YIN Yuan (殷  媛)¹,   ZHANG Ya-ping (张亚平)²,   YANG Zhi-xin (杨志新)¹ , LI Jiao-ying (李姣莹)¹

1. Chengde Medical University, School of Traditional Chinese Medicine, Chengde 067000, Hebei Province, China; 2. Baoding First Hospital of Traditional Chinese Medicine, Baoding 071000, Hebei Province, China

（1. 承德医学院中医学院，河北承德 067000，中国；2. 保定市第一中医院，河北保定 071000）

ABSTRACT

Objective  To observe the comparison of the clinical efficacy between penetration needling from Nèiguān (内关 PC 6) to Wàiguān (外关 TE 5) and western medicine estazolam for insomnia. Methods  Sixty insomnia patients were divided into 2 groups according to the random number table, 30 cases in each group. Penetration needling from PC 6 to TE 5 was mainly adopted in acupuncture  group for once a day, 5 times a week, and treatment for 4 weeks was 1 course of treatment. Estazolam was orally given in medicine group before sleep every night in a dosage of 1 mg per time, and treatment for 4 weeks was 1 course of treatment. After 4 weeks, the clinical efficacy and the Pittsburgh Sleep Quality Index (PSQI) score were compared respectively between the two groups. Results  The total effective rate was 90.00% in acupuncture group and 63.33% in medicine group, and the difference was statistically significant (P﹤0.05). PSQI score in acupuncture group was (7.93±3.77) , which was superior to that in medicine group (10.60±4.20), and the difference between the two groups was statistically significant (P﹤0.05). Conclusion  The penetration needling of complementary acupoints from PC 6 to TE 5 was simple and convenient which can significantly improve the patients’ sleep quality.

KEY WORDS: Complementary acupoints; penetration needling; Nèiguān (内关 PC 6); Wàiguān (外关 TE 5); insomnia

ABSTRACT IN CHINESE

[摘 要] 目的：观察相对穴内关透外关为主治疗失眠症，与西药艾司唑仑的临床疗效差异。方法：将60例失眠患者根据随机数字表分成2组。治疗组30例应用相对穴内关透外关为主治疗,每日1次，每周5次，4周为1个疗程。对照组30例予以艾司唑仑片治疗,每次1mg,每晚睡前口服，4周为1疗程。4周后对比观察两组的临床疗效及匹兹堡睡眠质量指数（PSQI）评分。结果：总有效率治疗组90.00%，对照组63.33%，差异有统计学意义（P＜0.05）。治疗组PSQI评分为(7.93±3.77)分，优于对照组的(10.60±4.20)分，两组差异有统计学意义（P＜0.05）。结论：相对穴内关透外关配穴简便，可明显改善患者的睡眠质量。

[关键词] 相对穴 透刺 内关 外关 失眠