.78，P=0.001<0.05）。结论：针刀调整脊柱区带治疗原发性失眠安全高效。 |
| 关键词: 原发性失眠 针刀疗法 脊柱区带 随机对照研究 贝克抑郁量表评分 |
| DOI： |
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| 基金项目:广东省中医药局项目（20171102） |
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| Clinical Randomized Controlled Study on Needle Knife Regulating Spinal Zone forPrimary Insomnia |
| WU Xuanyi,CHEN Haibin,LIN Chuhua,WU Qian,LIN Yiyang,YUAN Feng |
| () |
| Abstract: |
| Abstract： Objective： To observe the clinical effect of needle knife regulating spinal zone for primary insomnia.
Methods： A total of 122 cases of patients with primary insomnia were randomly divided into the needle knife group， the
genuine acupuncture group， and the placebo- acupuncture group， 40， 41 and 41 cases in each group respectively. The
needle knife group was treated with needle knife regulating spinal zone，the genuine acupuncture group was given routine
acupuncture，and the placebo-acupuncture group was given placebo-acupuncture. Before and after treatment，the changes
in the scores of Pittsburgh Sleep Quality Index(PSQI)，Self-Rating Anxiety Scale(SAS) and Beck Depression Inventory(BDI)， the total sleeping time and the sleep latency， as well as the clinical effect were evaluated. Results： The comparison of
PSQI，SAS and BDI before and after treatment between the needle knife group and the genuine acupuncture group showed
significance in the difference(P＜0.05). The comparison of SAS and BDI before and after treatment in the placeboacupuncture
group showed significance in the difference(P＜0.05)，and the comparison of PSQI showed no significance in the
difference(P＞0.05). After treatment，the comparison of PSQI in the placebo-acupuncture group showed significance in the
difference(P＜0.05)，and the comparison of SAS and BDI showed no significance in the difference(P＞0.05). The comparison
of PSQI between the needle knife group and the genuine acupuncture group， between the needle knife group and the
placebo- acupuncture group，and between the genuine acupuncture group and the placebo- acupuncture group all showed
significance in differences(P＜0.0167). The comparison of the sleep latency and the total sleeping time before and after
treatment between the needle knife group and the genuine acupuncture group showed significance in differences(P＜0.05).
The comparison of the sleep latency before and after treatment in the placebo-acupuncture group showed significance in the
difference(P＜0.05)，and the comparison of the total sleeping time before and after treatment showed no significance in the
difference(P＞0.05). After treatment， the comparison of the sleep latency and the total sleeping time among three groups
showed significance in differences(P＜0.05). The comparison of the sleep latency and the total sleeping time between the
needle knife group and the placebo- acupuncture group， and between the genuine acupuncture group and the placeboacupuncture
group showed significance in differences(P＜0.016 7). The evaluation of the clinical effect by PSQI showed that
the curative effect in the needle knife group was better than that in the other two groups(Z=53.78， P=0.001<0.05).
Conclusion：The application of needle knife regulating spinal zone for primary insomnia is safe and effective. |
| Key words: Keywords： Primary insomnia Needle knife therapy Spinal zone Randomized controlled study Beck Depression
Inventory score |
