辨证针刺治疗慢性失眠的临床疗效及对认知功能的影响

吴宝贤; 杨硕; 黄睿; 廖越; 张兴荣

doi:10.13703/j.0255-2930.20230128-0004

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辨证针刺治疗慢性失眠的临床疗效及对认知功能的影响

临床研究 | 更新时间：2024-06-03

- 辨证针刺治疗慢性失眠的临床疗效及对认知功能的影响
- Clinical effect of acupuncture based on syndrome differentiation in the treatment of chronic insomnia and its influence on cognitive function
- 中国针灸 2023年43卷第9期页码：1014-1017
- 作者机构：
  
  1.贵州中医药大学第二附属医院针灸康复科，贵阳550001
  2.遵义医科大学第三附属医院/遵义市第一人民医院儿童康复科
- 作者简介：
  
  杨硕，主任医师、教授。E-mail：1404326639@qq.com
- 基金信息：
- DOI：10.13703/j.0255-2930.20230128-0004
  中图分类号： R 246.1
- 收稿：2023-01-28，
  
  网络首发：2023-07-06，
  
  纸质出版：2023-09-12
- 稿件说明：
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吴宝贤,杨硕,黄睿等.辨证针刺治疗慢性失眠的临床疗效及对认知功能的影响[J].中国针灸,2023,43(09):1014-1017.

WU Bao-xian,YANG Shuo,HUANG Rui,et al.Clinical effect of acupuncture based on syndrome differentiation in the treatment of chronic insomnia and its influence on cognitive function[J].Chinese Acupuncture & Moxibustion,2023,43(09):1014-1017.
吴宝贤,杨硕,黄睿等.辨证针刺治疗慢性失眠的临床疗效及对认知功能的影响[J].中国针灸,2023,43(09):1014-1017. DOI： 10.13703/j.0255-2930.20230128-0004.

WU Bao-xian,YANG Shuo,HUANG Rui,et al.Clinical effect of acupuncture based on syndrome differentiation in the treatment of chronic insomnia and its influence on cognitive function[J].Chinese Acupuncture & Moxibustion,2023,43(09):1014-1017. DOI： 10.13703/j.0255-2930.20230128-0004.

摘要

目的

比较辨证针刺与艾司唑仑治疗慢性失眠的临床疗效及对认知功能的影响。

方法

将90例慢性失眠患者随机分为针刺组和药物组，各45例。针刺组采用辨证针刺治疗，穴取四神聪及双侧神门、三阴交，并结合辨证配穴，每日治疗1次，连续治疗6 d后休息1 d，共治疗4周；药物组采用睡前口服艾司唑仑片治疗，每次1片，共治疗4周。比较两组患者治疗前后匹兹堡睡眠质量指数（PSQI）、简易精神状态检查量表（MMSE）、蒙特利尔认知评估量表（MoCA）及听觉词语记忆测验（AVMT）评分，并评定临床疗效。

结果

治疗后，两组患者PSQI各项评分及总分均较治疗前降低（

0.05），且针刺组低于药物组（

0.05）；两组患者MMSE、MoCA评分及AVMT各项评分均较治疗前升高（

0.05），且针刺组高于药物组（

0.05）。针刺组总有效率为80.0%（36/45），高于药物组的53.3%（24/45，

0.05）。

结论

辨证针刺可改善慢性失眠患者的睡眠质量和认知功能，疗效优于艾司唑仑。

Abstract

Objective

To compare the effect of acupuncture based on syndrome differentiation and estazolam in the treatment of chronic insomnia and its influence on cognitive function.

Methods

A total of 90 patients with chronic insomnia were randomly divided into an acupuncture group and a medication group

45 cases in each group. The acupuncture group was treated with acupuncture at Sishencong (EX-HN 1) and bilateral Shenmen (HT 7)

Sanyinjiao (SP 6) combined with compatibility of acupoints based on syndrome differentiation

once a day for 6 d and then rest for 1 d

for a total of 4 weeks. The medication group was treated with oral estazolam tablets before bedtime

1 tablet each time

for a total of 4 weeks. Before and after treatment

the scores of Pittsburgh sleep quality index (PSQI)

mini-mental state examination (MMSE)

Montreal cognitive assessment (MoCA) and auditory verbal memory test (AVMT) of the two groups were compared

and the effects were evaluated.

