摘要
Objective To compare the therapeutic effect between needling combined with moxibustion at Baihui （百会 GV 20） and conventional needling for treatment of insomnia, and to verify the synergy of moxibustion at Baihui （百会 GV 20） on insomnia. Methods Two hundreds and seven cases of insomnia patients were randomly divided into observation group and control group. The conventional needling combined with moxibustion at Baihui （百会 GV 20） was applied in observation group, and the conventional needling was employed in control group, once a day, and for 5 consecutive days per week, 4 weeks as a course, and 1 course in total. Pittsburgh Sleep Quality Index （PSQI） Scale was adopted before and after the treatment, and the therapeutic effects of two groups as well as of asthenia and sthenia syndromes and among syndromes were observed and compared in observation group. Results After treatment, PSQI scores of both groups significantly improved （both P〈0.05）, and the score of observation group was superior to that of control group （P〈0.05）; after 1 course, the total effective rate in observation group was 88.0% （88/100）, superior to 74.5% （73/98） in control group （P〈0.05）; in observation group, the total effective rate was 92.4% （61/66） of asthenia syndrome, superior to that of 79.4% （27/34） of sthenia syndrome （P〈0.05）. Conclusion Needling combined with moxibustion at Baihui （百会 GV 20） has marked therapeutic effect on insomnia, with better effect on prolonging the time of sleep, improving the sleep quality than that of single needling. And the therapeutic effect on asthenia syndrome was superior to that of sthenia syndrome.
目的:比较针刺加艾灸百会与单纯针刺治疗失眠症的疗效差异,验证艾灸百会穴的增效作用。方法:采用随机对照的方法,将 207例患者分为观察组与对照组,观察组采用常规针刺加艾灸百会穴,对照组采用常规针刺,每周治疗5次,4周为一疗程,共治疗1个疗程。采用匹兹堡睡眠质量指数(PSQI)量表于治疗前后进行评价,比较两组疗效,并比较观察组中失眠症的虚证与实证及各证型之间的疗效。结果:治疗后两组PSQI评分均显著改善(均P<0.05),观察组优于对照组(P<0.05);治疗1个疗程后,观察组总有效率为88.0%(88/100),优于对照组的74.5%(73/98)(P<0.05);观察组中虚证总有效率为92.4%(61/66),优于实证为79.4%(27/34)(P<0.05)。结论:针刺加艾灸百会治疗失眠症有显著疗效,在延长患者睡眠时间、改善患者睡眠质量方面优于单纯针刺,对失眠症的虚证疗效优于实证。
