失眠穴方合脐内环穴针刺治疗痰热扰心型失眠的临床研究

发布时间：2018-05-17 16:55

本文选题：失眠 + 失眠穴方合脐内环穴针刺　；参考：《广西中医药大学》2016年硕士论文

【摘要】：目的:观察失眠穴方合脐内环穴针刺对痰热扰心型失眠的临床疗效和对PSQI量表的影响,为临床治疗失眠提供有效的治疗方法和必要的临床依据。方法:将72例符合纳入病例观察标准的失眠患者,以随机数字表法按就诊时间分配至治疗组和对照组中,每组36例,治疗组予失眠穴方合脐内环穴针刺治疗,对照组予安定片口服治疗。采用治疗前后自身对照和治疗后组间比较方法,观察其对匹兹堡睡眠质量指数(PSQI)评定量表及临床疗效的影响,1个疗程结束后,经中止脱落筛选,每组得到30例,进行临床疗效评价。结果:(1)疗效评估:对照组痊愈2例,显效14例,有效4例,无效10例,总有效率66.67%;治疗组痊愈10例,显效9例,有效7例,无效4例,总有效率86.67%;两组疗效差异有统计学意义(P0.05),治疗组疗效优于对照组。(2)疗效性指标评估:(1)PSQI总分:治疗前,两组PSQI总分均无明显差异(P0.05),治疗后差异显著(P0.01)且两组PSQI总分与自身治疗前比较,具有统计学意义(P0.05)。(2)各因子积分:治疗前,两组的各项指标评分无明显差异(P0.05),治疗后,各组的各项指标评分与自身治疗前对比,差异均有统计学意义(P0.01或P0.05),此外,治疗组在睡眠质量评分、睡眠效率评分、日间功能评分方面均优于对照组(P0.05)。结论:失眠穴方合脐内环穴针刺在匹兹堡睡眠质量指数(PSQI)评定量表评分及临床疗效评分方面均优于安定治疗方法,提示失眠穴方合脐内环穴针刺可有效改善失眠患者的睡眠状况,值得在临床上推广应用。
[Abstract]:Objective: to observe the clinical curative effect and the effect on PSQI scale of insomnia of phlegm heat disturbing heart type with the combination of insomnia point prescription and navel inner ring point acupuncture, and to provide effective treatment method and necessary clinical basis for clinical treatment of insomnia. Methods: Seventy-two patients with insomnia were divided into treatment group (36 cases) and control group (36 cases) by random number table according to the time of treatment. The treatment group was treated with insomnia acupoint prescription and navel inner ring point acupuncture, and the control group was divided into two groups: the control group (n = 36) and the control group (n = 36). The control group was treated with diazepam tablets orally. The effects of PSQI on Pittsburgh Sleep quality Index (PSQI) rating scale and clinical efficacy were observed by self-control before and after treatment. After one course of treatment, 30 cases were obtained in each group after one course of treatment. The clinical efficacy was evaluated. Results: in the control group, 2 cases were cured, 14 cases were effective, 4 cases were effective, 10 cases were ineffective, the total effective rate was 66.67 cases, 10 cases were cured, 9 cases were markedly effective, 7 cases were effective, 4 cases were ineffective in the treatment group. The total effective rate was 86.67. The difference between the two groups was statistically significant (P 0.05). The curative effect of the treatment group was better than that of the control group. There was no significant difference in the total score of PSQI between the two groups (P 0.05), but the difference after treatment was significant (P 0.01). The total score of PSQI in the two groups was statistically significant compared with that before self treatment (P 0.05. 0. 2) the scores of each index were not significantly different between the two groups before and after treatment (P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05). The scores of each index in each group were significantly different from those before treatment (P 0.01 or P 0.05). In addition, the scores of sleep quality, sleep efficiency and daytime function in the treatment group were better than those in the control group (P 0.05). Conclusion: the score of PSQI rating scale and clinical curative effect of insomnia point prescription combined with navel internal ring acupuncture are better than that of diazepam treatment in Pittsburgh Sleep quality Index (PSQI) rating scale. The results suggest that the combination of insomnia acupoints and navel inner ring acupuncture can effectively improve the sleep status of insomnia patients, and it is worth popularizing in clinic.
【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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