经颅重复针刺法结合中药治疗围绝经期失眠的临床观察

发布时间：2018-04-02 18:41

本文选题：经颅重复针刺法　切入点：围绝经期失眠　出处：《黑龙江中医药大学》2016年硕士论文

【摘要】：研究目的：观察经颅重复针刺法结合中药治疗围绝经期失眠患者的临床疗效。探讨其可行性及广泛适用性,为临床应用提供理论依据。研究方法：本课题选取符合标准的病例96例,随机分为A、B、C三组,各32例。A组给予自拟方口服；B组给予经颅重复针刺法治疗；C组给予经颅重复重复针刺法结合上述自拟方口服治疗。观察三组患者失眠总疗效,治疗前后匹兹堡睡眠质量指数评分、中医证候积分及性激素水平。研究结果：1.三组患者失眠总疗效比较：A、B、C三组总有效率分别为86.7%、87.1%、93.5%;A组与B组的总疗效比较,P0.05,两组总疗效无差异；C组与A组、B组疗效比较,P0.05,C组疗效明显优于A组与B组。2.三组患者治疗前后中医证候积分比较：A、B、C三组治疗前后中医证候积分相比,P0.05,三组均可改善中医证候积分；A组与B组治疗后中医证候积分比较无明显差异,P0.05,两组改善中医证候积分疗效相同；C组治疗后中医证候积分与A组、B组比较,P0.05,C组改善中医证候积分疗效明显优于A组与B组。3.三组患者治疗前后PSQI评分比较：A、B、C三组治疗前后睡眠紊乱因子评分比较,P0.05,改善睡眠紊乱因子方面疗效不显著；三组治疗前后其余六个因子评分比较,P0.05,三组对其余六个因子有显著疗效；A组与B组治疗后PSQI评分比较,P0.05,两组改善PSQI评分疗效相同；C组治疗后PSQI评分与A组、B组比较,P0.05,C组改善PSQI评分疗效明显优于A组与B组。4.三组患者治疗前后性激素水平(LH、FSH、E2)比较：A、B、C三组治疗前后LH、FSH、E2水平比较,FSH、LH数值治疗后较疗前略有降低,P0.05,无显著疗效；三组治疗后LH、FSH、E2水平比较,P0.05,三组改善性激素水平无差异。研究结论：经颅重复针刺法结合中药治疗围绝经期失眠疗效显著,且明显优于单纯中药组和经颅重复针刺法组,临床应用无毒副作用,具有一定的临床价值。
[Abstract]:Objective: to observe the clinical effect of transcranial repeated acupuncture combined with traditional Chinese medicine in the treatment of peri-menopausal insomnia.To explore its feasibility and wide applicability, to provide theoretical basis for clinical application.Methods: 96 patients who met the criteria were randomly divided into three groups.32 cases in group A were treated with transcranial repetitive acupuncture in group B and group C were treated with transcranial repetitive acupuncture combined with oral therapy of self-prescription.Observe the total curative effect of insomnia, Pittsburgh sleep quality index, TCM syndrome score and sex hormone level before and after treatment.The result of the study was: 1.Comparison of TCM Syndromes integral before and after treatment in three groups of patients compared with Group C before and after treatment, there was no significant difference in TCM syndromes score between Group A and Group B after treatment, and there was no significant difference between Group A and Group B in the score of TCM Syndromes before and after treatment (P0.05), and there was no significant difference in the scores of TCM syndromes between Group A and Group B after treatment.The curative effect of TCM syndrome integral was the same as that of group C and group A was better than that of group A and group B in improving the integral of TCM syndromes significantly better than group A and group B.Comparison of PSQI scores before and after treatment in the three groups the scores of sleep disturbance factors in the three groups were compared before and after treatment (P 0.05) and the curative effect on improving sleep disorder factors was not significant.The other six factor scores were compared before and after treatment in the three groups (P 0.05), and the other six factors were significantly improved in the three groups. The PSQI scores in group A and group B were significantly higher than those in group B (P 0.05). The improvement of PSQI score in both groups was the same as that in group C (P < 0.05). The PSQI score in group C was higher than that in group A and group B (P < 0.05).The effect of improving PSQI score in group C was significantly better than that in group A and group B.Conclusion: transcranial repetitive acupuncture combined with traditional Chinese medicine in the treatment of peri-menopausal insomnia is significantly better than the traditional Chinese medicine group and transcranial repeated acupuncture group, clinical application of no toxic side effects, has certain clinical value.
【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】：2016
【分类号】：R246.3

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