任督点穴配合穴位敷贴治疗肝郁化火型失眠的疗效观察

发布时间：2018-03-05 16:37

本文选题：任督点穴　切入点：穴位敷贴　出处：《湖南中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察任督点穴配合穴位敷贴疗法治疗肝郁化火型失眠患者的临床疗效,为该病证提供一种安全、有效的治疗方案。方法:将符合纳入标准的60例肝郁化火型失眠患者随机分为治疗组和对照组,每组各30例。治疗组采用任督点穴配合穴位敷贴疗法治疗,对照组采用睡前口服舒乐安定。两组每日均治疗1次,10次为一个疗程,疗程之间间隔2天,连续治疗2个疗程。对两组患者分别于治疗前和治疗2个疗程结束后进行匹兹堡睡眠质量指数(PSQI)量表和中医证候积分表评分及临床疗效比较,并于治疗结束后1个月进行随访。结果:1.两组治疗前后PSQI各指标比较:在改善患者入睡时间、睡眠时间、睡眠效率、睡眠质量、睡眠障碍和日间功能障碍评分方面比治疗前好,且差异均有统计学意义(P0.05)。2.治疗组在改善患者入睡时间、睡眠时间、睡眠效率、睡眠质量、睡眠障碍和日间功能障碍及降低PSQI总评分方面与对照比较,差异无统计学意义(P0.05)。3.两组治疗前后中医证候评分比较,差异有统计学意义(P0.05),治疗后两组间中医证候评分及中医证候总有效率比较,差异无统计学意义(P0.05)。4.两组治疗后临床疗效比较:治疗组总有效率为83.34%,对照组总有效率为80.00%,两组比较差异无统计学意义(P0.05);治疗结束后1个月两组比较,治疗组总有效率为75.86%,对照组总有效率67.86%,两组比较差异具有统计学意义(P0.05)。结论:1.任督点穴配合穴位敷贴疗法与口服舒乐安定两种治疗方案在改善肝郁化火型失眠患者的入睡时间、睡眠时间、睡眠效率、睡眠质量、睡眠障碍和日间功能障碍评分方面均有效。2.任督点穴配合穴位敷贴疗法在近期改善患者入睡时间、睡眠时间、睡眠效率、睡眠质量、睡眠障碍和日间功能障碍评分,降低PSQI总评分、中医证候评分,提高中医证候总有效率及疗效方面与口服舒乐安定相当,远期改善临床疗效总有效率方面优于口服舒乐安定。3.任督点穴配合穴位敷贴疗法安全、有效,值得临床进一步研究与推广。
[Abstract]:Objective: to observe the clinical effect of Ren du point and acupoint application therapy on insomnia with liver depression and fire, and to provide a kind of safety for the syndrome of this disease. Methods: 60 patients with insomnia of liver depression and fire type were randomly divided into treatment group and control group with 30 cases in each group. The treatment group was treated with Ren du points combined with acupoint application therapy, the treatment group was divided into two groups: the control group (n = 30), the control group (n = 30), and the control group (n = 30). The control group was treated with oral fluprodiazepam before bedtime, and the two groups were treated once a day for 10 times as a course of treatment, with an interval of 2 days between the two groups. The patients in the two groups were evaluated with Pittsburgh Sleep quality Index (PSQI) scale, TCM syndrome score and clinical efficacy before and after two courses of treatment. One month after the treatment, the PSQI indexes of the two groups were compared: the scores of sleep time, sleep time, sleep efficiency, sleep quality, sleep disorder and daytime dysfunction were better than those before treatment. Compared with the control group, the treatment group improved the patients' sleep time, sleep time, sleep efficiency, sleep quality, sleep disorder and daytime dysfunction, and decreased the total score of PSQI, compared with the control group, and compared with the control group in improving the sleep time, sleep time, sleep efficiency, sleep quality, sleep disorder and daytime dysfunction, and reducing the total score of PSQI. There was no significant difference between the two groups before and after treatment. The difference was statistically significant (P 0.05). After treatment, the TCM syndromes score and the total effective rate of TCM syndromes were compared between the two groups. There was no significant difference between the two groups (P 0.05, P 0.05, P 0.05). The total effective rate in the treatment group was 83.34, and the total effective rate in the control group was 80.00.The difference between the two groups was not statistically significant (P 0.05), and there was no significant difference between the two groups one month after the end of the treatment, the total effective rate in the treatment group was 83.34. The total effective rate of the treatment group was 75.86 and the total effective rate of the control group was 67.86. The difference between the two groups was statistically significant (P 0.05). Conclusion: 1. The two treatment schemes of Ren du points combined with acupoint application and oral sulpazepam can improve the sleeping time of insomnia patients with liver depression and fire type. The scores of sleep time, sleep efficiency, sleep quality, sleep disorder and daytime dysfunction were all effective. 2. Ren du points combined with acupoint application can improve patients' sleep time, sleep time, sleep efficiency and sleep quality in the near future. The scores of sleep disorder and daytime dysfunction, reducing the total score of PSQI and TCM syndromes, improving the total effective rate and curative effect of TCM syndromes were similar to those of oral sulfolazepam. The total effective rate of long-term improvement of clinical efficacy is better than that of oral sulfodiazepam .3.Ren du points combined with acupoint application therapy is safe and effective, which is worthy of further clinical study and promotion.
【学位授予单位】：湖南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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