基于PSG与睡眠日志对单穴与配伍腧穴治疗原发性失眠的对照研究

发布时间：2018-06-19 08:25

本文选题：失眠 + 多导睡眠图　；参考：《长春中医药大学》2016年硕士论文

【摘要】：目的:采用随机对照分组研究方法,对单穴与配伍腧穴治疗原发性失眠的效应与差异进行客观、科学的临床评价,为腧穴配伍方案的优选提供临床依据。方法:本实验将74例原发性失眠患者随机分为两组,分别为单穴组和配伍腧穴组,其中单穴组患者35例,配伍腧穴组患者35例,脱落4例,共完成70例,男性23例,女性47例。单穴组取神门穴。配伍腧穴组取百会、神门、三阴交穴。患者取仰卧位,针刺时局部常规消毒,选用华佗牌30号25/40mm毫针,刺入得气后留针30分钟,留针期间局部电针治疗。治疗疗程:每日1次,5次为一个治疗周期,每个周期间隔2日,共5个周期。以多导睡眠图与睡眠日志为观察指标,观察基线期、治疗完成后两个时间段的数据,采用SPSS19.0软件对数据进行分析,对比组内治疗前与治疗后的疗效差异以及每组之间的疗效差异,从而得出结论。结果:对单穴与配伍腧穴治疗原发性失眠的效应与差异进行客观、科学的临床评价,纳入研究病例单穴组35例,配伍腧穴组35例,通过对多导睡眠图与睡眠日志的研究、分析及比较,得出配伍疗效优于单穴。结论:通过观察两组患者多导睡眠图和睡眠日志主观反映的变化,单穴组与配伍腧穴组均能改善失眠患者的临床症状及体征。说明针刺对失眠的治疗是有效的,且配伍腧穴组治疗方法优于单穴组治疗方法。
[Abstract]:Objective: to make objective and scientific clinical evaluation on the effect and difference of single point and combined acupoint in treating primary insomnia, so as to provide the clinical basis for the optimal selection of acupoint compatibility scheme. Methods: 74 patients with primary insomnia were randomly divided into two groups: single point group (n = 35), combined acupoint group (n = 35), exfoliation group (n = 4), male group (n = 23) and female group (n = 47). In the single point group, Shenmen acupoint was taken. Matching acupoints group to take Baihui, Shenmen, Sanyinjiao points. The patient took supine position, local routine disinfection during acupuncture, 30 25/40mm millineedle of Huatuo brand, 30 minutes after puncture, local electroacupuncture treatment during needle retention. Course of treatment: once a day 5 times a treatment cycle, each cycle 2 days interval, a total of 5 cycles. Taking polysomnography and sleep log as observation indexes, the data of baseline period and two periods after treatment were observed. SPSS 19.0 software was used to analyze the data. The results were compared before and after treatment and between groups. Results: objective and scientific clinical evaluation was carried out on the effect and difference of single point and combined acupoint in treating primary insomnia. 35 cases of single point group and 35 cases of compatible acupoint group were included in the study. The polysomnography and sleep log were studied by means of polysomnography and sleep log. Analysis and comparison showed that the efficacy of compatibility was better than that of single point. Conclusion: by observing the changes of polysomnography and sleep log subjective reflection in the two groups, the clinical symptoms and signs of insomnia patients can be improved in both single point group and compatible acupoint group. It shows that acupuncture is effective in the treatment of insomnia, and the combination of acupoint group is better than single point group.
【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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