肝俞“龙虎交战”针法调节亚健康失眠与其改善情绪的相关性研究
发布时间：2018-10-13 16:48
【摘要】：目的：1.本研究以亚健康失眠作为研究对象,评价肝俞“龙虎交战”针法的临床疗效及优势,并探讨睡眠改善与情绪状态改善的相关性,从调节情绪状态的角度评价肝俞“龙虎交战”针法治疗亚健康失眠的临床优势,旨在为该针法干预亚健康失眠的临床运用和推广提供科学、可靠的依据。2.证实“肝郁气滞”是亚健康失眠的主要病机,为进一步运用针灸治疗“未病”状态提供思路。方法：选取2015年4月——2016年1月期间,四川省中医院治未病中心门诊病人及在校大学生中符合亚健康失眠纳入标准,年龄在18-60岁的受试者70例,随机分成两组。A组给予常规针刺加肝俞穴“龙虎交战”针法,B组给予常规针刺加肝俞穴平补平泻,每周五次,两周为一个疗程,共两个疗程。在治疗结束后,比较两组在治疗前、后及随访时匹兹堡睡眠质量指数量表(PSQI)与抑郁自评量表(SDS)、汉密尔顿焦虑量表(HAMA)、肝郁气滞量表的评分变化情况,并观察并评价两组睡眠与情绪改善的相关性。结果：1.两组自身前后对比：治疗结束后,两组的PSQI总评分、SDS、HAMA及肝郁气滞量表评分均比治疗前有明显改善,其差异具有统计学意义(P0.05)2.治疗后两组组间对比：治疗结束后,A组PSQI,总评分、肝郁气滞量表评分的改善值均明显优于B组(P0.05)；两组间的抑郁自评量表(SDS)评分、汉密尔顿焦虑量表(HAMA)评分的改善值无明显差异(P0.05)3.两组随访对比：一个月随访后,两组的PSQI、SDS、HAMA、肝郁气滞量表评分均比治疗前有明显改善,其差异具有统计学意义(P0.05),与治疗后比较,差异均无统计学意义(P0.05)：两组间比较,A组的PSQI、SDS、肝郁气滞量表评分显著低于B组,其差异具有统计学意义(P0.05),两组间的HAMA评分无明显差异(P0.05)4.睡眠与情绪改善相关性分析：治疗结束后,A组的PSQI评分与SDS评分呈正相关性(r=0.468,P=0.006),与HAMA评分呈正相关性(r=0.412,P=0.017)；B组的PSQI评分与SDS评分呈正相关性(r=0.480,P=0.004),与HAMA评分呈正相关性(r=0.391,P=0.022)。结论：1.肝俞“龙虎交战”针法能显著改善亚健康失眠者的失眠症状及肝郁气滞症状,疗效明显优于常规针刺组。2.肝俞“龙虎交战”针法与常规针刺对睡眠与情绪的改善呈程度相似的正相关性；在对亚健康失眠伴随抑郁和焦虑症状的缓解上,肝俞“龙虎交战”针法无明显优势。3.肝俞“龙虎交战”针法治疗亚健康失眠远期疗效显著,复发率低,不良反应小,值得推广。
[Abstract]:Purpose 1. In this study, sub-health insomnia was used as the research object to evaluate the clinical efficacy and advantages of Ganshu "Dragon and Tiger belligerent" acupuncture method, and to explore the correlation between sleep improvement and emotional state improvement. In order to provide scientific and reliable basis for clinical application and promotion of acupuncture intervention in sub-health insomnia, the clinical advantages of Ganshu "Dragon and Tiger belligerent" acupuncture in treating sub-health insomnia were evaluated from the point of view of regulating emotional state. 2. It is proved that "liver depression and qi stagnation" is the main pathogenesis of subhealth insomnia, which provides ideas for further application of acupuncture and moxibustion in the treatment of "undiseased" state. Methods: from April 2015 to January 2016, 70 subjects aged 18-60 years were selected from outpatients and college students of Sichuan traditional Chinese Medicine Hospital. Group A was given routine acupuncture plus "Dragon and Tiger belligerent" acupuncture at Ganshu point, and group B was given routine acupuncture plus Ganshu acupoint, five times a week for a course of treatment, two courses of treatment. After treatment, the scores of Pittsburgh Sleep quality Index (PSQI) and Self-rating Depression scale (SDS), Hamilton anxiety scale (HAMA), liver depression and qi stagnation scale (HAMA),) were compared between the two groups before, after and after the treatment. The correlation between sleep and mood improvement was observed and evaluated. The result is 1: 1. Two groups before and after the contrast: after treatment, the two groups of PSQI total score, SDS,HAMA and liver stagnation scale scores were significantly improved compared with before treatment, the difference was statistically significant (P0.05) 2. Comparison between the two groups after treatment: after treatment, the improvement value of PSQI, total score and liver stagnation of qi scale in group A were significantly better than those in group B (P0.05); the (SDS) score of self-rating depression scale between the two groups was significantly better than that in group B (P0.05). There was no significant difference in the improvement value of Hamilton anxiety scale (HAMA) score (P0.05) 3. Two groups were followed up: after one month follow-up, the scores of PSQI,SDS,HAMA, liver stagnation and Qi stagnation scale in both groups were significantly improved compared with those before treatment (P0.05), and compared with those after treatment, there was no significant difference between the two groups (P0.05). There was no significant difference between the two groups (P0.05): compared with the two groups, the score of PSQI,SDS, liver qi stagnation scale in group A was significantly lower than that in group B (P0.05), the difference was statistically significant (P0.05), and there was no significant difference in HAMA score between the two groups (P0.05). Analysis of the correlation between sleep and mood improvement: after treatment, the PSQI score of group A was positively correlated with the SDS score (r 0.468 P0. 006), the PSQI score of group A was positively correlated with that of SDS score (r 0. 480 0. 017); B), and the PSQI score of group A was positively correlated with HAMA score (r 0. 391g P0. 022). Conclusion 1. Ganshu "Dragon and Tiger belligerent" acupuncture method can significantly improve the insomnia symptoms and stagnation of liver qi in patients with sub-health insomnia, and the curative effect is obviously better than that of routine acupuncture group. 2. There was a similar positive correlation between the acupuncture method of Ganshu "Dragon and Tiger belligerence" and routine acupuncture on the improvement of sleep and mood, but there was no obvious advantage in the acupuncture of Ganshu "Battle of Dragon and Tiger" to alleviate depression and anxiety symptoms associated with sub-health insomnia. 3. The long-term curative effect of Ganshu "Dragon and Tiger belligerent" acupuncture for subhealth insomnia is remarkable, the recurrence rate is low, the adverse reaction is small, so it is worth popularizing.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6
