目的：观察揿针联合五行音乐对改善晚期肿瘤患者肝气郁结型失眠的疗效，为临床失眠提供更有效的治疗方法，进一步改善肿瘤患者生存质量。方法：本研究选取2016年7月至2017年8月在中国中医科学院西苑医院肿瘤科住院的晚期肿瘤患者诊断为肝气郁结型失眠的病例，将符合纳入标准的60例患者按照1:1比例随机分为对照组和干预组。对照组单纯进行皮内埋针治疗，干预组在单纯皮内埋针的基础上，联合中医五行音乐针对肝气郁结型失眠辩证选乐进行治疗，观察比较两组治疗效果。结果：1. 经4周干预后，两组匹兹堡睡眠质量指数（PSQI）治疗前后均值差比较显示，干预组的总有效率为82.8%，对照组的总有效率为75.9%，差异有显著性意义（P＜0.05）。2. 两组匹兹堡睡眠质量指数（PSQI）减分率比较显示，经4周治疗后，干预组减分率31.7%，表明有31.7%达到有效，对照组有23.1%无效。结论：揿针联合五行音乐治疗肝气郁结型失眠，较单纯皮内埋针具有显著的临床疗效，且副作用小，值得进一步研究与推广。

This study was aimed to observe the curative effect of intradermal buried needles combined with traditional Chinese medicine (TCM) five elements music improving liver qi stagnation in patients with advanced cancer, and to provide a more effective measure for insomnia treatment and thus to improve the cancer patients’quality of life. In this study, patients with advanced cancer from the Department of Oncology of Xiyuan Hospital, China Academy of Chinese Medicine Sciences were selected from July 2016 to August 2017. According to the principle of randomization, 60 advanced cancer patients who met the inclusion criteria of liver qi stagnation insomnia were randomly divided into the control group (30 individuals treated with simple intradermal buried needle) and the intervention group (30 individuals treated with intradermal buried needle combined with TCM five elements music). In the control group, BL15-Xinshu, BL23-Shenshu, BL18-Ganshu, GB20-Fengchi, HT7-Shenmen, PC6-Neiguan, ST36-Zusanli, SP6-Sanyinjiao, SP4- Gongsun, LR3- Taichong, and KID1- Yongquan with additional acupoints according to symptoms were used. The treatment was given twice a week. Intradermal buried needle was given for 48 hours. No intradermal buried needle was given on Saturday or Sunday. The treatment was given for 8 times in 4 weeks. In the treatment group, the simple intradermal buried needles was given in combination with TCM five elements music in the treatment of insomnia caused by liver qi stagnation. Pittsburgh sleep quality index (PSQI) and SPSS 19.0 statistical software were used in the analysis. A group-to-group comparison was given on the results. After 4-week intervention, the PSQI showed that the total effective rate of the intervention group was 82.8%, and the total effective rate of the control group was 75.9%, with statistical significance (P < 0.05). After 4-week treatment, the reduction rate of the intervention group was 31.7%, which reached“excellent”, while that of the control group was 23.1%, which showed“not effective”. It was concluded that the therapy of simple intradermal buried needles combined with TCM five elements music in the treatment of liver qi stagnation insomnia had significant clinical curative effect. It strengthens the therapeutic effect of simple intradermal buried needles for insomnia treatment. The long-term effect is remarkable and the recurrence rate is low, which makes the area worthy of further investigation.

中国中医科学院基本科研业务费自主选题项目中医特色护理研究专项（ZE0808027）：中医五行音乐配合心理干预改善门诊及社区肿瘤患者抑郁状态的随机对照临床研究，负责人：廖娟。