针刺五脏俞结合温针灸治疗更年期心肾不交型失眠的临床研究

发布时间：2018-04-27 07:36

本文选题：温针灸 + 五脏俞　；参考：《长春中医药大学》2016年硕士论文

【摘要】：目的:临床研究针刺五脏俞结合温针灸的疗法对更年期心肾不交型失眠的治疗作用及对更年期其他症状的改善情况,为失眠的临床研究提供新思路,以及提供有效的,无不良反应的新疗法。方法:将2014年9月到2015年12月的门诊符合入组标准的60例更年期心肾不交型失眠患者进行临床观察,根据随机数字表法,分成治疗组与对照组,30例为一组,治疗组采用针刺五脏俞结合温针灸治疗,对照组予以口服乌灵胶囊。临床观察患者治疗前后情况,建立数据库,运用统计软件SPSS19.0进行分析,对治疗组和对照组治疗前后的PSQI评分及改良kupperman症状评分标准得出数据进行分析。结果:经统计学处理,在两组患者中,在年龄、月经情况、病程、中医症状等比较没有明显差异,均有可比性。两组的治疗方法均有一定的疗效,改变了患者睡眠状况,提高了患者生活质量;治疗组的总有效率为86.67%,对照组的总有效率为73.33%,统计学分析后治疗组与对照组有明显差异。两组治疗方法均有改善失眠症状、提高患者生活质量的作用,但治疗组的疗效明显优于对照组。针刺五脏俞结合温针灸治疗更年期心肾不交型失眠起效快,疗效好,对其他更年期症状的缓解情况也略优于乌灵胶囊。结论:针刺五脏俞结合温针灸的方法对更年期心肾不交型失眠的治疗有确切疗效,能改善患者睡眠质量,及其他更年期兼证,具有临床推广意义。
[Abstract]:Objective: to study the therapeutic effect of acupuncture combined with warm moxibustion on insomnia of climacteric heart and kidney disjoint type and to improve other symptoms of climacteric, to provide new ideas and effective methods for clinical study of insomnia. A new treatment without adverse reactions. Methods: from September 2014 to December 2015, 60 patients with menopausal heart and kidney disjoint insomnia were observed and divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with acupuncture combined with warm moxibustion, and the control group was treated with Wuling capsule. Clinical observation of patients before and after treatment, the establishment of a database, the use of statistical software SPSS19.0 to analyze the treatment group and control group before and after treatment of PSQI scores and improved kupperman symptom score data were analyzed. Results: there were no significant differences in age, menstruation, course of disease and TCM symptoms between the two groups. The total effective rate of the treatment group was 86.67, and the total effective rate of the control group was 73.33. After statistical analysis, there was a significant difference between the treatment group and the control group. Both groups had the effect of improving insomnia symptoms and improving the quality of life of patients, but the curative effect of the treatment group was better than that of the control group. Acupuncture of five Zang Yu and acupuncture combined with acupuncture in the treatment of menopausal insomnia of heart and kidney disjoint type, the effect is good, the other climacteric symptoms relief is also slightly better than Wuling capsule. Conclusion: acupuncture of five Zang Yu combined with acupuncture and moxibustion has definite curative effect on insomnia of climacteric heart and kidney disjoint type, can improve the sleep quality of patients, and other climacteric syndrome, and has clinical popularization significance.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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