以心脾俞募配穴为主治疗心脾两虚型失眠的临床观察

发布时间：2018-01-10 23:17

本文关键词：以心脾俞募配穴为主治疗心脾两虚型失眠的临床观察　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:本课题通过对比以心脾俞募配穴为主配合归脾汤与单纯使用归脾汤治疗心脾两虚型失眠的临床疗效,为临床上治疗心脾两虚型失眠提供更为有效的治疗方法。方法:本次课题研究将符合纳入标准的60例心脾两虚型失眠病人按就诊先后顺序随机分成两组,即针刺配合汤药组(治疗组)和单纯汤药组(对照组),两组患者每组各30例。治疗组采用以心脾俞募配穴主配合归脾汤的治疗方法,取心俞脾俞巨阙章门神门安眠三阴交,日一次针刺,留针40min,均行捻转补法,每星期连续针刺6天,休息1天,汤药选归脾汤加减,组成:白术18g茯神18g黄芪(炙)18g龙眼肉18g酸枣仁(炒)18g人参9g木香9g甘草(炙)6g当归3g远志3g,300ml,日1剂,早晚温服。对照组采用单纯归脾汤加减治疗(同治疗组)。4星期为1疗程,经过1疗程治疗后观察两组的疗效,将治疗组中医证候量表评分改善情况、PSQI量表评分、总体疗效与对照组相对比,利用spss20.0统计软件对所得出的数据进行统计学分析处理。结果:1.以心脾俞募配穴为主疗法与单纯服用归脾汤均可以明显改善心脾两虚型失眠患者的PSQI量表评分,以心脾俞募配穴为主疗法优于单纯服用归脾汤治疗,经统计学分析,有显著差异性(p0.05)。2.以心脾俞募配穴为主疗法与单纯服用归脾汤均可以明显改善心脾两虚型失眠患者的中医症候评分,以心脾俞募配穴为主疗法优于单纯服用归脾汤治疗,经统计学分析,有显著差异性(p0.05)。3.以心脾俞募配穴为主疗法与单纯服用归脾汤治疗心脾两虚型失眠患者均有疗效,以心脾俞募配穴为主疗法优于单纯服用归脾汤治疗,经统计学分析,有显著差异性(p0.05)。结论:1.以心脾俞募配穴为主疗法在改善心脾两虚型失眠患者匹兹堡睡眠质量评分与中医证候观察指标评分方面均优于单纯服用归脾汤方法。2.以心脾俞募配穴为主疗法在改善心脾两虚型失眠患者总体疗效方面优于单纯服用归脾汤方法。
[Abstract]:Objective: to compare the clinical curative effect of Guipi decoction and Guipi decoction in treating insomnia with deficiency of both heart and spleen. Methods: 60 cases of insomnia with deficiency of heart and spleen were randomly divided into two groups. Acupuncture combined with decoction group (treatment group) and simple decoction group (control group 30 cases each group of patients in each group. Take Xinshu spleen Yu Juque door door door sleep Sanyinjiao, once a day acupuncture, stay needle 40 minutes, all carry on twirling complement method, every week continuously acupuncture 6 days, rest 1 day, the soup medicine is selected to spleen decoction. Composition: Astragalus macrocephala 18g Fushen 18g Radix Astragali (18g longan meat 18g Zizyphus jujuba seeds (18g ginseng 9g Radix Glycyrrhiza 9g Radix angelicae sinensis 3 g Radix angelicae Sinensis 3 g / day, 1 dose per day). The control group was treated with pure Guipi decoction (the same treatment group was treated for a course of 4 weeks, after one course of treatment, the curative effect of the two groups was observed after one course of treatment, and the TCM syndrome scale score of the treatment group was improved. The score of PSQI scale and the total curative effect were compared with those of the control group. Spss20.0 statistical software was used to analyze and process the obtained data. Results:. 1. The PSQI scale score of insomnia patients with deficiency of both heart and spleen could be obviously improved by the main therapy of Xinpi Shu fuzhu and Guipi decoction alone. The main treatment of Xinpi Shu fufang acupoint was better than that of Guipi decoction alone, which was analyzed by statistics. There is a significant difference (p0.05) .2.The main therapy of Xinpi Shu and Guipi decoction alone can obviously improve the TCM symptom score of insomnia patients with deficiency of both heart and spleen. The main treatment of Xinpi Shu fufang acupoint was better than that of Guipi decoction alone, which was analyzed by statistics. There is a significant difference (P 0.05) .3.The treatment of insomnia with Xinpi Shu and Guipi decoction alone has curative effect on insomnia patients with deficiency of both heart and spleen. The main treatment of Xinpi Shu fufang acupoint was better than that of Guipi decoction alone, which was analyzed by statistics. There was significant difference (p0.05). ... conclusion:. 1. The main treatment of Xinpi Shu Fufang points in improving the Pittsburgh sleep quality score and TCM syndrome observation index score of insomnia patients with deficiency of both heart and spleen is superior to taking Guipi decoction alone. 2. The point of Xinpi Shu is used to improve the sleep quality of the insomnia patients with deficiency of the heart and spleen and the observation index of TCM syndromes. 2. The general curative effect of main therapy in improving insomnia patients with deficiency of both heart and spleen is better than that of Guipi decoction alone.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

【参考文献】