赖氏通元针法治疗心肾不交型单纯性失眠的临床疗效观察

发布时间：2018-01-30 06:33

本文关键词： 单纯性失眠心肾不交型通元针法　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过比较普通针刺与通元针法对心肾不交型单纯性失眠的临床疗效,验证通元针法治疗心肾不交型单纯性失眠的有效性,为推广通元针法治疗心肾不交型单纯性失眠提供参考依据。方法:将60例心肾不交型单纯性失眠患者依据随机、对照、单盲法分成试验组和对照组,每组各30例。试验组予赖氏通元针法,取百会、印堂、天枢(双)、关元、心俞(双)、肾俞(双)、内关(双)、太溪(双),常规针刺,得气后留针30分钟,每周治疗6次,逢周日休息,一共治疗4周;对照组予普通针刺、取百会、安眠(双)、神门(双)、内关(双)、太溪(双)、涌泉(双),治疗方法及疗程同试验组。两组均在治疗结束后4周进行随访。以两组患者治疗前后及随访期的匹兹堡睡眠质量指数(PSQI)的改善情况,评定治疗效果。结果:(1)经统计学分析,通元针法组的总有效率为80%,普通针刺组的总有效率为70%,两组结果无明显统计学差异(P0.05),说明通元针法组和普通针刺组疗效相当。(2)治疗后两组PSQI量表的各项指标及总分均改善,但通元针法组的睡眠质量、入睡时间、睡眠效率及PSQI总分4方面优于普通针刺组。随访4周,通元针法组的睡眠质量、入睡时间、睡眠障碍、PSQI总分均较治疗4周明显好转(P0.05),而在睡眠时间、睡眠效率、催眠药物、日间功能障碍4方面的疗效无明显改变(P0.05);普通针刺组随访期的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍、PSQI总评分8个方面的疗效较治疗后明显下降(P0.05)。结论:通元针法与普通针刺治疗心肾不交型单纯性失眠均有疗效,可以减少催眠药物的使用并改善入睡时间、睡眠时间、睡眠效率、睡眠障碍和日间功能障碍,达到提高睡眠质量的效果,但通元针法对于心肾不交型单纯性失眠的疗效,尤其是远期疗效优于普通针刺组。
[Abstract]:Objective: to compare the clinical effect of common acupuncture and Tongyuan acupuncture on simple insomnia of heart and kidney disjoint type, and to verify the effectiveness of Tongyuan acupuncture in treating simple insomnia of heart and kidney disjoint type. Methods: 60 cases of simple insomnia of heart and kidney disjoint type were divided into experimental group and control group according to random, control and single blind method. There were 30 cases in each group. The experimental group was treated with Lai's Tongyuan needling method, taking Baihui, Yantang, Tianshu (Shuangli, Guanyuan, Xinshu, Shenshu, Neiguan, Shuangwei, Taixi, routine acupuncture). After Qi retention needle 30 minutes, treatment 6 times a week, every Sunday rest, a total of 4 weeks treatment; The control group was treated with common acupuncture, taking Baihui, and sleeping (Shuangzao, Shenmen (Shuangzao, Neiguan), Taixi (Shuangzao, Yongquan). The treatment method and course of treatment were the same as the experimental group. The two groups were followed up for 4 weeks after the end of treatment. The improvement of Pittsburgh sleep quality index (PSQI) before and after treatment and follow-up period in both groups was evaluated. Results by statistical analysis, the total effective rate of Tongyuan acupuncture group was 80 and that of common acupuncture group was 70. There was no significant difference between the two groups (P 0.05). The results showed that the curative effect of Tongyuan acupuncture group and common acupuncture group was the same. 2) after treatment, the indexes and total scores of PSQI scale in both groups were improved, but the sleep quality and sleep time of Tongyuan acupuncture group were improved. The sleep efficiency and the total score of PSQI were better than that of the normal acupuncture group in 4 weeks follow-up, the sleep quality, sleep time and sleep disorder in Tongyuan acupuncture group. The total score of PSQI was significantly better than that of treatment for 4 weeks (P 0.05), but there was no significant change in sleep time, sleep efficiency, hypnotic drugs and daytime dysfunction. Sleep quality, sleep time, sleep time, sleep efficiency, sleep disorder, hypnotic drugs, daytime dysfunction in the general acupuncture group. The total score of PSQI in 8 aspects was significantly lower than that after treatment P0.05.Conclusion: Tongyuan acupuncture and common acupuncture are effective in treating simple insomnia of heart and kidney disjoint type. Can reduce the use of hypnotic drugs and improve sleep time, sleep time, sleep efficiency, sleep disorders and daytime dysfunction, to improve the quality of sleep effect. But the long-term effect of Tongyuan acupuncture on simple insomnia with heart and kidney disjoint was better than that of common acupuncture group.
【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】：2017
【分类号】：R246.6

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