基于多导睡眠监测评价肝俞“龙虎交战”针法治疗亚健康失眠的临床研究
发布时间：2019-03-10 18:52
【摘要】：目的基于多导睡眠监测评价肝俞“龙虎交战”针法治疗亚健康失眠的临床疗效及优势方法研究采用随机对照的方法,将70例亚健康失眠受试者随机分配到治疗组(34例)和对照组(36例)。治疗组采用肝俞“龙虎交战”针法配合常规针刺,对照组则采用肝俞平补平泻配合常规针刺,10次为1个疗程,共治疗2个疗程。通过匹兹堡睡眠质量指数量表及多导睡眠监测来评估受试者的睡眠变化情况。数据采用SPSS17.0软件进行统计分析。结果1.疗效比较：治疗组总有效率为96.97%,对照组总有效率为91.18%。治疗组的痊愈人数与对照组比较,差异具有统计学意义(P0.05)。2.匹兹堡睡眠质量指数量表评分：2.1组内比较：两组治疗后与治疗前、1月后随访与治疗前的PSQI评分在睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍、总分的比较上差异均具有统计学意义(P0.01)。2.2组间比较：治疗组治疗后与治疗前在睡眠质量、睡眠时间、日间功能障碍、总分的改善值和对照组比较差异具有统计学意义(P0.01),在入睡时间的改善值比较上差异具有统计学意义妒0.05)。治疗组1月后随访与治疗前在睡眠质量、睡眠效率、总分的改善值和对照组比较差异具有统计学意义(P0.01),在入睡时间、睡眠时间、日间功能障碍改善值的比较上差异具有统计学意义p0.05)。2.3肝俞“龙虎交战”针法疗效优势比较：治疗组痊愈的受试者与对照组有效的受试者在入睡时间、睡眠时间、日间功能障碍、总分的改善值比较上差异具有统计学意义(P0.01),在睡眠质量、睡眠效率的改善值比较上差异具有统计学意义(P0.05)。3.多导睡眠监测：3.1组内比较：治疗组治疗后与治疗前在睡眠潜伏期、总睡眠时间、睡眠效率、入睡后清醒时间的比较上差异具有统计学意义(P0.01),在R期睡眠潜伏期、N2期睡眠时间的比较上差异具有统计学意义(P0.05)。对照组治疗后与治疗前在睡眠潜伏期、睡眠效率、N2期睡眠时间的比较上差异具有统计学意义(P0.01),在R期睡眠潜伏期、总睡眠时间、入睡后清醒时间的比较上差异具有统计学意义(P0.05)。3.2组间比较：治疗组与对照组在睡眠潜伏期的改善值比较上差异具有统计学意义(P0.05)。3.3肝俞“龙虎交战”针法疗效优势比较：治疗组痊愈患者与对照组有效患者在睡眠潜伏期、睡眠效率、入睡后清醒时间、N3期睡眠时间、觉醒次数、觉醒指数的改善值比较上差异具有统计学意义(P0.01),在R期、N1期的改善值比较上差异具有统计学意义(P0.05)。结论1.针刺治疗亚健康失眠疗效肯定,且疗效可以持续至治疗完成后1个月。肝俞“龙虎交战”针法能显著提高临床痊愈率。2.肝俞“龙虎交战”针法能明显缩短睡眠潜伏期,增加睡眠时间,改善日间功能障碍,其疗效优于对照组；痊愈人群睡眠连续性良好,有睡眠深度轻度增加的优势。
[Abstract]:Objective based on polysomnography, to evaluate the clinical efficacy and advantage of Ganshu "Dragon Tiger Warfare" acupuncture in the treatment of sub-health insomnia. Seventy sub-health insomnia subjects were randomly assigned to the treatment group (34 cases) and the control group (36 cases). The treatment group was treated with Gan Shu "Dragon Tiger warring War" acupuncture combined with conventional acupuncture, while the control group was treated with Gan Shu Ping Bu Ping Xie combined with routine acupuncture, 10 times as a course of treatment, a total of 2 courses of treatment. The changes of sleep were assessed by Pittsburgh Sleep quality Index scale and polysomnography. The data were analyzed by SPSS17.0 software. Outcome 1. Curative effect comparison: the total effective rate of the treatment group was 96.97%, and the total effective rate of the control group was 91.18%. The number of cured persons in the treatment group was significantly different from that in the control group (P0.05). Pittsburgh Sleep quality Index scale: 2. 1 intra-group comparison: the PSQI scores of the two groups were compared with those before treatment and one month after treatment in terms of sleep quality, sleep time, sleep efficiency, sleep disorders, and sleep quality, sleep time, sleep efficiency, and sleep disorders. There were statistically significant differences in daytime dysfunction and total score (P0.01). 2.2 comparison: after treatment and before treatment in the treatment group, sleep quality, sleep time, daytime dysfunction, the difference between the treatment group and before the treatment in the quality of sleep, sleep time, daytime dysfunction, The improvement of the total score was significantly different from that of the control group (P0.01), and the difference in the improvement of the sleeping time was statistically significant (0.05). There were statistically significant differences in sleep quality, sleep efficiency, total score improvement between the treatment group and the control group after one month of follow-up and pre-treatment (P0.01), at the time of falling asleep, the time of sleep, and the improvement of the total score of the treatment group. 2.3 comparison of the curative effect of Ganshu "Dragon-Tiger engagement" acupuncture method: the curative effect of the cured subjects in the treatment group and the effective subjects in the control group were in the time of falling asleep, the time of sleep, the difference between the two groups was statistically significant (p0.05). There was significant difference in the improvement of total score in daytime dysfunction (P0.01), and in the improvement of sleep quality and sleep efficiency (P0.05). (3) there were significant differences in the improvement of sleep quality and sleep efficiency (P0.05). Polysomnography: 3.1 intra-group comparison: there were significant differences in sleep latency, total sleep time, sleep efficiency and wake-up time after treatment between treatment group and before treatment (P0.01), and there were significant differences in sleep latency, total sleep time, sleep efficiency and wake-up time after sleep (P0.01). There were statistically significant differences in R-phase sleep latency and N-2 sleep time (P0.05). There were significant differences in sleep latency, sleep efficiency and N _ 2 sleep time between before and after treatment in the control group (P0.01), and there were significant differences in the sleep latency and total sleep time in R phase, and in the control group before and after treatment (P0.01). The difference in awake time after falling asleep was statistically significant (P0.05). 3.2 comparison: the improvement of sleep latency between the treatment group and the control group was statistically significant (P0.05). 3. .3 comparison of the curative effect of Ganshu "Dragon-Tiger warring" acupuncture method: the effective patients in the treatment group and the control group were in the sleep latency, There were significant differences in sleep efficiency, wake-up time after falling asleep, N _ 3 sleep time, arousal times, and improvement of arousal index (P0.01), in R phase, The difference in the improvement value of N1 phase was statistically significant (P0.05). Conclusion 1. Acupuncture treatment of sub-health insomnia is positive, and the curative effect can continue until 1 month after the completion of the treatment. Gan Shu "Dragon Tiger engagement" acupuncture method can significantly improve the clinical cure rate. 2. Gan Shu "Dragon Tiger engagement" acupuncture method can obviously shorten sleep latency, increase sleep time, improve daytime dysfunction, and its curative effect is better than that of the control group, and the cured population has the advantage of good sleep continuity and slight increase of sleep depth.
