Clinical observation on Governor Vessel-regulating, liver-soothing and mind-calming needling for insomnia due to liver fire disturbing the heart

Abstract

Objective

To compare the therapeutic effects between the Governor Vessel-regulating, liver-soothing and mind-calming needling and the routine acupuncture therapy for insomnia due to liver fire disturbing the heart.

Methods

A total of 50 cases with insomnia were randomly divided by the random numberl table into the two groups, 25 cases in each group. The observation group was treated with the Governor Vessel-regulating, liver-soothing and mind-calming needling, while the control group was treated with the routine acupuncture therapy. The two groups were treated for five sessions per week, ten sessions as a course. After 3-course treatment, the therapeutic effects and the improvement of Pittsburgh sleep quality index (PSQI) were observed.

Results

After treatment for three courses, the total effective rate was 100% in the treatment group and 92% in the control group. The difference in the therapeutic effect between the two groups was statistically significant (P<0.05). After the treatment, the sleep latency, sleep duration, habitual sleep efficiency, subjective sleep quality, sleeping disturbances, daytime dysfunction, and total PSQI scores in the patients of the two groups were obviously improved in comparing those before treatment, with significant differences (all P<0.01). After treatment, the inter-group differences in the sleep latency, sleep duration, habitual sleep efficiency, subjective sleep quality, and total PSQI scores were statistically significant (all P<0.01); the differences in the scores of sleeping disturbances and daytime dysfunction is not statistical significant (all P>0.05).

Conclusion

The therapeutic effect of Governor Vessel-regulating, liver-soothing and mind-calming needling is better for insomnia due to liver fire disturbing the heart than the routine acupuncture therapy.

摘要

目的

比较调督疏肝安神针刺法与常规针刺法治疗肝火扰心型失眠症的临床疗效。

方法

将50 例失眠症患者按随机数字表随机分为2 组, 每组25 例。观察组用调督疏肝安神针刺法治疗, 对照组用常规针刺法治疗。两组均每星期治疗5 次, 10 次为1 个疗程, 治疗3 个疗程后观察疗效及匹兹堡睡眠质量指数(Pittsburgh sleepquality index, PSQI)的改善情况。

结果

治疗3 个疗程后治疗组总有效率100%, 对照组总有效率92%, 两组疗效差异有统计学意义(P<0.05)。治疗后, 两组患者入睡时间、实际睡眠时间、睡眠效率、睡眠质量、睡眠障碍、日间功能、PSQI 总分较治疗前有明显改善, 差异均具有统计学意义(均P<0.01)。治疗后两组入睡时间、实际睡眠时间、睡眠效率、睡眠质量及PSQI 总分差异均具有统计学意义(均P<0.01); 睡眠障碍和日间功能评分差异无统计学意义(均P>0.05)。

结论

调督疏肝安神针刺法治疗肝火扰心型失眠症疗效优于常规针刺治疗。