针刺以“心俞三神”为主穴治疗心脾两虚型失眠的临床观察

发布时间：2018-01-15 11:43

本文关键词：针刺以“心俞三神”为主穴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:通过对针刺以"心俞三神"为主穴治疗心脾两虚型失眠的临床观察,综合评价本方法治疗心脾两虚型失眠的有效性,以期进一步为针刺治疗心脾两虚型失眠提供新的理论和方法,为其在临床应用中提供依据。方法:将60例符合纳入标准的心脾两虚型失眠患者按就诊先后顺序编号,并随机分成针刺以"心俞三神"为主穴组(治疗组)30例和常规针刺组(对照组)30例。治疗2个疗程后采用匹兹堡睡眠质量指数量表(PSQI)、中医证候评分标准表作为观察指标,并通过临床对比观察两组治疗方法对心脾两虚型失眠患者睡眠状况的改善情况。结果:1.治疗2个疗程后,两组组内治疗前后PSQI各因子评分比较,经统计学处理,均具有显著性差异(P0.01),说明两组疗法对失眠患者的睡眠状况均具有明显的改善作用。两组治疗后组间PSQI各因子评分比较,经统计学处理,治疗组在睡眠质量、入睡时间、睡眠效率及日间功能障碍方面与对照组间的差异有统计学意义(P0.05),说明治疗组对以上四方面的改善情况优于对照组;在睡眠时间、睡眠障碍方面与对照组之间的差异无统计学意义(P0.05),说明两组在改善以上两方面临床疗效相近。2.治疗2个疗程后,两组组内治疗前后PSQI总分比较,经统计学处理,均具有显著性差异(P0.01),说明两组疗法均能明显改善心脾两虚型失眠患者的睡眠状况。两组治疗后组间PSQI总分比较,经统计学处理,也具有显著性差异(P0.05),说明治疗组疗效优于对照组;治疗2个疗程后,两组组内治疗前后中医证候积分比较,经统计学处理,均具有显著性差异(P0.01),说明两组疗法对中医证候均有明显改善。两组治疗后组间中医证候积分比较,经统计学处理,也具有显著性差异(P0.05),说明在中医证候的改善上治疗组优于对照组。3.治疗2个疗程后,治疗组总有效率为90.00%。对照组总有效率为83.33%。两组总体临床疗效经比较,其差异有统计学意义(P0.05),表明治疗组总体临床疗效优于对照组。结论:1针刺以"心俞三神"为主穴针刺法与常规针刺法均能改善失眠患者的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍和日间障碍状况;且在睡眠质量、入睡时间、睡眠效率及日间障碍状况方面的改善上,针刺以"心俞三神"为主穴针刺法优于常规针刺法,在睡眠时间、睡眠障碍方面的改善上,两组方法疗效相近。2针刺以"心俞三神"为主穴针刺法与常规针刺法均对中医证候有明显改善,且针刺以"心俞三神"为主穴针刺法在中医证候的改善上优于常规针刺法。3针刺以"心俞三神"为主穴针刺法对心脾两虚型失眠疗效确切,能够有效改善心脾两虚型失眠患者的睡眠状况。
[Abstract]:Objective: to evaluate the effectiveness of this method in the treatment of insomnia with deficiency of heart and spleen through clinical observation of acupuncture with "Xinshu Sanshen" as the main point. With a view to further acupuncture for the treatment of deficiency of both heart and spleen insomnia to provide a new theory and method. Methods: 60 cases of insomnia with deficiency of heart and spleen were numbered according to the order of consultation. And randomly divided into acupuncture "Xinshu Sanshen" as the main point group (30 cases in the treatment group and 30 cases in the routine acupuncture group (control group 30 cases). After 2 courses of treatment, Pittsburgh Sleep quality Index scale (PSQI) was used. TCM syndromes scoring standard table as an observation index, and through clinical comparative observation of the two groups of treatment methods to improve the sleep status of insomnia patients with deficiency of heart and spleen. Results: 1. After two courses of treatment. The scores of PSQI factors before and after treatment were significantly different between the two groups (P 0.01). Two groups of treatment on insomnia patients sleep status has a significant improvement. Two groups after treatment between the PSQI score comparison, after statistical treatment, the treatment group in sleep quality, sleep time. There were significant differences in sleep efficiency and daytime dysfunction between the control group and the control group (P 0.05), which indicated that the improvement of the above four aspects in the treatment group was better than that in the control group. There was no significant difference between the two groups in sleep time, sleep disorder and control group, indicating that the two groups had similar clinical effects in improving the above two aspects. 2. After two courses of treatment. The total score of PSQI in the two groups before and after treatment was statistically significant difference (P 0.01). Two groups of treatment can significantly improve the sleep status of insomnia patients with deficiency of heart and spleen. The total score of PSQI between the two groups after treatment, statistical analysis, also has a significant difference (P0.05). The curative effect of treatment group was better than that of control group. After two courses of treatment, the two groups before and after treatment of traditional Chinese medicine syndrome score comparison, after statistical treatment, there was significant difference (P 0.01). Two groups of treatment on TCM syndrome were significantly improved. The two groups after treatment of TCM syndromes integral comparison, after statistical treatment, there is also a significant difference (P0.05). It shows that the treatment group is superior to the control group in the improvement of TCM syndromes. 3. After two courses of treatment, the treatment group is better than the control group. The total effective rate of the treatment group was 90.00g and the total effective rate of the control group was 83.33.The total clinical efficacy of the two groups was compared with that of the control group (P 0.05). The results showed that the total clinical efficacy of the treatment group was better than that of the control group. Conclusion the acupuncture of "Xinshu Sanshen" as the main point and routine acupuncture can improve the sleep quality, sleep time and sleep time of the patients with insomnia. Sleep efficiency, sleep disorders and daytime disorders; In the aspects of sleep quality, sleep time, sleep efficiency and daytime disorder, acupuncture with "Xinshu Sanshen" as the main point acupuncture method is superior to conventional acupuncture method, in sleep time, sleep disorder improvement. The curative effect of the two groups was similar. 2 acupuncture with "Xinshu and Sanshen" as the main point and routine acupuncture both improved the syndromes of TCM obviously. And acupuncture with "Xinshu Sanshen" as the main point acupuncture method in the improvement of TCM syndrome is better than the conventional acupuncture method .3 acupuncture "Xin Shu Sanshen" as the main point acupuncture method for insomnia of the type of deficiency of the heart and spleen. It can effectively improve the sleep status of insomnia patients with deficiency of both heart and spleen.
【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

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