穴位埋线治疗痰瘀互结型OSAHS的临床疗效观察

发布时间：2018-09-04 08:15

【摘要】：目的:观察穴位埋线治疗痰瘀互结型OSAHS的临床疗效,为患者探索一种为之有效的治疗方法。方法:采用Doll’s临床病例随机表进行分组,将符合纳入标准的40例痰瘀互结型OSAHS患者分为两组:穴位埋线组(观察组)和常规针刺组(对照组),两组各20例,根据导师多年临床经验,处方选取丰隆、足三里、血海、阴陵泉、肺俞、脾俞、肾俞。分别记录两组患者在治疗前、治疗一个疗程及治疗结束后的多导睡眠监测(PSG)结果、爱泼沃斯嗜睡量表(ESS)(见附录1)评分以及中医症状评分(见附录2)的变化,判定临床疗效。结果:1.用独立样本t检验分析两组患者的一般资料(性别、年龄),差异不具有统计学意义(P0.05),两组资料具有可比性。2.PSG各项指标(AHI、LSaO_2)及爱泼沃斯嗜睡量表(ESS)评分以及中医症状评分:治疗后,组内经t检验比较,差异具有统计学意义(P0.05);组间经t检验比较,差异不具有统计学意义(P0.05)。结论:穴位埋线疗法可有效地缓解患者的中医临床症状、改善爱泼沃斯嗜睡量表(ESS)评分、改善AHI(呼吸紊乱指数),LSaO_2(最低血氧饱和度)等,值得临床推广。
[Abstract]:Objective: to observe the clinical effect of catgut embedding at acupoints in the treatment of phlegm and blood stasis syndrome (OSAHS), and to explore an effective treatment method for the patients. Methods: Doll's clinical cases were randomly divided into two groups: acupoint embedding group (observation group) and routine acupuncture group (control group). 20 cases in each group were divided into two groups: acupoint embedding group (observation group) and routine acupuncture group (control group). According to the tutor's many years clinical experience, the prescription selected Fenglong, Zusanli, Xue Hai, Yin Ling Quan, Fei Yu, Pi Yu, Shen Yu. The results of polysomnography (PSG) before treatment, one course of treatment and the end of treatment were recorded respectively. The changes of (ESS) (score and TCM symptom score (see appendix 2) were recorded to evaluate the clinical efficacy. The result is 1: 1. The general data (sex, age) of the two groups were analyzed by independent sample t-test. There was no significant difference between the two groups (P0.05). The data of the two groups were comparable. 2. The indexes of PSG (AHI,LSaO_2), (ESS) score of Epworth somnolence scale and TCM symptom score: after treatment, there was no significant difference between the two groups. The difference between the two groups was statistically significant (P0.05), while there was no significant difference between the two groups (P0.05). Conclusion: acupoint catgut embedding therapy can effectively relieve the clinical symptoms of the patients, improve the (ESS) score of Epworth's somnolence scale, and improve the AHI (respiratory disorder index) and LSaO2 (minimum oxygen saturation), etc., which is worth popularizing in clinic.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.81

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