【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]:Objective based on polysomnography, to evaluate the clinical efficacy and advantage of Ganshu "Dragon Tiger Warfare" acupuncture in the treatment of sub-health insomnia. Seventy sub-health insomnia subjects were randomly assigned to the treatment group (34 cases) and the control group (36 cases). The treatment group was treated with Gan Shu "Dragon Tiger warring War" acupuncture combined with conventional acupuncture, while the control group was treated with Gan Shu Ping Bu Ping Xie combined with routine acupuncture, 10 times as a course of treatment, a total of 2 courses of treatment. The changes of sleep were assessed by Pittsburgh Sleep quality Index scale and polysomnography. The data were analyzed by SPSS17.0 software. Outcome 1. Curative effect comparison: the total effective rate of the treatment group was 96.97%, and the total effective rate of the control group was 91.18%. The number of cured persons in the treatment group was significantly different from that in the control group (P0.05). Pittsburgh Sleep quality Index scale: 2. 1 intra-group comparison: the PSQI scores of the two groups were compared with those before treatment and one month after treatment in terms of sleep quality, sleep time, sleep efficiency, sleep disorders, and sleep quality, sleep time, sleep efficiency, and sleep disorders. There were statistically significant differences in daytime dysfunction and total score (P0.01). 2.2 comparison: after treatment and before treatment in the treatment group, sleep quality, sleep time, daytime dysfunction, the difference between the treatment group and before the treatment in the quality of sleep, sleep time, daytime dysfunction, The improvement of the total score was significantly different from that of the control group (P0.01), and the difference in the improvement of the sleeping time was statistically significant (0.05). There were statistically significant differences in sleep quality, sleep efficiency, total score improvement between the treatment group and the control group after one month of follow-up and pre-treatment (P0.01), at the time of falling asleep, the time of sleep, and the improvement of the total score of the treatment group. 2.3 comparison of the curative effect of Ganshu "Dragon-Tiger engagement" acupuncture method: the curative effect of the cured subjects in the treatment group and the effective subjects in the control group were in the time of falling asleep, the time of sleep, the difference between the two groups was statistically significant (p0.05). There was significant difference in the improvement of total score in daytime dysfunction (P0.01), and in the improvement of sleep quality and sleep efficiency (P0.05). (3) there were significant differences in the improvement of sleep quality and sleep efficiency (P0.05). Polysomnography: 3.1 intra-group comparison: there were significant differences in sleep latency, total sleep time, sleep efficiency and wake-up time after treatment between treatment group and before treatment (P0.01), and there were significant differences in sleep latency, total sleep time, sleep efficiency and wake-up time after sleep (P0.01). There were statistically significant differences in R-phase sleep latency and N-2 sleep time (P0.05). There were significant differences in sleep latency, sleep efficiency and N _ 2 sleep time between before and after treatment in the control group (P0.01), and there were significant differences in the sleep latency and total sleep time in R phase, and in the control group before and after treatment (P0.01). The difference in awake time after falling asleep was statistically significant (P0.05). 3.2 comparison: the improvement of sleep latency between the treatment group and the control group was statistically significant (P0.05). 3. .3 comparison of the curative effect of Ganshu "Dragon-Tiger warring" acupuncture method: the effective patients in the treatment group and the control group were in the sleep latency, There were significant differences in sleep efficiency, wake-up time after falling asleep, N _ 3 sleep time, arousal times, and improvement of arousal index (P0.01), in R phase, The difference in the improvement value of N1 phase was statistically significant (P0.05). Conclusion 1. Acupuncture treatment of sub-health insomnia is positive, and the curative effect can continue until 1 month after the completion of the treatment. Gan Shu "Dragon Tiger engagement" acupuncture method can significantly improve the clinical cure rate. 2. Gan Shu "Dragon Tiger engagement" acupuncture method can obviously shorten sleep latency, increase sleep time, improve daytime dysfunction, and its curative effect is better than that of the control group, and the cured population has the advantage of good sleep continuity and slight increase of sleep depth.
【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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