原络配穴法治疗心肾不交型不寐的临床研究

发布时间：2018-03-25 21:49

本文选题：原络配穴　切入点：不寐　出处：《广西中医药大学》2016年硕士论文

【摘要】：目的:运用原络配穴法治疗心肾不交型不寐,以西药口服为对照组,根据不寐的临床疗效标准、匹兹堡睡眠质量指数(PSQI)以及心肾不交型不寐主要症状评分表来进行疗效评价,探讨该法治疗本病的疗效和优势。方法:收集广西中医药大学第一附属医院针灸门诊及病房的60例心肾不交型不寐患者,并按就诊先后顺序随机分为两组,即原络配穴针刺治疗组(30例)和药物对照组(30例)。原络配穴针刺治疗组取穴神门(双)、太溪(双)、通里(双)、大钟(双)、百会。药物对照组予地西泮片口服治疗。二者均治疗10天为1疗程,共治疗2个疗程。分别于治疗前、治疗第一个疗程后和治疗第二个疗程后这3个时间点采集数据,根据不寐的临床疗效标准、匹兹堡睡眠质量指数(PSQI)以及心肾不交型不寐主要症状评分表来进行疗效评价。采用SPSS17.0版统计软件进行统计分析。结果:治疗第一个疗程后,两组疗效相比,原络配穴针刺治疗组总有效率为55.17%,药物对照组总有效率为56.67%,差异无统计学意义(P0.05)。两组PSQI量表总分相比,差异无统计学意义(P0.05)。两组症状评分总分相比,差异无统计学意义(P0.05);治疗第二个疗程后,两组疗效相比,原络配穴针刺治疗组总有效率为89.65%,药物对照组总有效率为80.00%,差异有统计学意义(P0.05)。两组PSQI量表总分相比,治疗组PSQI量表总分低于对照组,差异有统计学意义(P0.05)。两组症状评分总分相比,治疗组症状评分总分低于对照组,差异有统计学意义(P0.05)。结论:1.原络配穴针刺治疗与西药治疗均可以改善睡眠。2.原络配穴针刺治疗明显优于西药治疗。
[Abstract]:Objective: to evaluate the curative effect of the treatment of insomnia of heart and kidney disjoint type by the method of original collaterals and points, taking western medicine as the control group, according to the clinical curative effect standard of insomnia, Pittsburgh Sleep quality Index (PSQI) and the main symptom scale of heart-kidney disjoint type insomnia. To explore the curative effect and advantage of this method in treating this disease. Methods: 60 patients with heart and kidney disjoint insomnia in the first affiliated Hospital of Guangxi University of traditional Chinese Medicine were collected and randomly divided into two groups according to the order of visit. That is, 30 cases in the original collateral acupuncture treatment group and 30 cases in the drug control group. In the original collateral acupuncture treatment group, the Shenmen points (Shuangjiu, Taixi, Shuangli, Tongli, Shuangjiao, Baihui) and the drug control group were treated orally with diazepam tablets. Both of them were treated for 10 days as a course of treatment. Data were collected at the three time points before treatment, after the first course of treatment and after the second course of treatment, according to the clinical efficacy criteria of insomnia. Pittsburgh Sleep quality Index (PSQI) and the score of main symptoms of heart-kidney disjoint insomnia were evaluated. Statistical analysis was performed with SPSS17.0 software. Results: after the first course of treatment, the efficacy of the two groups was compared. The total effective rate of the treatment group was 55.17 and the total effective rate of the drug control group was 56.67. The difference was not statistically significant (P 0.05). There was no significant difference in the total score of PSQI between the two groups (P 0.05). After the second course of treatment, the total effective rate of the two groups was 89.65, the total effective rate of the drug control group was 80.005, the difference was statistically significant (P 0.05). The total score of PSQI scale between the two groups was higher than that of the control group. The total score of PSQI in the treatment group was lower than that in the control group, and the difference was statistically significant (P0.055.Compared with the total score of the symptom score of the two groups, the total score of the treatment group was lower than that of the control group. The difference was statistically significant (P 0.05). Conclusion 1. Both the original point acupuncture and western medicine treatment can improve sleep. 2. The original collateral acupuncture therapy is better than western medicine treatment.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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