针刺“髓会穴组”为主治疗中老年人原发性失眠临床疗效观察

发布时间：2018-09-14 08:05

【摘要】：目的:本研究总结导师临床工作经验,针对中老年原发性失眠的主要病机,选取导师临床常用穴位组合“髓会穴组”配穴位神门、太溪,与常规针刺处方相比较,对比针刺前后患者的临床症状、工作、生活质量、精神状态等,以期为老年原发性失眠患者针刺治疗提供一种新的治疗思路。方法:将符合纳入标准的60例中老年原发性失眠患者随机分为治疗组和对照组,每组各30例,治疗组予针刺“髓会穴组”配神门、太溪穴,对照组予常规针刺。3个疗程后观察疗效,并比较两组治疗前后匹茨堡睡眠质量指数(PSQI)量表各级评分的变化。结果:1.治疗组总有效率为90.0%,对照组为80.0%,两组之间有显著性差异(P0.01)。2.两组治疗后在各项评分及总分上,均较治疗前明显降低(P0.05)。治疗组睡眠质量、时间、效率,功能障碍及总分治疗后较对照组治疗后明显降低,睡眠障碍及药物上无差异(P0.05)。结论:两组均能明显改善睡眠质量指数(PSQI)量表评分(P0.01),且在改善临床症状及总体疗效上,治疗组优越于对照组(P0.05)。
[Abstract]:Objective: to summarize the clinical work experience of tutor, and to compare the main pathogenesis of primary insomnia in middle-aged and elderly patients with routine acupuncture prescription by selecting "Sui Hui acupoint group" with Shenmen and Taixi acupoints, which is commonly used by tutor in clinical practice. The clinical symptoms, work, quality of life and mental state of the patients before and after acupuncture were compared in order to provide a new way of treatment for senile patients with primary insomnia. Methods: sixty middle-aged and elderly patients with primary insomnia were randomly divided into treatment group (n = 30) and control group (n = 30). The control group was treated with routine acupuncture. The curative effect was observed after 3 courses of treatment. The scores of Pittsburgh Sleep quality Index (PSQI) were compared between the two groups before and after treatment. The result is 1: 1. The total effective rate of the treatment group was 90.0 and that of the control group was 80.0.The difference between the two groups was significant (P0.01). After treatment, the scores and total scores of the two groups were significantly lower than those before treatment (P0.05). The sleep quality, time, efficiency, dysfunction and total score of the treatment group were significantly lower than that of the control group after treatment, and there was no difference in sleep disorders and drugs (P0.05). Conclusion: both groups can significantly improve the score of sleep quality index (PSQI) (P0.01), and the treatment group is superior to the control group in improving the clinical symptoms and overall curative effect (P0.05).
【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】：R246.6

【相似文献】