Results

After treatment

the PSQI sub-item scores and total scores of the two groups were lower than those before treatment (

0.05 )

and above scores in the acupuncture group were lower than those in the medication group (

0.05 ); the scores of MMSE

MoCA and AVMT in the two groups were higher than those before treatment (

0.05 )

and the scores in the acupuncture group were higher than those in the medication group (

0.05 ). The total effective rate of the acupuncture group was 80.0% (36/45)

which was higher than 53.3% (24/45) in the medication group (

0.05).

Conclusion

Syndrome differentiation acupuncture can improve the sleep quality and cognitive function of patients with chronic insomnia

and the curative effect is better than that of estazolam.

关键词

Keywords

references

Hertenstein E , Feige B , Gmeiner T , et al . Insomnia as a predictor of mental disorders: a systematic review and meta-analysis [J ] . Sleep Med Rev , 2019 , 43 : 96 - 105 .

Cao XL , Wang SB , Zhong BL , et al . The prevalence of insomnia in the general population in China: a meta-analysis [J ] . PLoS One , 2017 , 12 ( 2 ): e0170772 .

Kyle SD , Hurry MED , Emsley R , et al . The effects of digital cognitive behavioral therapy for insomnia on cognitive function: a randomized controlled trial [J ] . Sleep , 2020 , 43 ( 9 ): zsaa034 .

雷从杰 , 黄依杰 , 钟冬灵 , 等 . 针刺治疗失眠的系统评价报告质量的评价 [J ] . 中国中西医结合杂志 , 2021 , 41 ( 8 ): 1010 - 1016 .

韩强 , 侯学思 , 程璐 , 等 . 针刺治疗老年性失眠选穴规律与特色的分析研究 [J ] . 中国针灸 , 2021 , 41 ( 12 ): 1405 - 1408 .

Zhao FY , Xu H , Wang HR , et al . Post-schizophrenia comorbid depressive disorder and insomnia treated by acupuncture combined with Chinese medicine: a retrospective case series based on JBI reporting checklist [J ] . World J Acupunct-Moxibust , 2021 , 31 ( 4 ): 314 - 319 .

American Academy of Sleep Medicine . International Classification of Sleep Disorders [M ] . 3rd Edition . Darien, IL : American Academy of Sleep Medicine , 2014 .

陆付耳 . 中医临床诊疗指南 [M ] . 3版 . 北京 : 科学出版社 , 2013 .

Spira AP , Beaudreau SA , Stone KL , et al . Reliability and validity of the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale in older men [J ] . J Gerontol A Biol Sci Med Sci , 2012 , 67 ( 4 ): 433 - 439 .

李宗姗 , 魏丽丽 , 桂雅星 , 等 . 认知功能评估量表研发与应用进展 [J ] . 中国现代神经疾病杂志 , 2021 , 21 ( 11 ): 927 - 933 .

郭起浩 , 吕传真 , 洪震 . 听觉词语记忆测验在中国老人中的试用分析 [J ] . 中国心理卫生杂志 , 2001 , 15 ( 1 ): 13 - 15 .

郑筱萸 . 中药新药临床研究指导原则(试行) [M ] . 北京 : 中国医药科技出版社 , 2002 .

冯慧 , 刘义 , 徐虹 , 等 . 针刺与艾司唑仑对慢性失眠患者情景记忆及睡眠结构的影响:随机对照研究 [J ] . 中国针灸 , 2020 , 40 ( 7 ): 707 - 712 .

奚晗清 , 吴文忠 , 刘成勇 , 等 . 针刺调神组方对慢性失眠症患者过度觉醒状态的影响 [J ] . 中国针灸 , 2021 , 41 ( 3 ): 263 - 267 .

陈静 , 戴明 . 针刺治疗失眠的临床研究进展 [J ] . 医学综述 , 2021 , 27 ( 12 ): 2446 - 2451,2456 .

边颖汉 , 张星平 , 彭志鹏 , 等 . 基于中医五神脏理论谈不寐 [J ] . 中华中医药杂志 , 2020 , 35 ( 2 ): 670 - 673 .

Belcher R , Gumenyuk V , Roth T . Insomnia in shift work disorder relates to occupational and neurophysiological impairment [J ] . J Clin Sleep Med , 2015 , 11 ( 4 ): 457 - 465 .

Song Y , Blackwell T , Yaffe K , et al . Relationships between sleep stages and changes in cognitive function in older men: the MrOS Sleep Study [J ] . Sleep , 2015 , 38 ( 3 ): 411 - 421 .

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