真假针刺对原发性失眠症的作用比较研究

发布时间：2017-12-28 14:12

本文关键词：真假针刺对原发性失眠症的作用比较研究　出处：《广州中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：本研究观察针刺在治疗原发性失眠中是否具有真正的临床效应或它只是安慰剂的另一种形式,做出单纯针刺和非穿透性的假针刺比较。通过观察患者治疗前后的症状评估是否得改善的情况下, 为针灸疗效提供进一步的证明和确认。方法：使用随机对照的实验方法, 将符合纳入表准的60例失眠患者按照1：1的比例随机分为常规体针针刺的治疗组与非穿刺假针刺的对照组。要求参与者在治疗的一个月前没有接受任何的针灸治疗, 选择的参与者都是进一年内很少接触或从未接受过针灸的参与者。两组失眠患者每周治疗的次数为2-3次, 每次间隔的时间为至少2天完成10次治疗为1个疗程。常规针刺治疗组主要选的穴位是内关、神门、百会、照海、申脉和三阴交；非穿刺假针刺对照组会在非经络穴位上进行运作。治疗结果是在治疗前后由匹兹堡睡眠质量评分量表衡量而做比较。结果：60位参与者当中,没有参与者脱落退出研究。共有60为患者完成治疗而被列入统计分析1.治疗前：有基线数据上两组间无统计学差异(P＞0.05),也在匹兹堡睡眠质量评分量表(PSQI)分数的差异,使得两组患者具有可比性。2.将常规针刺组和非穿刺假刺组治疗前后的匹兹堡睡眠质量评分量表的总分和其中的六项项目,睡眠时间、入睡时间、睡眠质量、睡眠效率、睡眠障碍、日常功能障碍积分进行组内比较, 经过t检验分析, P＜0.05, 差异有统计学意义。在治疗组的治疗前各成分和总分均比治疗后成分高, 研究显示常规针刺的治疗组对失眠在匹兹堡睡眠质量评分量表中的成分都有较好的改善作用。在对照组里,治疗前各成分,除了睡眠效率和睡眠障碍的部分,和总分均比治疗后成分高, 研究显示非穿刺假针的治疗组对失眠在匹兹堡睡眠质量评分量表中的成分也有部分的改善作用。对照组的匹兹堡睡眠质量评分量表治疗后的总分比对照组高, 而在各成分的积分经组间比较治疗组的疗效也优于对照组。3.观察的60例患者中,常规体刺针灸治疗组的临床总有效率为90%：9例治愈,13例显著改善,5例显效,和3例无效总30例患者；非穿刺假针灸的有效率为73.33%：6例治愈,7显著改善,9显效,和8例无效总30例患者.结论：在本临床研究结果发现, 常规针刺组和假针刺对照组对失眠的疗效都取得一定的效果, 都能一定的程度上改善失眠患者的匹兹堡睡眠质量评分量表的总分。治疗组在在治疗后的各成分积分上都比对照组优胜。虽然对照组大部分在治疗后的各成分评分都有好转, 却在睡眠效率和睡眠障碍上不没有改善。针灸是一个非药物治疗失眠的方法, 不但没有依赖性或耐药性的副作用, 也不会对人体造成严重的不良反应, 而且也是一个可以长期使用的一种治疗放法。
[Abstract]:Objective: To observe whether acupuncture has a real clinical effect in the treatment of primary insomnia, or it is just another form of placebo, making a comparison between pure acupuncture and non penetrating false acupuncture. To provide further evidence and confirmation for the curative effect of acupuncture and moxibustion by observing whether the symptoms should be improved before and after the treatment of the patients. Methods: using randomized control, will be incorporated into the standard 60 cases of insomnia patients according to the ratio of 1:1 were randomly divided into control group routine body acupuncture treatment group and sham acupuncture needle. The participants were asked not to receive any acupuncture treatment until one month before treatment. The participants were participants who had little contact or never received acupuncture during one year. The number of two groups of insomnia patients was 2-3 times a week, and the time of each interval was at least 2 days to complete 10 treatment for 1 courses. The conventional acupoint acupuncture treatment group mainly selected the Neiguan, Shenmen, Baihui, Zhaohai and Shenmai and Sanyinjiao; non penetrating sham acupuncture group will operate in the non meridian point. Results of treatment before and after treatment by the Pittsburgh sleep quality scale to measure and compare. Results: none of the 60 participants dropped out of the study. A total of 60 patients completed the treatment and were included in the statistical analysis of 1. before treatment: baseline data no significant difference between the two groups (P > 0.05), also in Pittsburgh sleep quality rating scale (PSQI) score difference, comparable to the two groups of patients. 2. conventional acupuncture group and sham acupuncture group non puncture before and after treatment in Pittsburgh sleep quality rating scale score and the six items, sleep time, sleep time, sleep quality, sleep efficiency, sleep disorders, daily dysfunction within group comparison, by t test analysis, P < 0.05, there was statistical significant difference. In the treatment group before each component and the total score after treatment were higher than the high component, studies have shown that the treatment group routine acupuncture on insomnia in Pittsburgh sleep quality scale in all has good effect. In the control group before the treatment, in addition to sleep efficiency and sleep disorders, and the total score after treatment were higher than the high component, studies have shown that the treatment group than sham acupuncture for insomnia puncture in Pittsburgh sleep quality rating scale in part also improved. The control group of the Pittsburgh sleep quality rating scale after treatment score higher than the control group, and the curative effect in the integral of each component by the treatment group is better than that of control group. 60 cases of observation of 3. patients, conventional spines clinical acupuncture treatment group the total efficiency of 90%:9 cases were cured, 13 cases improved, 5 cases were cured, 3 cases were invalid and the total 30 patients; non penetrating sham acupuncture effective 73.33%:6 cases were cured, 7 improved, 9 effective, and 8 cases a total of 30 patients were invalid. Conclusion: in the clinical study found that acupuncture group and sham acupuncture group on insomnia curative effect have certain effect, can improve the patients with insomnia in Pittsburgh sleep quality rating scale score to a certain extent. The treatment group was better than the control group on the scores of all the components after the treatment. Although most of the components in the control group improved after the treatment, they had no improvement in sleep efficiency and sleep disorders. Acupuncture is a method of non pharmacological treatment of insomnia. It not only has no dependence or drug resistance, but also does not cause serious adverse reactions to human body. It is also a long-term treatment.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

【相似文献】