基于PSG的头针结合腹针治疗慢性失眠的临床观察
发布时间：2018-08-30 15:45
【摘要】：目的：旨在基于PSG评价头针电针结合腹针电针疗法对于慢性失眠的临床疗效。方法：选取慢性失眠患者60例,采用随机量表分为治疗组和对照组两组,每组30例。治疗组取穴腹一区、情感区、百会、四神聪,其中电针连接分别是情感区左右旁开两穴连为一组,腹一区左右旁开两穴连为一组,左右四神聪一组；对照组选用百会、四神聪、印堂、安眠(双)、神门(双)、照海(双),其余根据辨证取穴加配穴,其中电针连接分别是左右四神聪一组,双侧安眠为一组,辨证取穴加配穴连一组。两组电针频率均采用疏波2Hz,每次治疗30分钟,7天为一个治疗疗程,连续治疗4个疗程。治疗前以及治疗4个疗程后,分别利用匹兹堡睡眠质量指数量表总分对患者的睡眠质量进行评估；利用多导睡眠监测的各睡眠结构参数评价睡眠结构；利用睡眠日志评价睡眠模式；利用睡眠信念与态度量表总评分来评估患者对于睡眠的错误观念的改变程度；采用Epworth嗜睡量表总分让患者主观评价其在常规环境中入睡的可能性和嗜睡的程度。治疗结束后采用SPSS22.0统计学软件进行统计分析。结果：1.治疗组与对照组ESS评分比较：治疗后,两组ESS评分分别进行组内比较(P0.01)和组间比较(P0.05),差异均具有统计学意义；2.治疗组与对照组DBAS评分比较：治疗后,两组DBAS评分分别进行组内比较(P0.01)和组间比较(P0.05),差异均具有统计学意义；3.治疗组与对照组PSQI评分比较：治疗后,两组PSQI评分分别进行组内比较(P0.01)和组间比较(P0.01),差异均具有统计学意义；4.治疗组与对照组睡眠日志各项时间比较：治疗后,两组睡眠日志各项时间分别进行组内比较(P0.01)和组间比较(P0.05),差异均具有统计学意义；5.治疗组与对照组PSG监测各项比较：治疗后,两组PSG各项分别进行组内比较(P0.01)和组间比较(P0.05),差异均具有统计学意义。结论：1.头针电针结合腹针电针疗法对于慢性失眠患者是一种有效、依从性好的治疗方法。2.头针电针结合腹针电针疗法在减少慢性失眠患者睡眠潜伏时间,减少入睡后觉醒时间,降低入睡后微觉醒指数,延长总睡眠时间,提高睡眠效率方面有一定的优势。3.头针电针结合腹针电针疗法和传统电针疗法对于慢性失眠患者均有一定的临床疗效。
[Abstract]:Objective: to evaluate the clinical effect of scalp acupuncture combined with abdominal acupuncture on chronic insomnia based on PSG. Methods: 60 patients with chronic insomnia were randomly divided into treatment group and control group with 30 cases in each group. In the treatment group, the ventral region, the emotional area, the Baihui area, the Sishencong group were selected. Among them, the electroacupuncture connection was divided into two groups, one group was connected with the left and right points of the emotional region, the other two points were opened at the left and right sides of the first area of the abdomen as a group, and the other two points were opened at the left and right sides of the ventral region as a group. Yantang, Anmiao (double), Shenmen (double), Zhaohai (double), others according to syndrome differentiation points plus points, electroacupuncture connection is left and right four Shencong group, bilateral sleep as a group, syndrome differentiation points plus points in a group. The frequency of electroacupuncture in both groups was treated with sparsely wave 2Hz, 30 minutes and 7 days each time as a course of treatment and 4 consecutive courses of treatment. Pittsburgh Sleep quality Index (PQI) was used to evaluate the sleep quality of the patients before and after 4 courses of treatment, and the sleep structure parameters of polysomnography were used to evaluate the sleep structure. Sleep log was used to evaluate the sleep pattern, the total score of sleep belief and attitude scale was used to evaluate the degree of change of patients' sleep misconceptions. The total score of Epworth somnolence scale was used to subjectively evaluate the possibility of falling asleep and the degree of somnolence. After the treatment, SPSS22.0 statistical software was used for statistical analysis. The result is 1: 1. Comparison of ESS score between the treatment group and the control group: after treatment, the ESS scores of the two groups were compared within the group (P0.01) and the comparison between the groups (P0.05), the difference was statistically significant. Comparison of DBAS score between the treatment group and the control group: after treatment, the DBAS scores of the two groups were compared within the group (P0.01) and the comparison between the groups (P0.05), the difference was statistically significant. Comparison of PSQI score between the treatment group and the control group: after treatment, the PSQI scores of the two groups were compared within the group (P0.01) and the comparison between the groups (P0.01), the difference was statistically significant (P0.01). Treatment group and control group sleep log time comparison: after treatment, the two groups sleep log time were compared within the group (P0.01) and group comparison (P0.05), the difference was statistically significant. Comparison of PSG monitoring between the treatment group and the control group: after treatment, each item of PSG in the two groups was compared within the group (P0.01) and the comparison between the groups (P0.05), the difference was statistically significant. Conclusion 1. Scalp acupuncture combined with abdominal electroacupuncture is an effective and good compliance method for patients with chronic insomnia. Electroacupuncture combined with abdominal electroacupuncture therapy has some advantages in reducing sleep latency time, reducing wake time after falling asleep, decreasing micro-arousal index after falling asleep, prolonging total sleep time and improving sleep efficiency in patients with chronic insomnia. Scalp acupuncture combined with abdominal electroacupuncture and traditional electroacupuncture have certain clinical effects on patients with chronic insomnia.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6
