腹针疗法治疗心肾不交型失眠症的临床疗效观察

发布时间：2018-04-23 16:30

本文选题：腹针疗法 + 常规针刺疗法　；参考：《南京中医药大学》2016年硕士论文

【摘要】：目的：本课题通过腹针疗法和常规针刺疗法的对照,比较两者之间的疗效和优势,为腹针治疗心肾不交型失眠提供依据。方法：采用随机、对照的试验设计,按照就诊顺序对符合纳入标准的患者进行编号,并采用随机数字区组法随机分配为2组,分别是腹针组和对照组,各30例。其中常规针刺运用于对照组,取穴神门、百会、四神聪、印堂、安眠、照海、心俞和肾俞；治疗组予以腹针治疗,以中脘、下脘、气海、关元为主穴,配以双侧的滑肉门、外陵、气旁和阴都,治疗疗程为4周,其中每周3次,每次30分钊,。观察治疗前、治疗期间(第1、2、3、4周)以及疗程结束后1个月、2个月的匹兹堡睡眠量表总分及各睡眠因子评分的变化情况。结果： (1)治疗结束和治疗结束后一个月,腹针组分别为93.3%、96.7%的总有效率,与对照组的90.0%、93.3%比较,差异不明显(P0.05),组内比较(P0.05),差异有统计学意义,说明两组在治疗结束及治疗结束后一个月均取得显著疗效,且疗效相当。 (2)两组在治疗结束及治疗结束后一个月的PSQI总分较治疗前均下降明显,经统计学处理,组间及组内差异明显(P0.05),提示腹针疗法较常规针刺在改善PSQI,总分方面有着明显优势。(3)对各睡眠因子的评分,腹针组和对照组较前均有明显降低(P0.05)。在入睡时间和睡眠质量、时间、效率及日间功能障碍方面,腹针组较对照组下降明显(P0.05),说明腹针疗法在以上五个因子的改善方面亦有着明显优势。 (4)治疗一周时,腹针组的睡眠时间评分与对照组比较下降显著(P0.05)；治疗两周时,腹针组的睡眠效率和日间功能障碍评分较对照组下降显著(P0.05)；治疗三周时,腹针组的入睡时间评分与对照组比较有明显差异(P0.05)；治疗四周时,腹针组的睡眠质量评分与对照组比较有显著性差异(P0.05)；在睡眠障碍方而,腹针组和对照组比较无叨显差异(P0.05)。结论：腹针疗法和常规针刺疗法治疗心肾不交型失眠症均能取得显著疗效,但疗效相当；腹针疗法在改善入睡时间、睡眠质量、睡眠时间、睡眠效率及日间功能障碍这五个睡眠因子方面优于常规针刺疗法,且起效更快,还具有痛苦小甚至无痛,操作规范,无毒副作用等优点,临床应积极推广。
[Abstract]:Objective: to compare the curative effect and advantage between abdominal acupuncture therapy and conventional acupuncture therapy in order to provide basis for abdominal acupuncture treatment of heart and kidney disjoint insomnia. Methods: the patients who met the inclusion criteria were numbered in a randomized, controlled trial design, and randomly divided into 2 groups, 30 cases in the abdominal acupuncture group and 30 cases in the control group. Among them, routine acupuncture was used in the control group, taking points Shenmen, Baihui, Sishen Cong, Yin Tang, Anmien, Zhaohai, Xinshu and Shenshu, while the treatment group was treated with abdominal acupuncture, mainly at Zhongwan, Xiwan, Qihai and Guanyuan, with bilateral sliding door. Wiling, Qi Pang and Yin du, the course of treatment is 4 weeks, among which 3 times a week, 30 minutes each time. The changes of the total score of Pittsburgh Sleep scale and the score of each sleep factor were observed before and after treatment (1st week, 2nd week) and 1 month and 2 months after treatment. Results: one month after treatment and one month after treatment, the total effective rate of abdominal acupuncture group was 93.3% and 96.7%, compared with 90.093% of the control group, the difference was not significant (P 0.05), and the difference was statistically significant compared with that of the control group (P 0.05%). The results showed that the two groups had significant curative effect at the end of treatment and one month after treatment, and the curative effect was similar. (2) the total score of PSQI in the two groups decreased significantly after treatment and one month after treatment. The difference between the two groups was significant (P 0.05), which indicated that abdominal acupuncture therapy was superior to conventional acupuncture in improving PSQI. The total score of each sleep factor was significantly lower in abdominal acupuncture group and control group than that in control group (P 0. 05%, P 0. 05%, P 0. 05%, P 0. 05%, P 0. 05%, P 0. 05%, P 0. 05%, P 0. 05%). In terms of sleep time, sleep quality, time, efficiency and daytime dysfunction, the abdominal acupuncture group was significantly lower than the control group (P 0.05), indicating that abdominal acupuncture therapy also had obvious advantages in the improvement of the above five factors. (4) at one week of treatment, the score of sleep time in abdominal acupuncture group was significantly lower than that in control group (P 0.05); at two weeks after treatment, the score of sleep efficiency and daytime dysfunction in abdominal acupuncture group was significantly lower than that in control group (P 0.05); at 3 weeks after treatment, the score of sleep efficiency and daytime dysfunction in abdominal acupuncture group was significantly lower than that in control group. The score of sleeping time of abdominal acupuncture group was significantly different from that of control group (P0.05A), the score of sleep quality of abdominal acupuncture group was significantly different from that of control group (P0.05) after four weeks of treatment, and there was no significant difference between abdominal acupuncture group and control group in sleeping disorder prescription (P 0.05). Conclusion: both abdominal acupuncture therapy and routine acupuncture therapy can achieve significant curative effect on heart and kidney disjoint insomnia, but the curative effect is similar, abdominal acupuncture therapy can improve sleep time, sleep quality, sleep time, sleep time, sleep time, sleep time, sleep time, sleep time, sleep time, sleep time, sleep quality, sleep time, The five sleep factors of sleep efficiency and daytime dysfunction are superior to the conventional acupuncture therapy, and have the advantages of little or no pain, standard operation, no toxic side effects, and so on, which should be popularized in clinical practice.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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