中文摘要：

目的：观察从脾胃论治针刺对脾虚型与非脾虚型失眠症患者的主观症状、睡眠质量和睡眠率的影响。方法：将60例失眠患者分为脾虚组和非脾虚组,每组30例,均行针刺治疗,穴取四神聪、神门、三阴交、足三里和天枢穴,隔日1次,5次为一疗程,治疗观察2个疗程。采用阿森斯失眠量表（AIS）观察患者主观症状的变化,采用匹兹堡睡眠质量指数（PSQI）观察患者睡眠质量的变化,采用睡眠率观察患者睡眠时间的变化,并判断临床疗效。结果：治疗5次和10次后,脾虚组总有效率均为80.0%（24/30）,非脾虚组总有效率分别为76.7%（23/30）和80.0%（24/30）,两组间差异均无统计学意义（均P〉0.05）。两组AIS总分和PSQI总分在治疗5次、10次后与治疗前比较,均明显降低（均P〈0.01）,各时点组间差异均无统计学意义（均P〉0.05）。两组睡眠率在治疗5次和10次后与治疗前比较均有提高（均P〈0.01）。结论：从脾胃论治针刺治疗脾虚型与非脾虚型失眠症患者可能具有相同的临床疗效,可改善患者的主观症状、睡眠质量和睡眠率。

英文摘要：

Objective To observe the impacts of acupuncture on the subjective symptoms,sleep quality and sleep efficiency in the patients of insomnia differentiated as spleen deficiency or non-spleen deficiency in terms of the spleen and stomach theory.Methods Sixty patients with insomnia were divided into a spleen deficiency group and a non-spleen deficiency group,30 cases in each one.In the two groups,acupuncture was applied at Sishencong（EX-HN1）,Shenmen（HT 7）,Sanyinjiao（SP 6）,Zusanli（ST 36）and Tianshu（ST 25）.The treatment was given once every other day,five times as one course,and two courses were required.The Athens Insomnia Scale（AIS）was used to observe the changes in the patients＇ subjective symptoms.The Pittsburgh sleep quality index（PSQI）was adopted to observe the changes of patients＇ sleep quality.The sleep efficiency was applied to observe the changes in sleep time.The clinical efficacy was determined.Results The total effective rate was both 80.0%（24/30）after 5and 10 treatments in the spleen deficiency group and was 76.7%（23/30）and 80.0%（24/30）respectively in the non-spleen deficiency group.The differences were not significant between the two groups（both P〉0.05）.The AIS total scores and PSQI total scores were reduced apparently after 5and 10 treatments as compared with those before treatment（all P〉0.01）.The difference at each time point was not significant between the two groups（all P〈0.05）.The sleep efficiency after 5and 10 treatments was all improved as compared with that before the treatment in the two groups（all P〈0.01）.Conclusion Acupuncture based on the spleen and stomach theory achieves possibly the same clinical efficacy in the patients of insomnia differentiated as those with spleen deficiency and non-spleen deficiency.It relieves the subjective symptoms and improves the sleep quality and sleep efficiency in the patients.