[Abstract]:Objective: to evaluate the clinical effect of scalp acupuncture combined with abdominal acupuncture on chronic insomnia based on PSG. Methods: 60 patients with chronic insomnia were randomly divided into treatment group and control group with 30 cases in each group. In the treatment group, the ventral region, the emotional area, the Baihui area, the Sishencong group were selected. Among them, the electroacupuncture connection was divided into two groups, one group was connected with the left and right points of the emotional region, the other two points were opened at the left and right sides of the first area of the abdomen as a group, and the other two points were opened at the left and right sides of the ventral region as a group. Yantang, Anmiao (double), Shenmen (double), Zhaohai (double), others according to syndrome differentiation points plus points, electroacupuncture connection is left and right four Shencong group, bilateral sleep as a group, syndrome differentiation points plus points in a group. The frequency of electroacupuncture in both groups was treated with sparsely wave 2Hz, 30 minutes and 7 days each time as a course of treatment and 4 consecutive courses of treatment. Pittsburgh Sleep quality Index (PQI) was used to evaluate the sleep quality of the patients before and after 4 courses of treatment, and the sleep structure parameters of polysomnography were used to evaluate the sleep structure. Sleep log was used to evaluate the sleep pattern, the total score of sleep belief and attitude scale was used to evaluate the degree of change of patients' sleep misconceptions. The total score of Epworth somnolence scale was used to subjectively evaluate the possibility of falling asleep and the degree of somnolence. After the treatment, SPSS22.0 statistical software was used for statistical analysis. The result is 1: 1. Comparison of ESS score between the treatment group and the control group: after treatment, the ESS scores of the two groups were compared within the group (P0.01) and the comparison between the groups (P0.05), the difference was statistically significant. Comparison of DBAS score between the treatment group and the control group: after treatment, the DBAS scores of the two groups were compared within the group (P0.01) and the comparison between the groups (P0.05), the difference was statistically significant. Comparison of PSQI score between the treatment group and the control group: after treatment, the PSQI scores of the two groups were compared within the group (P0.01) and the comparison between the groups (P0.01), the difference was statistically significant (P0.01). Treatment group and control group sleep log time comparison: after treatment, the two groups sleep log time were compared within the group (P0.01) and group comparison (P0.05), the difference was statistically significant. Comparison of PSG monitoring between the treatment group and the control group: after treatment, each item of PSG in the two groups was compared within the group (P0.01) and the comparison between the groups (P0.05), the difference was statistically significant. Conclusion 1. Scalp acupuncture combined with abdominal electroacupuncture is an effective and good compliance method for patients with chronic insomnia. Electroacupuncture combined with abdominal electroacupuncture therapy has some advantages in reducing sleep latency time, reducing wake time after falling asleep, decreasing micro-arousal index after falling asleep, prolonging total sleep time and improving sleep efficiency in patients with chronic insomnia. Scalp acupuncture combined with abdominal electroacupuncture and traditional electroacupuncture have certain clinical effects on patients with chronic insomnia.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6
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