俞募配穴法治疗广泛性焦虑症睡眠障碍的临床比较研究

发布时间：2018-07-24 16:07

【摘要】：目的:通过观察俞募配穴法(肝俞、期门)及表里经配穴法(行间、侠溪)治疗广泛性焦虑症睡眠障碍(失眠)的临床疗效,并对比两种配穴法改善睡眠、焦虑、不同的中医证候有何差别。方法:从就诊的患者中选取符合诊断和纳入标准的患者62例,用随机的方法分为两组:治疗组(俞募配穴组)、对照组(表里经配穴组)两组基础选穴均为四神聪、印堂、安眠、神门、照海、申脉,治疗组配取肝俞、期门,对照组配取行间、侠溪,两组干预方法均为毫针针刺,疗程均为15天。两组分别在治疗前后进行匹兹堡睡眠质量指数量表(PSQI)、汉密尔顿焦虑量表(HAMA)及中医证候量表评分,纳入病例的一般资料及试验数据通过SPSS22.0软件进行统计,观察两种方法治疗焦虑症睡眠障碍临床疗效及对三个量表改善程度的差异。结果:试验结束共56例患者完成治疗,每组各28例,试验数据经统计分析后,两组总有效率均为96.4%,但治疗组的显效率高于对照组。在量表评分方面,治疗组改善PSQI总分、睡眠质量、入睡时间、睡眠时间、日间功能障碍方面优于对照组,差异有统计学意义(P0.05)。HAMA评分两组改善总分与精神性焦虑部分差异无统计学意义(P0.05),在躯体性焦虑部分治疗组改善程度优于对照组,差异具有统计学意义(P0.05)。在中医证候量表各项评分上,治疗组对改善总分、情绪、心悸、口干口苦、胸胁胀痛优于对照组,差异具有统计学意义(P0.05),两组在失眠、倦怠乏力、头晕目眩这几项上改善程度相当,差异无统计学意义(P0.05)。结论:1、两种配穴法治疗焦虑相关睡眠障碍疗效相当,均能改善PSQI、HAMA、中医证候量表评分。2、本研究中的俞募配穴法相比表里经配穴法能更好的改善睡眠质量,缩短入睡时间,延长睡眠时间,减少因失眠引起的日间功能障碍,改善躯体性焦虑症状,在中医证候上能更有效的改善烦躁情绪,减少心悸、口干口苦等症状,缓解局部胸胁胀痛。3.俞募配穴法可用于治疗焦虑相关睡眠障碍,能有效调节脏腑功能缓解相关症状。
[Abstract]:Objective: to observe the clinical effect of Shu-fu-combined acupoint (Ganshu, Yimen) and epidermal meridian (Xingjian, Xiaxi) in the treatment of sleep disorder (insomnia) with generalized anxiety disorder, and to compare the two methods to improve sleep and anxiety. What is the difference between different TCM syndromes. Methods: Sixty-two patients who met the criteria of diagnosis and inclusion were randomly divided into two groups: the treatment group (Shu-Fu points group) and the control group (epidermal meridian plus acupoint group). Shenmen, Zhaohai, Shenmai, combination of treatment Ganshu, phase gate, control group matched with interline, Xiaxi, the two groups intervention methods are acupuncture, the course of treatment is 15 days. The Pittsburgh Sleep quality Index scale (PSQI), Hamilton anxiety scale (HAMA) and TCM Syndrome scale (TCM) were scored before and after treatment, and the general data and experimental data were collected by SPSS22.0 software. To observe the clinical effect of the two methods in the treatment of sleep disorders in anxiety disorder and the difference in the improvement of the three scales. Results: a total of 56 patients completed the treatment in each group, 28 cases in each group. After statistical analysis, the total effective rate of the two groups was 96.4, but the effective rate of the treatment group was higher than that of the control group. In the score of the scale, the treatment group was superior to the control group in improving the total score of PSQI, sleep quality, sleep time, sleep time and daytime dysfunction. Hama score improvement total score and mental anxiety part of the difference was not statistically significant (P0.05), in the somatic anxiety part of the treatment group than the control group, the difference was statistically significant (P0.05). In TCM syndrome scale scores, the treatment group improved the total score, mood, palpitations, dry mouth bitter, chest and flank pain than the control group, the difference was statistically significant (P0.05), the two groups in insomnia, fatigue, fatigue, The improvement degree of dizziness on these items was similar, the difference was not statistically significant (P0.05). Conclusion the two methods have the same therapeutic effect on anxiety related sleep disorders, both of which can improve PSQI Hama and TCM syndrome scale score. Compared with the method of acupoint matching in the study, the two methods can improve the sleep quality and shorten the time to fall asleep. Prolonging sleep time, reducing daytime dysfunction caused by insomnia, improving somatic anxiety symptoms, can effectively improve irritability, reduce palpitation, dry mouth pain and other symptoms in traditional Chinese medicine syndrome, and relieve local chest distending and hypochondriac pain .3. Shu-Fu-combined acupoint therapy can be used to treat anxiety-related sleep disorders and can effectively regulate the function of viscera to alleviate related symptoms.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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