首页|基于"皮部理论"运用头部浅刺治疗慢性失眠临床观察

基于"皮部理论"运用头部浅刺治疗慢性失眠临床观察

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目的:基于"皮部理论"观察头部浅刺疗法对慢性失眠患者的临床疗效。方法:将82例慢性失眠患者按随机数字表法分为浅刺组和对照组各41例。浅刺组选取施术部位为头部督脉与足太阳膀胱经皮部区域(前至神庭穴水平,后至百会穴水平,左右以正中线旁开3 cm为界),针刺间隔为10~15 mm,针刺深度约2~5mm。对照组取双侧照海、申脉、神门、三阴交、安眠及四神聪共14穴行常规针刺治疗。两组均每周治疗3次,共4周。观察两组患者干预前后匹兹堡睡眠质量评分(PSQI)、失眠严重程度指数(ISI)、爱泼沃斯嗜睡量表(ESS)评分、抑郁自评量表(SDS)评分和焦虑自评量表评分(SAS)。结果:两组患者治疗后PSQI、ISI、ESS、SDS与SAS量表评分均较治疗前降低(P<0。05),且浅刺组ESS、SDS、SAS评分低于对照组(P<0。05)。结论:基于"皮部理论"运用头部浅刺治疗慢性失眠可有效改善患者睡眠状况及焦虑、抑郁状态,且在改善焦虑、抑郁状态和日间嗜睡方面较常规针刺更有效。
Clinical Observation on Treatment of Chronic Insomnia with Superficial Head Acupuncture Based on"Cutaneous Region Theory"
Objective:To observe the clinical efficacy of superficial head acupuncture therapy on chronic insomnia patients based on the"cutaneous region theory".Methods:A total of 82 patients with chronic insomnia were divided into the superficial acupuncture group and the control group according to random number table method,with 41 cases in each group.In the superficial acupuncture group,the dermatomes of governor vessel and bladder meridian of foot taiyang were selected to circulate in the head area[from the front level of the Shenting acupoint(GV24)to the back level of the Baihui acupoint(GV20),with the left and right sides of the center line opening 3 cm aside as the boundary],and the interval between the acupuncture needles was about 10 mm to 15 mm,and the depth of the needles was about 2 mm to 5 mm,while in the control group,14 acupoints were taken from bilateral Zhaohai(KI6),Shenmai(BL62),Shenmen(HT7),Sanyinjiao(SP6),Anmian and Sishencong(EX-HN1).Both groups were treated three times a week,the treatment was for 4 weeks in total.The Pittsburgh Sleep Quality Index(PSQI),Insomnia Severity Index(ISI),Epworth Sleepiness Scale(ESS),Self-assessed Depression Scale Score(SDS),Self-assessed Anxiety Scale Score(SAS)before and after treatment were observed in both groups.Results:After treatment,the scores of PSQI,ISI,ESS,SDS and SAS in both groups were lower than those before treatment(P<0.05),and the scores of ESS,SDS and SAS in the superficial acupuncture group were lower than those in the control group(P<0.05).Conclusion:Based on the"cutaneous region theory",superficial acupuncture on the head can effectively improve the patients'sleep status,anxiety and depression in the treatment of chronic insomnia,and it is more effective than conventional acupuncture in improving anxiety,depression and daytime sleepiness.

cutaneous region theorysuperficial head acupuncturechronic insomniagovernor vesselbladder meridian of foot taiyang

宋江瑜、滕汝枫、师亚星、刘枫明、马羊优、杨淼、吴希

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北京中医药大学,北京 100020

北京中医药大学东方医院,北京 100078

皮部理论 头部浅刺 慢性失眠 督脉 足太阳膀胱经

兵团科技局重大科技项目

2020AA005

2024

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2024.43(5)
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