加强扬刺百会穴治疗抑郁性失眠症临床探究.doc

加强扬刺百会穴治疗抑郁性失眠症临床探究摘 要：目的:通过观察加强扬刺百会穴治疗抑郁性失眠的疗效，为临床提供一个较好的治疗方法。方法:将60例符合入选标准的抑郁性失眠患者随机分为扬刺百会组30例和常规针刺组30例，疗程为一个月，分别比较两组治疗前后汉密尔顿抑郁(HAMD)量表评分和匹兹堡睡眠质量指数(PSQI)，并进行组间比较。结果 两组治疗后与治疗前HAMD和PSQI比较，差异有显著性意义(P0．01)；两组间治疗后HAMD和PSQI比较，差异有统计学意义(P0．05)。结论:常规针刺方法和加强扬刺百会穴治疗抑郁性失眠均有疗效，但加强扬刺百会穴效果更显著。 关键词：失眠；抑郁；加强扬刺；百会穴 中图分类号：R245文献标识码：A文章编号：1673-7717(2011)12-2608-02 Clinical Research on Strengthening Squareneeding of Baihui to Treat Depression Insomnia CHENG Weiping1,QUAN Shuai1, LI Xueyan2,ZOU Qingbo2,SONG Yu2 (1.Heilongjiang university of traditional Chinese medicine,Haerbin 150040,Heilongjiang,China； 2.Daqing oilfield general hospital,Daqing 163000,Heilongjiang,China) Abstract:Objective:Through observing the clinical effects of strengthening squareneeding of Baihui to treat depression insomnia,a good clinical treatment was provided.Methods:60 patients who met the criteria for the depression insomnia were randomly divided into squareneeding acupuncture point of Baihui group with 30 cases and routine acupuncture group with 30 cases, treatment lasted one month, before and after treatment comparasion between the two groups of Hamilton depression rating scale (HAMD)and Pittsburgh sleep quality index (PSQI)was made.Results:After and before treatment,HAMD and PSQI comparison showed significant difference(P0.01).Between the two groups HAMD and PSQI comparison after treatment was statistically significant different (P0.05).Conclusion:Conventional acupuncture methods and strengthening squareneeding acupuncture point of Baihui will point are both curative effective, but strengthening squareneeding acupuncture point of Baihui will be more obviously effective. Key words:insomnia; depression; strengthening squareneeding; acupuncture point of Baihui ________________________________________ 收稿日期：2011-07-26 基金项目：黑龙江省科技攻关资助项目（GC07C35206） 作者简介：程为平（1958-），男，黑龙江哈尔滨人，主任医师、教授，博士研究生导师，博士，研究方向：中医药治疗脑病的临床与科学研究。随着社会生活节奏加快，精神紧张，许多人都出现不同程度的抑郁或者焦虑并伴有失眠症状，重者甚至有自杀倾向。目前，针灸治疗抑郁