针灸调补冲任治疗围绝经期失眠的临床研究

发布时间：2018-04-22 03:36

本文选题：失眠 + 围绝经期　；参考：《广西中医药大学》2016年硕士论文

【摘要】：目的:本课题采用临床随机对照研究的方法,观察调补冲任针法治疗围绝经期失眠(心脾两虚型)的临床疗效,对比调补冲任针法和艾司唑仑片对睡眠障碍、中医症状的改善情况,探讨治疗围绝经期失眠的优化方案。方法:选择围绝经期失眠(心脾两虚型)患者共60例,随机分为治疗组与对照组各30例,治疗组采用调补冲任针法治疗,处方:主穴为关元、双侧神门、足三里、三阴交、太冲、公孙,配穴为:(1)百会及双侧内关、太溪;(2)中脘及双侧天枢、照海。每次治疗主穴全选,配穴两组交替使用。治疗2个星期为1个疗程,中间星期天休息1天。一疗程后休息8天,再开始第2个疗程。对照组口服艾司唑仑片,每晚1mg睡前半小时服用。两组共治疗4个星期。于治疗前、后填写观察表,观察两组治疗前后临床疗效、中医症状及匹兹堡睡眠质量指数(PSQI)、Kupperman评分的变化。结果:(1)治疗组临床疗效显著,总有效率93.33%,对照组为80.00%,两组疗效比较有显著性差异(P0.05);(2)治疗组对于睡眠质量、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍、PSQI总分的改善均优于对照组(P0.05或P0.O1);(3)治疗组对入睡困难、多梦易醒、神疲体倦、食纳减少、食后腹胀、大便溏稀、潮热汗出、心悸气短等八个中医症状的改善情况均优于对照组(P0.05或P0.O1);(4)两组Kupperman评分均有所下降,两组组间比较,治疗组优于对照组(P0.01)。结论:(1)调补冲任针法对围绝经期失眠(心脾两虚型)有较好的疗效,且避免了西药的不良反应;(2)调补冲任针法对围绝经期失眠(心脾两虚型)患者的中医症状有较好的改善;(3)调补冲任针法能较好地改善围绝经期失眠(心脾两虚型)患者的围绝经期症状;(4)调补冲任针法治疗期间未出现不良反应,说明调补冲任针法安全有效,值得推广。
[Abstract]:Objective: to observe the clinical effect of regulating and reinforcing Chong Ren acupuncture in treating peri-menopausal insomnia (deficiency of both heart and spleen) by randomized controlled clinical study, and to compare the effects of tonifying, tonifying, tonifying, renning and needling on sleep disorders. Improve the symptoms of traditional Chinese medicine, explore the treatment of perimenopausal insomnia optimization. Methods: a total of 60 patients with peri-menopausal insomnia (deficiency of heart and spleen) were randomly divided into treatment group (n = 30) and control group (n = 30). Tai Chong, Gongsun, with points of 1: 1) and bilateral Neiguan, Taixi 2) Zhongwan and bilateral Tianshu, Zhaohai. The main points were selected each time, and the two groups were used alternately. Treatment for 2 weeks as a course of treatment, between Sunday rest 1 day. Rest for 8 days after a course of treatment, and then start the second course. The control group was treated with oxazolam tablets half an hour before 1mg sleep every night. The two groups were treated for 4 weeks. Before and after treatment, the observation forms were filled out to observe the changes of clinical efficacy, TCM symptoms and Pittsburgh Sleep quality Index (PSQI) and Kupperman score before and after treatment in the two groups. Results the clinical efficacy of the treatment group was significant, the total effective rate was 93.33g and the control group was 80.00.There was a significant difference between the two groups (P 0.05)) the treatment group had a significant effect on sleep quality, sleep time, sleep efficiency, sleep disorder, sleep quality, sleep time, sleep efficiency, sleep disorder, sleep quality, sleep time, sleep efficiency and sleep disorder. The improvement of total score of PSQI in daytime dysfunction group was better than that in control group (P0.05 or P0.O1). The improvement of eight TCM symptoms such as palpitation and shortness of breath was better than that of the control group (P0.05 or P0. 01). The Kupperman scores of the two groups were all decreased, and the treatment group was superior to the control group (P 0. 01). ConclusionThe acupuncture method of regulating tonifying, tonifying chong and Ren has better curative effect on peri-menopausal insomnia (deficiency of both heart and spleen). And avoid the adverse reaction of western medicine: (2) the acupuncture method of regulating tonifying, tonifying and rending can improve the symptoms of Chinese medicine in the patients with peri-menopausal insomnia (deficiency of both heart and spleen). The method of regulating tonifying the tonifying and strengthening the acupoints can improve the insomnia (deficiency of both heart and spleen) in the perimenopausal period (type of deficiency of both heart and spleen). ) the symptoms of peri-menopausal period of the patients were no adverse reactions during the treatment of tonifying, tonifying, and rendezvous acupuncture. It shows that the needling method is safe and effective, and it is worth popularizing.
【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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