“坎中求阳”针法治疗心肾不交型不寐的临床疗效观察

发布时间：2017-12-27 10:34

本文关键词：“坎中求阳”针法治疗心肾不交型不寐的临床疗效观察　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:本研究在总结前期临床工作的基础上,针对心肾不交型不寐的主要病机,拟定“坎中求阳”针法,观察“坎中求阳”针法治疗失眠的临床疗效,以期形成针对失眠人群疗效确切,并可供推广应用的治疗方法。方法:随机将40例患者分为“坎中求阳”针刺治疗组和隔药灸脐观察组,每组各20例。针刺治疗组处方为:至阴、复溜、太溪、中封、神门、腕骨;隔药灸脐观察组为交泰丸合六味地黄丸加减。通过统计匹茨堡睡眠质量指数(PSQI)量表,观察、比较两组患者在治疗前后睡眠质量改善情况及其差异。结果:1.针刺组治疗前后对比,PSQI各项观察指标评分上均有显著性差异(P0.01)。2.隔药灸脐组治疗前后对比,在睡眠效率、日间功能障碍及总分3项上有统计学差异(P0.05)。3.针刺组与隔药灸脐组治疗后相比,总体疗效有统计学差异(P0.05)。结论:1.“坎中求阳”针法可明显改善心肾不交型不寐临床症状。2.隔药灸脐法治疗不寐有一定疗效,可明显提高患者白天精力。3.“坎中求阳”治疗组与隔药灸脐组在治疗后的总体疗效上有差异,表明针刺治疗组优于隔药灸脐组。
[Abstract]:Objective: on the base of summarizing the previous clinical work, aiming at the main pathogenesis of insomnia of heart kidney disharmony, develop "seeking Yang acupuncture in the clinical observation of" Kan, Kan seeking Yang in acupuncture treatment of insomnia, in order to form for people with insomnia curative effect, treatment methods and available for promotion the application of. Methods: 40 patients were randomly divided into the acupuncture treatment group of "Khan seeking Yang" and the observation group of the umbilicus with medicine separated moxibustion, with 20 cases in each group. The prescription of acupuncture treatment group was: to Yin, Fu Lu, Tai Xi, Zhong seal, God door, carpal bone, and the medicine moxibustion at the navel group was added and reduced with six flavour Rehmannia pills. Through the statistics of the Pittsburgh sleep quality index (PSQI) scale, the two groups were observed and compared before and after treatment in patients with sleep quality and difference. Results: 1. the comparison of the 1. acupuncture groups before and after treatment, there were significant differences in the scores of various observation indexes (P0.01). There were statistically significant differences in the sleep efficiency, daytime dysfunction and total score in 3 items (P0.05) before and after the treatment of 2. septate moxibustion at the umbilicus group. 3. the total curative effect of the acupuncture group and the medicine - separated moxibustion at the umbilicus group was statistically significant (P0.05). Conclusion: 1. "kan seeking Yang in acupuncture can significantly improve the insomnia of heart kidney disharmony in clinical symptoms. Have a certain effect of 2. navel treatment of insomnia, patients can significantly improve the energy during the day. 3. the total curative effect of the treatment group and the navel group of the medicine separated moxibustion in the treatment group were different, indicating that the acupuncture treatment group was superior to the umbilicus group with the medicine separated by the medicinal moxibustion.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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