刺穿灸治疗难治性失眠:一项随机对照临床试验

IF 2 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Journal of Traditional Chinese Medicine Pub Date : 2018-10-01 DOI:10.1016/S0254-6272(18)30915-4
Chen Yan , Gao Xiyan , Sun Cuiying
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引用次数: 2

摘要

目的观察刺穿灸法治疗难治性失眠的临床疗效。方法将60例患者随机分为治疗组和对照组,每组30例。治疗组采用刺穿灸法治疗,对照组采用刺穿灸法治疗,每天给予1次治疗,两组患者共治疗20次,比较两组患者的疗效、睡眠质量指数(PSQI)及中医症状、安全性评价。结果与治疗后10、20次相比,治疗组有效率(93.3%)高于对照组(80.0%)(P <0.05);与治疗前、治疗后20倍比较,两组患者PSQI及中医证候分均显著降低(P <0.01);与治疗后10、20次比较,治疗组在改善总评分和PSQI积分(P <0.05或P <0.01);治疗组在改善中医证型评分、入睡困难、心悸、健忘、坐立不安、多汗、注意力不集中等方面均优于对照组(P <0.01或P <0.05)。结论刺穿灸法治疗难治性失眠安全有效,可提高单纯刺穿灸法的疗效。
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Pricking and penetrating moxibustion therapy in patients with refractory insomnia: a randomized and controlled clinical trial

OBJECTIVE

To observe the clinical effect of pricking and penetrating moxibustion therapy on refractory insomnia.

METHODS

Totally 60 subjects were randomly divided into treatment group and control group, 30 in each group. The treatment group was treated with pricking and penetrating moxibustion therapy, the control group with penetrating moxibustion therapy, the treatment was given once every day, two groups of patients were treated 20 times, compared the efficacy, pinsburgh sleep quality index (PSQI) and Traditional Chinese Medicine symptom, safety evaluation between the two groups.

RESULTS

Compared with 10, 20 times after the treatment, the effective rate of the treatment group (93.3%) higher than that of the control group (80.0%) (P < 0.05); Compared with before treatment, 20 times after treatment, the PSQI and TCM symptom pattern scores of the two groups were significantly decreased (P < 0.01); Compared with 10, 20 times after the treatment, the treatment group are better than the control group in improving the total score and the integral of PSQI (P < 0.05 or P < 0.01); The treatment group are better than the control group in improving the TCM symptom pattern score, difficulty in going to sleep, palpitation, amnesia, fidget, sweating, impaired concentration (P < 0.01 or P < 0.05).

CONCLUSION

The pricking and penetrating moxibustion therapy is safe and effective in the treatment of refractory insomnia and the treatment can improve the curative effect of the therapy that uses penetrating moxibustion only.

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来源期刊
Journal of Traditional Chinese Medicine
Journal of Traditional Chinese Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
2.40
自引率
3.80%
发文量
32269
审稿时长
2 months
期刊介绍: Journal of Traditional Chinese Medicine(JTCM) is devoted to clinical and theortical research on the use of acupuncture and Oriental medicine. The main columns include Clinical Observations, Basic Investigations, Reviews, Questions and Answers, an Expert''s Forum, and Discussions of Clinical Cases. Its key topics include acupuncture and electro-acupuncture, herbal medicine, homeopathy, masseotherapy, mind-body therapies, palliative care, and other CAM therapies.
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