Effects of “Old Ten Needles ” Acupoints Group on Sleep Quality and Excessive Arousal in Patients with Chronic Insomnia

ZHANG Fan; TANG Qisheng; GUO Jing; WANG Guiling; HU Junxia; WANG Shaosong; ZHANG Tao; YUAN Fang; DU Xin; WANG Jingang; HAN Ming

doi:10.13288/j.11-2166/r.2019.08.010

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Effects of “Old Ten Needles ” Acupoints Group on Sleep Quality and Excessive Arousal in Patients with Chronic Insomnia

更新时间：2021-11-10

- Effects of “Old Ten Needles ” Acupoints Group on Sleep Quality and Excessive Arousal in Patients with Chronic Insomnia
- Journal of Traditional Chinese Medicine Vol. 60, Issue 8, Pages: 671-674(2019)
- 作者机构：
  
  1. 北京中医药大学
  2. 首都医科大学附属北京中医医院
  3. 北京中医药大学第三附属医院
  4. 河北省衡水市第四人民医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2019.08.010
  CLC： R246.6
- Published：2019
- 稿件说明：
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[1]张帆,唐启盛,郭静,王桂玲,胡俊霞,王少松,张涛,袁芳,杜鑫,王金钢,韩明.“老十针”组穴对慢性失眠症患者睡眠质量及过度觉醒的影响[J].中医杂志,2019,60(08):671-674.

ZHANG Fan, TANG Qisheng, GUO Jing, et al. Effects of “Old Ten Needles ” Acupoints Group on Sleep Quality and Excessive Arousal in Patients with Chronic Insomnia[J]. Journal of Traditional Chinese Medicine2019, 60(8): 671-674.
[1]张帆,唐启盛,郭静,王桂玲,胡俊霞,王少松,张涛,袁芳,杜鑫,王金钢,韩明.“老十针”组穴对慢性失眠症患者睡眠质量及过度觉醒的影响[J].中医杂志,2019,60(08):671-674. DOI： 10.13288/j.11-2166/r.2019.08.010.

ZHANG Fan, TANG Qisheng, GUO Jing, et al. Effects of “Old Ten Needles ” Acupoints Group on Sleep Quality and Excessive Arousal in Patients with Chronic Insomnia[J]. Journal of Traditional Chinese Medicine2019, 60(8): 671-674. DOI： 10.13288/j.11-2166/r.2019.08.010.

摘要

目的观察"老十针"组穴对慢性失眠症患者的睡眠质量、过度觉醒程度的影响及可能作用机制。方法将64例慢性失眠症患者随机分为治疗组和对照组各32例。治疗组取穴为"老十针"组穴

对照组取穴为对失眠无治疗作用的穴位。两组均每周针刺3次

共治疗4周

并于治疗结束后8周进行随访。治疗前后两组进行匹兹堡睡眠质量指数（PSQI）、过度觉醒量表（HAS）评分

通过患者失眠日记评价睡眠情况（包括睡眠潜伏时间、总睡眠时间和觉醒次数）

并测定血清食欲素A含量。结果治疗组治疗后及随访时PSQI总分、睡眠潜伏时间、总睡眠时间、HAS评分均较治疗前明显改善（P<0.05）

且随访时与治疗后比较差异无统计学意义（P>0.05）

治疗组治疗后觉醒次数、食欲素A较治疗前明显改善（P<0.05）。对照组治疗后及随访时PSQI总分、睡眠潜伏时间、总睡眠时间、觉醒次数、HAS评分、食欲素A与本组治疗前比较差异均无统计学意义（P>0.05）。与对照组同时间比较

治疗组治疗后及随访时PSQI评分和睡眠潜伏时间、总睡眠时间、HAS评分均明显改善

治疗后觉醒次数和食欲素A均明显改善（P<0.05）。结论"老十针"组穴能够改善慢性失眠症患者睡眠质量、总睡眠时间、觉醒次数和睡眠潜伏时间和过度觉醒程度

调节血清食欲素A含量可能是其作用机制之一。

Abstract

Objective To observe the effects and possible mechanism of "old ten needles"acupoints group on the quality of sleep and the degree of excessive arousal in patients with chronic insomnia. Methods A total of 64 patients with chronic insomnia were randomly divided into treatment group and control group

with 32 cases in each group. The acupuncture points in the treatment group were the "old ten needles"acupoints group

and the points in the control group were acupuncture points that had no therapeutic effects on insomnia. Both groups were acupunctured3 times a week for 4 weeks and followed up 8 weeks after the end of treatment. Pittsburgh Sleep Quality Index（ PSQI）and Hyperarousal Scale（ HAS） scores were obtained before and after treatment. Sleep status including sleep latency

total sleep time

and number of wake after sleep onset（ WASO） was assessed by patient insomnia diary

and serum orexin A content was measured. Results The total scores of PSQI

sleep latency

total sleep time and HAS scores in the treatment group were significantly improved after treatment（ P < 0. 05）

and there was no significant difference between the follow-up and the end of treatment（ P > 0. 05）. The number of WASO and level of orexin A in the treatment group were significantly improved compared with those before treatment（ P < 0. 05）. There were no significant differences in PSQI total score

sleep latency

total sleep time

number of WASO

HAS score

orexin A after treatment and during follow-up when compared with before treatment（ P > 0. 05）. Compared with the control group

the PSQI score

sleep latency

total sleep time

and HAS score were significantly improved after treatment and at followup. The number of WASO and orexin A were significantly improved after treatment（ P < 0. 05）. Conclusion The"old ten needle"acupoints group can improve the sleep quality

total sleep time

number of WASO

sleep latency and excessive arousal in patients with chronic insomnia. Adjusting serum orexin A content may be one of its mechanisms.

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