“三才配穴推拿法”对原发性失眠（肝郁化火型）焦虑抑郁状态调节作用的临床研究
发布时间：2018-10-26 14:38
【摘要】：目的 本课题旨在通过“三才配穴推拿法”对原发性失眠(肝郁化火型)焦虑抑郁状态的调节作用的临床研究,观察“三才配穴推拿法”对焦虑、抑郁状态的改善程度及对睡眠的改善情况,探索肝郁化火与焦虑抑郁之间的关系。方法 通过随机对照的方法,将符合纳入标准的72例临床失眠患者(肝郁化火型),分为治疗组(三才配穴推拿组),对照组(西药组),采用匹兹堡睡眠质量指数(PSQI)量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)进行观测,与西药组治疗本病临床疗效进行对比。结果 纳入患者72例,其中转院和脱落12例患者,其中推拿组3例,西药组8例。实际完成临床观察60例患者。在临床疗效方面,治疗组治疗30例,临床治愈14例,显效9例,总有效率为86.7%,对照组30例,临床治愈15例,显效10例,总有效率为93.3%,经统计学处理,二者无显著差异(P0.05),说明治疗组与对照组疗效无差异。在PSQI评定方面两组病人治疗前后各项目均有明显改善(P0.01),在睡眠障碍项、日间功能项中治疗组优于对照组。在焦虑、抑郁状态评定上,治疗组优于对照组。结论 以上结果说明,“三才配穴推拿法”在治疗原发性失眠(肝郁化火型)方面安全有效,能明显改善患者的焦虑、抑郁状态、提高患者的睡眠质量。
[Abstract]:Objective the purpose of this study was to observe the effect of "Sancai acupoint massage method" on anxiety and depression in patients with primary insomnia (liver depression and fire type), and to observe the effect of "Sancai acupoint massage method" on anxiety. To explore the relationship between depression and anxiety and depression. Methods Seventy-two patients with clinical insomnia (liver depression and fire type) were randomly divided into treatment group (Sancai points massage group) and control group (western medicine group). The Pittsburgh Sleep quality Index (PSQI) and the Self-Rating anxiety scale (SAS),) (SDS) were used to observe the clinical efficacy of this disease in the western medicine group. Results 72 patients were included, including 12 patients who were transferred to hospital or dropped off, including 3 patients in massage group and 8 patients in western medicine group. Clinical observation was performed in 60 patients. In the treatment group, 30 cases were treated, 14 cases were cured, 9 cases were markedly effective, the total effective rate was 86.7%, in the control group, 15 cases were cured, 10 cases were markedly effective, and the total effective rate was 93.3%. There was no significant difference between the two groups (P0.05), indicating that there was no difference between the treatment group and the control group. In terms of PSQI evaluation, each item was improved significantly before and after treatment (P0.01). The treatment group was superior to the control group in terms of sleep disorder item and daytime function item. In the evaluation of anxiety and depression, the treatment group was superior to the control group. Conclusion the above results suggest that the "Sancai" method is safe and effective in the treatment of primary insomnia (liver depression and fire type), which can obviously improve the anxiety and depression of patients and improve the sleep quality of patients.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1
[Abstract]:Objective the purpose of this study was to observe the effect of "Sancai acupoint massage method" on anxiety and depression in patients with primary insomnia (liver depression and fire type), and to observe the effect of "Sancai acupoint massage method" on anxiety. To explore the relationship between depression and anxiety and depression. Methods Seventy-two patients with clinical insomnia (liver depression and fire type) were randomly divided into treatment group (Sancai points massage group) and control group (western medicine group). The Pittsburgh Sleep quality Index (PSQI) and the Self-Rating anxiety scale (SAS),) (SDS) were used to observe the clinical efficacy of this disease in the western medicine group. Results 72 patients were included, including 12 patients who were transferred to hospital or dropped off, including 3 patients in massage group and 8 patients in western medicine group. Clinical observation was performed in 60 patients. In the treatment group, 30 cases were treated, 14 cases were cured, 9 cases were markedly effective, the total effective rate was 86.7%, in the control group, 15 cases were cured, 10 cases were markedly effective, and the total effective rate was 93.3%. There was no significant difference between the two groups (P0.05), indicating that there was no difference between the treatment group and the control group. In terms of PSQI evaluation, each item was improved significantly before and after treatment (P0.01). The treatment group was superior to the control group in terms of sleep disorder item and daytime function item. In the evaluation of anxiety and depression, the treatment group was superior to the control group. Conclusion the above results suggest that the "Sancai" method is safe and effective in the treatment of primary insomnia (liver depression and fire type), which can obviously improve the anxiety and depression of patients and improve the sleep quality of patients.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1
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