针刺结合雷火灸治疗心脾两虚型不寐的临床观察

发布时间：2018-04-01 20:03

本文选题：针刺　切入点：雷火灸　出处：《辽宁中医药大学》2016年硕士论文

【摘要】：目的:观察针刺结合雷火灸治疗心脾两虚型不寐的临床疗效。方法:1试验对象:心脾两虚型不寐患者。2分组方法:将符合心脾两虚型不寐的中西医的诊断标准的门诊及住院患者60例,采用随机分组法,将患者分为治疗组及对照组,每组各30例。两组患者人口学特征(年龄、性别)进行比较,认为差异无统计学意义(P0.05),具有可比性。3干预措施:治疗组采用常规针刺及雷火灸疗法。主穴选安眠(双)、神门(双)、内关(双)、三阴交(双)、申脉(双)、照海(双)。配穴选百会、中脘、足三里(双)、心俞、肾俞。采用常规的针刺方法,针刺行针过程中在配穴上给予雷火灸悬灸,对照组取穴与治疗组的取穴相同只单纯进行针刺,两组的治疗周期均为两个疗程,一个疗程为两周即十四天。4观察指标:观察两组治疗前后匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分的各项得分和总分数。5统计学方法:应用SPSS17.0统计软件,计量资料的比较,符合正态分布应用t检验,不符合正态分布的使用秩和检验,所有计量资料均用均数(?)标准差((?)±S)表示;计数资料应用X~2检验;结果均以P0.05,差异被认为具有统计学意义。结果:1两组患者治疗前PSQI各项评分及总评分比较,差异无统计学意义(P0.05),具有可比性。两组患者治疗后PSQI各项评分及总评分比较,差异具有统计学意义(P0.05);经秩和检验,匹兹堡睡眠质量各项目比较入睡时间、睡眠障碍、睡眠时间、催眠药物,差异有统计学意义(P0.05),具有可比性;睡眠质量、睡眠效率、日间功能障碍,差异无统计学意义(P0.05);匹兹堡睡眠质量总分两组比较,差异有统计学意义(P0.05)。2结果表明治疗组临床总有效率为90%,明显高于对照组临床总有效率的73%,两组间比较有统计学意义。(P0.05)结论:1针灸治疗心脾两虚型失眠方法有效。2治疗心脾两虚型失眠,针刺结合雷火灸疗效明显优于单纯针刺常规穴位。
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with thunder fire moxibustion on insomnia with deficiency of both heart and spleen. 60 outpatients and inpatients, The patients were randomly divided into treatment group and control group with 30 cases in each group. The demographic characteristics (age, sex) of the two groups were compared. The results showed that the difference was not statistically significant (P 0.05), and the intervention measures were comparable: the treatment group was treated with routine acupuncture and moxibustion with thunder and fire. The main points were selected for sleep (Shuangli, Shenmen (Shuangli), Neiguan (Shuangli), Sanyinjiao (Shuangli), Shenmai (Shuangwei, Zhaohai)). Shuangyong. Choose a hundred club with a hole, Zhongwan, Zusanli (Shuangzhu, Xinshu, Shenshu). The routine acupuncture method was used. The moxibustion of thunder fire moxibustion was given in the process of acupuncture. Both groups had two courses of treatment. A course of treatment for two weeks, that is, 14 days of observation indicators: observe the Pittsburgh sleep quality index before and after treatment and Pittsburgh sleep quality index PSQI scores of scores and total scores of statistical methods: use SPSS17.0 statistical software, the comparison of metrological data, A t test is used for normal distribution, and a rank sum test is used for nonconforming normal distribution. (standard deviation? The count data were measured by X2 test, the results were all P0.05, the difference was statistically significant. Results the PSQI scores and total scores were compared between the two groups before treatment. PSQI scores and total scores of the two groups after treatment were statistically significant (P 0.05). By rank sum test, sleep quality items of Pittsburgh were compared with sleep time, sleep disorder, sleep time, sleep time, sleep time, sleep time, sleep time, sleep time, sleep time, sleep time, sleep time, sleep disorder, sleep time. Hypnotic drugs, the difference was statistically significant (P 0.05), comparable; sleep quality, sleep efficiency, daytime dysfunction, the difference was not statistically significant (P 0.05); Pittsburgh sleep quality was compared between the two groups. The results showed that the total clinical effective rate of the treatment group was 90, which was significantly higher than that of the control group. The difference between the two groups was statistically significant (P 0.05). Conclusion the acupuncture and moxibustion of the treatment group is effective in treating insomnia with deficiency of both heart and spleen. Treating insomnia with deficiency of heart and spleen, The curative effect of acupuncture combined with fire moxibustion was better than that of simple acupuncture.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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