腹针治疗更年期失眠症的临床研究

发布时间:2018-12-25 21:11
【摘要】:目的:通过观察腹针治疗更年期失眠症的临床研究,评价腹针治疗更年期失眠的临床疗效并探讨其作用机理。 研究方法:将60例更年期失症眠患者随机分为2组,一是腹针组,二是体针组,每组各30例。10次为1疗程,共治疗2个疗程。两组在治疗前后分别进行匹兹堡睡眠质量指数测验(PSQI)和焦虑自评量表测验(SAS),观察指数治疗前后差值作组间比较。 结果: 1、自身比较:腹针疗法与体针疗法均是治疗更年期失眠症的有效方法。两组治疗后匹兹堡睡眠质量指数评定量表(PSQI)中各项与治疗前比较均具有统计学意义(P0.05);腹针组(治疗组)与体针组(对照组)治疗前后焦虑自评量表评分(SAS)均有明显的下降(P0.05)。 2、组间比较:治疗1疗程后腹针组(治疗组)和体针组(对照组)在入睡时间、实际睡眠时间、睡眠障碍项目评分差异非常显著,具有统计学意义(P0.05);2疗程后治疗组和对照组在实际睡眠时间、睡眠效率评分差异有显著性意义(P0.05),但两组每疗程其余各项目无明显差别;两组治疗后焦虑自评量表(SAS)评分差异非常明显,具有统计学意义(P0.05)。 3、临床疗效:治疗组(腹针组)30例,2疗程后痊愈10例,显效15例,有效4例,无效1例,总有效率97.7%;对照组(体针组)30例,2疗程后痊愈5,显效14,有效8,无效3,总有效率90% 结论:腹针疗法是治疗更年期妇女失眠症非常有效,改善的状况明显优于体针疗法
[Abstract]:Objective: to evaluate the clinical efficacy and mechanism of abdominal acupuncture in treating menopausal insomnia. Methods: 60 patients with menopausal asphyxia were randomly divided into two groups: abdominal acupuncture group and body acupuncture group, 30 cases in each group, 10 times as a course of treatment, 2 courses of treatment. Pittsburgh Sleep quality Index (PSQI) and Self-Rating anxiety scale (SAS),) before and after treatment were compared between the two groups. Results: 1. Self-comparison: abdominal acupuncture therapy and body acupuncture therapy are effective methods in the treatment of menopausal insomnia. All items in Pittsburgh Sleep quality Index rating scale (PSQI) after treatment were statistically significant compared with those before treatment (P0.05). The (SAS) scores of abdominal acupuncture group (treatment group) and body acupuncture group (control group) were significantly decreased before and after treatment (P0.05). 2, comparison between groups: abdominal acupuncture group (treatment group) and body acupuncture group (control group) were significantly different in sleep time, actual sleep time and sleep disorder score after one course of treatment (P0.05); There was significant difference in sleep time and sleep efficiency between treatment group and control group after treatment (P0.05), but there was no significant difference in other items in each course of treatment between the two groups. The (SAS) scores of the two groups were significantly different after treatment (P0.05). 3. Clinical efficacy: 30 cases in the treatment group (abdominal acupuncture group), 10 cases were cured after 2 courses of treatment, 15 cases were markedly effective, 4 cases were effective, 1 case was ineffective, the total effective rate was 97.7%. 30 cases in the control group (body acupuncture group) were cured after 2 courses of treatment, with remarkable effects of 14, effective 8 and ineffective 3, total effective rate 90%. Conclusion: abdominal acupuncture therapy is very effective in treating insomnia of climacteric women, and the improved condition is obviously better than that of body acupuncture therapy.
【学位授予单位】:南京中医药大学
【学位级别】:硕士
【学位授予年份】:2013
【分类号】:R246.6

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