揿针治疗围绝经期睡眠障碍研究现状与思考

Research Status and Reflections on Thumb-Tack Needling for Subcutaneous Embed⁃ ding for Perimenopausal Sleep Disorders

摘要:

揿针疗法作为中医外治技术，通过持续刺激穴位调节神经内分泌、神经电生理及自主神经功能，在改善围绝经期睡眠障碍中展现出独特优势。本文检索分析揿针治疗围绝经期睡眠障碍的相关临床随机对照试验，结果显示单一揿针治疗疗效与传统针刺相当，且联合耳尖放血、推拿或中药等可显著增效。但当前存在作用机制研究深度不足（如神经免疫、表观遗传调控未明）、临床研究设计存在局限性（样本量小、盲法实施困难、随访期短）、操作标准化缺失及安全性数据记录不完善等问题。未来需深化多组学机制探索，开展高质量临床试验，构建标准化操作与安全体系，探索创新治疗模式，推动其向循证医学转化。

Abstract:

Abstract： Thumb-tack needling for subcutaneous embedding， as an external treatment technique in Chinese medicine， demonstrates unique advantages in improving perimenopausal sleep disorders by continuously stimulating acupoints to regulate neuroendocrine， neuroelectrophysiological， and autonomic nervous functions. By retrieving relevant clinical randomized controlled trials on thumb-tack needling for subcutaneous embedding for perimenopausal sleep disorders， this paper reveals that the efficacy of thumb-tack needling for subcutaneous embedding alone is comparable to traditional acupuncture，and its combination with auricular tip bleeding，tuina，or Chinese herbs can significantly enhance therapeutic effects. However，current research faces limitations including insufficient exploration of mechanisms （e.g.， unclear neuroimmune and epigenetic regulatory mechanisms）， methodological constraints in clinical study design （small sample sizes， difficulties in blind implementation， short follow-up periods）， lack of operational standardization， and incomplete safety data recording. Future efforts should deepen multi-omics mechanistic exploration，conduct high-quality clinical trials，establish standardized operating and safety systems，and explore innovative treatment models to promote its transformation toward evidence-based medicine.