深刺水突穴为主治疗原发性失眠症的临床研究
发布时间：2019-02-21 19:52
【摘要】：目的:本研究在中西医理论指导下运用深刺水突穴为主治疗原发性失眠症,观察其与常规针刺法的睡眠质量及生存质量改善情况,比较其与常规针刺法的临床疗效,丰富临床治疗方法。方法:本课题筛选出符合诊断标准和纳入标准,且自愿同意参加本课题研究,并签署知情同意书者60例进入临床研究,按简单随机化原则分配至治疗组及对照组,每组各30例。两组均予基础治疗,配合常规针刺治疗(选取穴位参照全国高等中医药院校规划教材《针灸治疗学》(第二版)),治疗组在对照组针刺取穴基础上加深刺水突穴针刺;1天1次,6次为1个疗程,疗程间休息1天,连续治疗3个疗程。采用匹兹堡睡眠质量指数量表(PSQI),世界卫生组织生存质量测定量表简表(WHOQOL-BREF)对患者治疗前后的睡眠状态及生存质量进行评分,并比较两组临床疗效。结果:一般数据方面,治疗前两组患者在一般资料(如性别、年龄、病程)上比较差异无统计意义(均P0.05),提示两组患者基数资料基本一致,各影响因素分布均衡,具有可比性。匹兹堡睡眠质量指数量表评分方面,两组患者治疗前评分比较,差异无统计学意义(P0.05),具有可比性。两组患者治疗后评分较治疗前均明显减少,差异均有统计学意义(P0.01)。治疗组治疗后评分比对照组下降更明显(P0.01)。世界卫生组织生存质量测定量表简表评分方面,两组患者治疗前评分比较,差异无统计学意义(P0.05),具有可比性。两组患者治疗后评分较治疗前均明显增加,差异均有统计学意义(P0.01)。治疗组治疗后评分比对照组升高更明显(P0.01)。临床疗效方面,治疗组总有效率高于对照组,两组间疗效差异有统计学意义(P0.01),具有可比性,可以认为治疗组患者的临床疗效优于对照组。结论:深刺水突穴为主针刺法更能有效地改善原发性失眠症患者的临床症状,其临床疗效优于常规针刺法,能有效改善原发性失眠症患者的睡眠质量,显著提高生存质量。
[Abstract]:Objective: to observe the improvement of sleep quality and quality of life of patients with primary insomnia under the guidance of the theory of traditional Chinese and western medicine, and to compare their clinical efficacy with that of routine acupuncture. Enrich the clinical treatment methods. Methods: 60 patients who agreed to participate in the study were selected according to the diagnostic criteria and inclusion criteria, and 60 patients who signed informed consent were assigned to the treatment group and the control group according to the principle of simple randomization, with 30 cases in each group. Both groups were treated with basic therapy, combined with routine acupuncture therapy (selecting acupoints to refer to the planning textbook "Acupuncture and Therapeutics") (the second edition of), treatment group deepened acupuncture on the basis of acupoints taken from acupuncture in the control group; Once a day, 6 times as a course of treatment, between courses of rest 1 day, continuous treatment of 3 courses. The Pittsburgh Sleep quality Index (PSQI),) World Health Organization quality of Life scale (WHOQOL-BREF) was used to evaluate the sleep state and quality of life (QOL) of the patients before and after treatment and to compare the clinical efficacy between the two groups. Results: in general data, there was no statistical significance between the two groups in general data (such as sex, age, course of disease) before treatment (P0.05), indicating that the cardinal data of the two groups were basically the same, and the distribution of influencing factors was balanced. Comparable. Pittsburgh Sleep quality Index scale score, the two groups of patients before treatment scores, the difference was not statistically significant (P0.05), comparable. After treatment, the scores of the two groups were significantly reduced compared with those before treatment, and the differences were statistically significant (P0.01). The scores in the treatment group were significantly lower than those in the control group (P 0.01). Who quality of life scale summary score, the two groups of patients before treatment scores, the difference was not statistically significant (P0.05), comparable. After treatment, the scores of the two groups were significantly higher than those before treatment, and the differences were statistically significant (P0.01). The scores in the treatment group were significantly higher than those in the control group (P 0.01). The total effective rate in the treatment group was higher than that in the control group, and the difference between the two groups was statistically significant (P0.01). Conclusion: the main acupuncture method of deep needling of Shuitu point can effectively improve the clinical symptoms of patients with primary insomnia, and its clinical effect is better than that of routine acupuncture. It can effectively improve the sleep quality and improve the quality of life of patients with primary insomnia.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6
本文编号：2427839
[Abstract]:Objective: to observe the improvement of sleep quality and quality of life of patients with primary insomnia under the guidance of the theory of traditional Chinese and western medicine, and to compare their clinical efficacy with that of routine acupuncture. Enrich the clinical treatment methods. Methods: 60 patients who agreed to participate in the study were selected according to the diagnostic criteria and inclusion criteria, and 60 patients who signed informed consent were assigned to the treatment group and the control group according to the principle of simple randomization, with 30 cases in each group. Both groups were treated with basic therapy, combined with routine acupuncture therapy (selecting acupoints to refer to the planning textbook "Acupuncture and Therapeutics") (the second edition of), treatment group deepened acupuncture on the basis of acupoints taken from acupuncture in the control group; Once a day, 6 times as a course of treatment, between courses of rest 1 day, continuous treatment of 3 courses. The Pittsburgh Sleep quality Index (PSQI),) World Health Organization quality of Life scale (WHOQOL-BREF) was used to evaluate the sleep state and quality of life (QOL) of the patients before and after treatment and to compare the clinical efficacy between the two groups. Results: in general data, there was no statistical significance between the two groups in general data (such as sex, age, course of disease) before treatment (P0.05), indicating that the cardinal data of the two groups were basically the same, and the distribution of influencing factors was balanced. Comparable. Pittsburgh Sleep quality Index scale score, the two groups of patients before treatment scores, the difference was not statistically significant (P0.05), comparable. After treatment, the scores of the two groups were significantly reduced compared with those before treatment, and the differences were statistically significant (P0.01). The scores in the treatment group were significantly lower than those in the control group (P 0.01). Who quality of life scale summary score, the two groups of patients before treatment scores, the difference was not statistically significant (P0.05), comparable. After treatment, the scores of the two groups were significantly higher than those before treatment, and the differences were statistically significant (P0.01). The scores in the treatment group were significantly higher than those in the control group (P 0.01). The total effective rate in the treatment group was higher than that in the control group, and the difference between the two groups was statistically significant (P0.01). Conclusion: the main acupuncture method of deep needling of Shuitu point can effectively improve the clinical symptoms of patients with primary insomnia, and its clinical effect is better than that of routine acupuncture. It can effectively improve the sleep quality and improve the quality of life of patients with primary insomnia.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6
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