针刺捻转补法治疗心脾两虚抑郁症失眠的临床研究

发布时间：2018-01-07 20:18

本文关键词：针刺捻转补法治疗心脾两虚抑郁症失眠的临床研究　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过对针刺捻转补法治疗前后匹兹堡睡眠质量指数量表(PSQI)、汉密尔顿抑郁量表(HAMD)和抑郁自评量表(SDS)评分的比较,观察针刺捻转补法治疗心脾两虚抑郁症失眠的临床疗效,为治疗本病提供临床研究依据。方法:将90例研究对象随机分为三个组,即常规针刺组、常规针刺+耳穴贴压组、常规针刺+捻转补法组,通过对三组患者治疗前后PSQI、HAMD和SDS量表评分分析,了解临床疗效。结果:1.经过20天的治疗,三组治疗后的PSQI、HAMD、SDS评分均较治疗前降低,组内自身比较差异有统计学意义(P0.01);2.治疗20天后三组间的疗效比较,P0.05;治疗后常规针刺组与常规针刺+耳穴贴压组的疗效比较及常规针刺组与常规针刺+捻转补法组的疗效比较,均P0.01,疗效差异有统计学意义;常规针刺+捻转补法组与常规针刺+耳穴贴压组疗效比较,差异无统计学意义(P0.01)。3.治疗20天后,分别将三组的PSQI、HAMD和SDS量表差值进行组间两两比较,均P0.01,差异有统计学意义。结论:本研究中三种方法治疗抑郁症失眠患者均有效;针灸综合治疗对治疗抑郁症失眠患者具有优势;常规针刺+耳穴贴压组与常规针刺+捻转补法组的临床疗效比较,无显著差异;常规针刺+捻转补法组降低PSQI、HAMD、SDS量表评分相比较常规针刺组和常规针刺+耳穴贴压组有显著差异。
[Abstract]:Objective: through the acupuncture reinforcing method before and after treatment of Pittsburgh sleep quality index scale (PSQI), Hamilton Depression Scale (HAMD) and self rating Depression Scale (SDS) score comparison, observe the clinical curative effect of Acupuncture Acupuncture Treatment of insomnia depression of heart and spleen two deficiency, provide the basis for treatment of the clinical research disease. Methods: 90 cases were randomly divided into three groups, namely the routine acupuncture group, conventional acupuncture plus auricular plaster therapy group, conventional acupuncture + twisting method group, by PSQI in three groups before and after treatment, HAMD and SDS scale analysis, understand the clinical efficacy. Results: after 1. 20 days of treatment, after treatment of the three groups of PSQI, HAMD, SDS scores were lower than before treatment, there was statistical significance in the difference between their own group (P0.01); the effect of P0.05 2., 20 days after treatment between the three groups after treatment; conventional acupuncture group and conventional acupuncture plus auricular point pressing group and comparison of the curative effect routine Compared with the conventional acupuncture group, acupuncture + twist reinforcing method efficacy group were P0.01, was statistically significant difference in efficacy; conventional acupuncture + twisting method group and routine acupuncture combined with auricular plaster group curative effect comparison, the difference was not statistically significant (P0.01.3.) 20 days after treatment, three groups of PSQI respectively, and HAMD the SDS scale difference between the 22 groups were compared, P0.01, the difference was statistically significant. Conclusion: the three methods in this study are effective in Treating Depression Insomnia; acupuncture in the treatment of patients with insomnia depression has the advantage of conventional acupuncture + treatment; auricular plaster therapy group and routine acupuncture + efficacy supplement group turn twist, no significant difference; the conventional acupuncture + twirling reinforcing group decreased PSQI, HAMD, SDS scores compared with conventional acupuncture group and conventional acupuncture plus auricular plaster therapy group were significantly different.

【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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