"杨氏针灸"治疗肝郁化火型失眠症的临床疗效观察OA
Clinical observation on the therapeutic effect of Yang's acupuncture for insomnia of liver depression transforming into fire type
目的 观察"杨氏针灸"治疗肝郁化火型失眠症的临床疗效.方法 采用随机数字表法将门诊80例肝郁化火型失眠症患者分为治疗组和对照组,各40例.治疗组接受"杨氏针灸"治疗,对照组接受普通针刺治疗,2组均治疗4周.比较2组治疗前、治疗4周后、治疗结束后3个月的多导睡眠监测情况、睡眠质量[匹兹堡睡眠质量指数(PSQI)]、焦虑程度[自评焦虑量表(SAS)]、中医证候积分.结果 治疗4周及治疗结束后3个月,2组的多导睡眠监测数据均低于治疗前,且治疗组(除治疗4周后的睡眠潜伏时间)较对照组更低(P<0.05);治疗4周及治疗3个月后,2组的PSQI评分、中医证候积分均低于治疗前,且治疗组较对照组更低(P<0.05);治疗4周及治疗结束后3个月,治疗组的SAS评分低于治疗前,且较对照组更低(P<0.05);治疗组的总有效率高于对照组(P<0.05).结论 "杨氏针灸"疗法能够提高睡眠质量,缓解焦虑情绪和中医证候,并且有持久的临床疗效延续性,具有广泛的临床意义.
Objective To observe the clinical efficacy of"Yang's acupuncture"in treating insomnia of liver depression transforming into fire type.Methods A total of 80 outpatients with insomnia of liver depression transforming into fire type were divided into the treatment group and the control group according to random number table method,with 40 cases in each group.The treatment group received"Yang's acupuncture"therapy,and the control group received conventional acupuncture.Both groups were treated for 4 weeks.The polysomnography results,sleep quality(Pittsburgh Sleep Quality Index,PSQI),anxiety level(Self-Rating Anxiety Scale,SAS)and TCM syndrome scores were compared between two groups before treatment,after 4 weeks of treatment,and at 3 months after treatment.Results After 4 weeks of treatment,and at 3 months after treatment,the polysomnography data in both groups were lower than those before treatment,and the treatment group(except for the sleep latency after 4 weeks of treatment)was lower than the control group(P<0.05).After 4 weeks and 3 months of treatment,the PSQI scores and TCM syndrome scores in both groups were lower than those before treatment,and the treatment group was lower than the control group(P<0.05).After 4 weeks of treatment,and at 3 months after treatment,the SAS scores in the treatment group were lower than those before treatment and significantly lower than those in the control group(P<0.05).The total effective rate in the treatment group was higher than that in the control group(P<0.05).Conclusion The"Yang's acupuncture"can improve sleep quality,and alleviate anxiety and TCM syndromes,with sustained clinical efficacy continuity,possessing extensive clinical significance.
张兆伟;陈晨;黄玺;韩海琼;王莹;高垣;韩强;沈丽;陈建峰
上海中医药大学附属北蔡社区卫生服务中心,上海 201204上海市浦东新区花木社区卫生服务中心,上海 201204上海中医药大学附属北蔡社区卫生服务中心,上海 201204上海市嘉定区江桥镇社区卫生服务中心,上海 201803上海中医药大学附属曙光医院,上海 201203上海中医药大学附属曙光医院,上海 201203上海中医药大学附属北蔡社区卫生服务中心,上海 201204上海中医药大学附属北蔡社区卫生服务中心,上海 201204上海中医药大学附属北蔡社区卫生服务中心,上海 201204
医药卫生
针刺失眠症肝郁化火证
acupunctureinsomnialiver depression transforming into fire syndrome
《长春中医药大学学报》 2026 (4)
473-477,5
上海市浦东新区优秀青年人才培养项目(PWRq2022-48)上海市卫生健康委员会项目(JKKPZX-2024-A10)
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