[Abstract]:Purpose 1. In this study, sub-health insomnia was used as the research object to evaluate the clinical efficacy and advantages of Ganshu "Dragon and Tiger belligerent" acupuncture method, and to explore the correlation between sleep improvement and emotional state improvement. In order to provide scientific and reliable basis for clinical application and promotion of acupuncture intervention in sub-health insomnia, the clinical advantages of Ganshu "Dragon and Tiger belligerent" acupuncture in treating sub-health insomnia were evaluated from the point of view of regulating emotional state. 2. It is proved that "liver depression and qi stagnation" is the main pathogenesis of subhealth insomnia, which provides ideas for further application of acupuncture and moxibustion in the treatment of "undiseased" state. Methods: from April 2015 to January 2016, 70 subjects aged 18-60 years were selected from outpatients and college students of Sichuan traditional Chinese Medicine Hospital. Group A was given routine acupuncture plus "Dragon and Tiger belligerent" acupuncture at Ganshu point, and group B was given routine acupuncture plus Ganshu acupoint, five times a week for a course of treatment, two courses of treatment. After treatment, the scores of Pittsburgh Sleep quality Index (PSQI) and Self-rating Depression scale (SDS), Hamilton anxiety scale (HAMA), liver depression and qi stagnation scale (HAMA),) were compared between the two groups before, after and after the treatment. The correlation between sleep and mood improvement was observed and evaluated. The result is 1: 1. Two groups before and after the contrast: after treatment, the two groups of PSQI total score, SDS,HAMA and liver stagnation scale scores were significantly improved compared with before treatment, the difference was statistically significant (P0.05) 2. Comparison between the two groups after treatment: after treatment, the improvement value of PSQI, total score and liver stagnation of qi scale in group A were significantly better than those in group B (P0.05); the (SDS) score of self-rating depression scale between the two groups was significantly better than that in group B (P0.05). There was no significant difference in the improvement value of Hamilton anxiety scale (HAMA) score (P0.05) 3. Two groups were followed up: after one month follow-up, the scores of PSQI,SDS,HAMA, liver stagnation and Qi stagnation scale in both groups were significantly improved compared with those before treatment (P0.05), and compared with those after treatment, there was no significant difference between the two groups (P0.05). There was no significant difference between the two groups (P0.05): compared with the two groups, the score of PSQI,SDS, liver qi stagnation scale in group A was significantly lower than that in group B (P0.05), the difference was statistically significant (P0.05), and there was no significant difference in HAMA score between the two groups (P0.05). Analysis of the correlation between sleep and mood improvement: after treatment, the PSQI score of group A was positively correlated with the SDS score (r 0.468 P0. 006), the PSQI score of group A was positively correlated with that of SDS score (r 0. 480 0. 017); B), and the PSQI score of group A was positively correlated with HAMA score (r 0. 391g P0. 022). Conclusion 1. Ganshu "Dragon and Tiger belligerent" acupuncture method can significantly improve the insomnia symptoms and stagnation of liver qi in patients with sub-health insomnia, and the curative effect is obviously better than that of routine acupuncture group. 2. There was a similar positive correlation between the acupuncture method of Ganshu "Dragon and Tiger belligerence" and routine acupuncture on the improvement of sleep and mood, but there was no obvious advantage in the acupuncture of Ganshu "Battle of Dragon and Tiger" to alleviate depression and anxiety symptoms associated with sub-health insomnia. 3. The long-term curative effect of Ganshu "Dragon and Tiger belligerent" acupuncture for subhealth insomnia is remarkable, the recurrence rate is low, the adverse reaction is small, so it is worth popularizing.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6
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