补照海、泻申脉治疗原发性失眠症患者的临床疗效观察

发布时间：2018-10-19 09:40

【摘要】：目的通过以捻转泻法针刺申脉和捻转补法针刺照海为主治疗原发性失眠,观察其临床疗效。探讨传统中医对失眠症发病机制的准确性,验证穴位效应的实际可靠性,同时也为临床治疗失眠提供另一个更简单、安全、有效的治疗方案。方法将临床选取符合标准的60例患者,按照1:1原则,采用随机分组的方法分为治疗组30例,通过针刺申脉照海,并配以补泻手法进行治疗;对照组30例,采取常规针刺操作,并配合平补平泻手法。并对各组别患者的性别、年龄等一般资料进行统计学处理,统计结果无显著差异性为基本条件。分别在治疗前,治疗结束后一个月左右,应用匹兹堡睡眠质量(PSQI)评定量表进行评分,以评价疗效,并随访患者健康状态的自我评定情况。同时在治疗前后拍摄患者面部及颈项部远红外热成像照片,观察治疗前后两组患者面部、颈项部的体表皮肤温度的变化,间接反映头部温度的变化和微循环的改善情况。结果1.两组患者在治疗后,睡眠状况都有所改善,且两种方法疗效相当。2.两组患者在治疗后,经PSQI评分量表检测得出,捻转补法针刺照海配合捻转泻法针刺申脉对原发性失眠症患者仅在入睡时间、睡眠障碍和日间功能方面,以及所测总分的比较上(P0.05),效果优于常规针刺组;其余各项的得分比较上均无显著性差异(P0.05),无统计学意义。3.以照海、申脉并配合相应的补泻手法治疗原发性失眠症患者相比于普通针刺方法疗效相当,且取穴少,操作简便,避免针刺头面部穴位,较少患者的恐惧感,患者更容易接受,值得推广应用。结论两种治疗方法均有效,且疗效相当,差别不大。传统医学中以营卫理论和阴阳跷脉为依据的指导,对于失眠的分析,是很有临床实用价值的。且以照海、申脉为主穴相比于普通取穴治疗原发性失眠症,选穴较少,患者所受痛苦少,值得推广。
[Abstract]:Objective to observe the clinical curative effect of treating primary insomnia by twirling and reducing acupuncture on Shenchai and twisting and reinforcing acupuncture on Zhaohai. To explore the accuracy of traditional Chinese medicine in the pathogenesis of insomnia, to verify the actual reliability of acupoint effect, and to provide another simple, safe and effective treatment for insomnia. Methods according to the 1:1 principle, 60 patients were selected and randomly divided into treatment group (30 cases) and control group (30 cases), which were treated by acupuncture of Shenchaizhaohai and combined with reinforcing and reducing manipulation, while those of control group (30 cases) were treated with routine acupuncture, and the control group (30 cases) was treated with routine acupuncture. And cooperate with flat tonifying and reducing manipulation. The data of gender and age were statistically analyzed. No significant difference was found in the statistical results. The Pittsburgh Sleep quality scale (PSQI) was used to evaluate the curative effect before and one month after the treatment, and the self-assessment of the health status of the patients was followed up. At the same time, the far-infrared thermal images of face and neck were taken before and after treatment. The changes of skin temperature on the face and neck of the two groups were observed before and after treatment, which indirectly reflected the change of head temperature and the improvement of microcirculation. Result 1. The two groups of patients in the treatment, sleep conditions have improved, and the efficacy of the two methods. 2. 2. After treatment, the patients in the two groups were tested by PSQI score scale. The results showed that the patients with primary insomnia only had sleep time, sleep disorder and daytime function after twirling and reinforcing acupuncture in Zhaohai combined with twisting and reducing acupuncture in Shenmai. As well as the total score measured on the comparison (P0.05), the effect is better than the conventional acupuncture group, the other items were no significant difference in comparison (P0.05), no statistical significance. The patients with primary insomnia treated by Zhaohai, Shenmai and the corresponding reinforcing and reducing manipulation have the same curative effect compared with the common acupuncture method, and have fewer points taken, easy to operate, avoid needling points on the face, less fear of the patients, and more easily accepted by the patients. It is worth popularizing and applying. Conclusion the two methods are effective, and the curative effect is similar, the difference is not obvious. The guidance of traditional medicine based on the theory of Ying Wei and Yin and Yang is of great clinical value for the analysis of insomnia. Compared with the common point extraction, the main points of Zhaohai and Shenmai are less to select points and less pain to the patients, so it is worth popularizing.
【学位授予单位】：山西中医学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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