针刺联合五行音乐治疗肝气郁结型不寐的临床观察
发布时间：2018-07-31 08:49
【摘要】：目的:观察针刺联合五行音乐治疗肝气郁结型不寐的临床疗效,并且与单纯针刺治疗进行对比,观察两组的临床疗效差别。材料与方法:本次研究纳入的60例患者是来自2014年3月至2014年10月于辽宁中医药大学附属医院门诊脑病K2科就诊的经中医整体辩证符合肝气郁结型,且符合本次研究的纳入标准的不寐患者。按照随机的原则,分为治疗组30人(针刺联合五行音乐组)和对照组30人(单纯针刺组)。对照组的取穴:四神聪、百会、膻中、安眠(双侧)、内关(双侧)、神门(双侧)、绝骨(双侧)、太冲(双侧),配穴随证辩证适当加减,每日针刺1次,30分钟/次,5次为一个疗程,两疗程间隔两日,共针刺4个疗程。治疗组:在单纯针刺治疗的基础上,根据中医五脏对应五音的原则,选用传统五行音乐中与肝相对应的治疗性音乐“角”调式音乐,五音治疗仪同步应用,30分钟/次,5次/疗程,两疗程间隔两日,共治疗4个疗程。4个疗程治疗结束后,采用匹兹堡睡眠质量指数,肝气郁结型不寐的中医症候评分,以及综合临床疗效,运用SPSS19.0统计软件分析,将所得结果分别进行组内、组间比较,分析结果并且得出结论。结果:1.两组经治疗后,综合治疗疗效比较,治疗组的总有效率为86.67%,对照组的总有效率为76.67%,其差异具有显著性意义(P0.05)。2.匹兹堡睡眠质量指数(PSQI)比较,两组的睡眠质量评分均降低,两组间比较,治疗组优于对照组(P0.05)。3.中医症候评分比较,治疗前后,两组症状除妇女月经失调症状,其他症状的症候评分均降低,两组间比较,治疗组的优于对照组(P0.05)。结论:在单纯针刺的基础上,联合传统五行音乐中“角”式音乐治疗肝气郁结型不寐具有显著性临床疗效,加强了单纯针刺治疗不寐的治疗作用,与单纯针刺治疗相比,其远期疗效明显,复发率低,值得进一步研究与推广。
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with five elements music in treating insomnia with stagnation of liver-qi, and to observe the difference between the two groups. Materials and methods: from March 2014 to October 2014, 60 patients from Department K2 of Encephalopathy, Department of Encephalopathy, affiliated Hospital of Liaoning University of traditional Chinese Medicine, were included in this study. Patients with insomnia who met the criteria for inclusion in this study. According to the random principle, 30 patients were divided into treatment group (acupuncture combined with five elements music group) and control group (simple acupuncture group). The points taken from the control group were as follows: Sishen Cong, Baihui, Tanzhong, Anshuiao (bilateral), Neiguan (bilateral), Shenmen (bilateral), absolute bone (bilateral), Taicong (bilateral), appropriate addition and subtraction with syndrome, acupuncture once a day for 30 minutes per time as a course of treatment, The two courses of treatment were separated by two days, and there were 4 courses of acupuncture. Treatment group: on the basis of simple acupuncture treatment, according to the principle of five viscera corresponding to five sounds of traditional Chinese medicine, the traditional five elements music and liver corresponding to the "angle" music, The five-tone therapy instrument was used simultaneously for 30 minutes / time and 5 times / course of treatment, with two courses of treatment interval of two days. After four courses of treatment, Pittsburgh Sleep quality Index (Pittsburgh Sleep quality Index) and TCM symptom score of liver-qi stagnation type insomnia were used. The results were compared within and between groups, and the results were analyzed and concluded. The result is 1: 1. The total effective rate of the treatment group was 86.67, the total effective rate of the control group was 76.67, the difference was significant (P0.05). 2. Pittsburgh sleep quality index (PSQI) comparison, the two groups sleep quality score decreased, between the two groups, the treatment group is better than the control group (P0.05). 3. Before and after treatment, the symptoms of the two groups except women menstrual disorders, other symptoms of symptoms were reduced, the treatment group was better than the control group (P0.05). Conclusion: on the basis of simple acupuncture, the combination of "angle" music in traditional five elements music for insomnia with stagnation of liver-qi has a significant clinical effect, which strengthens the therapeutic effect of simple acupuncture on insomnia, compared with the treatment of simple acupuncture. Its long-term curative effect is obvious, the recurrence rate is low, it is worth further research and promotion.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R256.23
，
本文编号：2155062
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with five elements music in treating insomnia with stagnation of liver-qi, and to observe the difference between the two groups. Materials and methods: from March 2014 to October 2014, 60 patients from Department K2 of Encephalopathy, Department of Encephalopathy, affiliated Hospital of Liaoning University of traditional Chinese Medicine, were included in this study. Patients with insomnia who met the criteria for inclusion in this study. According to the random principle, 30 patients were divided into treatment group (acupuncture combined with five elements music group) and control group (simple acupuncture group). The points taken from the control group were as follows: Sishen Cong, Baihui, Tanzhong, Anshuiao (bilateral), Neiguan (bilateral), Shenmen (bilateral), absolute bone (bilateral), Taicong (bilateral), appropriate addition and subtraction with syndrome, acupuncture once a day for 30 minutes per time as a course of treatment, The two courses of treatment were separated by two days, and there were 4 courses of acupuncture. Treatment group: on the basis of simple acupuncture treatment, according to the principle of five viscera corresponding to five sounds of traditional Chinese medicine, the traditional five elements music and liver corresponding to the "angle" music, The five-tone therapy instrument was used simultaneously for 30 minutes / time and 5 times / course of treatment, with two courses of treatment interval of two days. After four courses of treatment, Pittsburgh Sleep quality Index (Pittsburgh Sleep quality Index) and TCM symptom score of liver-qi stagnation type insomnia were used. The results were compared within and between groups, and the results were analyzed and concluded. The result is 1: 1. The total effective rate of the treatment group was 86.67, the total effective rate of the control group was 76.67, the difference was significant (P0.05). 2. Pittsburgh sleep quality index (PSQI) comparison, the two groups sleep quality score decreased, between the two groups, the treatment group is better than the control group (P0.05). 3. Before and after treatment, the symptoms of the two groups except women menstrual disorders, other symptoms of symptoms were reduced, the treatment group was better than the control group (P0.05). Conclusion: on the basis of simple acupuncture, the combination of "angle" music in traditional five elements music for insomnia with stagnation of liver-qi has a significant clinical effect, which strengthens the therapeutic effect of simple acupuncture on insomnia, compared with the treatment of simple acupuncture. Its long-term curative effect is obvious, the recurrence rate is low, it is worth further research and promotion.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R256.23
，
本文编号：2155062
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