缓慢捻进针法治疗肝郁脾虚型不寐的临床研究
发布时间：2019-06-17 11:58
【摘要】：目的:运用缓慢捻进针法治疗肝郁脾虚型不寐,以西药口服为对照组,根据不寐的临床疗效标准、匹兹堡睡眠质量指数(PSQI)以及肝郁脾虚型不寐主要症状评分表来进行疗效评价,探讨该法治疗本病的疗效和优势。方法:收集广西中医药大学第一附属医院仁爱分院针灸门诊的60例肝郁脾虚型不寐患者,并按就诊先后顺序随机分为两组,即缓慢捻进针法治疗组30例、西药对照组30例。缓慢捻进针法治疗组取穴:神门(双)、足三里(双)、三阴交(双)、太冲(双)、百会(只灸),通过缓慢捻进针法进行治疗。西药对照组予艾司唑仑片口服治疗。二者均治疗10天为1疗程,间隔休息2天后继续下一个疗程,共治疗2个疗程。分别于治疗前、治疗第一个疗程后和治疗第二个疗程后这3个时间点采集数据,根据不寐的临床疗效标准、匹兹堡睡眠质量指数(PSQI)以及肝郁脾虚型不寐主要症状评分表来进行疗效评价。采用SPSS17.0版统计软件进行统计分析。结果:治疗第一个疗程后,两组疗效相比,缓慢捻进针法治疗组总有效率为63.33%,西药对照组总有效率为66.67%,差异无统计学意义(P0.05)。两组PSQI量表总分相比,差异无统计学意义(P0.05)。两组症状评分总分相比,差异无统计学意义(P0.05)。治疗第二个疗程后,两组疗效相比,缓慢捻进针法治疗组总有效率为86.67%,西药对照组总有效率为80.00%,差异无统计学意义(P0.05)。两组PSQI量表总分相比,治疗组PSQI量表总分低于对照组,差异有统计学意义(P0.05)。两组症状评分总分相比,治疗组症状评分总分低于对照组,差异有统计学意义(P0.05)。结论:(1)缓慢捻进针法治疗与西药治疗均可以改善睡眠。(2)缓慢捻进针法治疗与西药治疗临床疗效两者相当,无明显差异性。两组在第一个疗程后改善肝郁脾虚症状无明显差异,而在第二个疗程后缓慢捻进针法治疗组改善肝郁脾虚症状明显优于西药对照组。
[Abstract]:Objective: to evaluate the curative effect of slow twisting acupuncture in the treatment of insomnia of liver depression and spleen deficiency type, and to explore the curative effect and advantage of this method according to the clinical curative effect standard of insomnia, Pittsburgh sleep quality index (PSQI) and the main symptom score table of liver depression and spleen deficiency type. Methods: sixty patients with insomnia of liver depression and spleen deficiency type were collected from the acupuncture clinic of Renai Branch Hospital, the first affiliated Hospital of Guangxi University of traditional Chinese Medicine. According to the order of treatment, they were randomly divided into two groups: slow twisting acupuncture treatment group (n = 30) and western medicine control group (n = 30). In the treatment group, Shenmen (Shuang), Zusanli (Shuang), Sanyinjiao (Shuang), Taichong (Shuang) and Baihui (moxibustion only) were treated by slow twisting acupuncture. The western medicine control group was treated with eszolam tablets. Both of them were treated for 10 days as a course of treatment, and the next course of treatment was continued after 2 days of rest, for a total of 2 courses of treatment. Before treatment, after the first course of treatment and after the second course of treatment, the data were collected at these three time points. According to the clinical efficacy standard of insomnia, Pittsburgh sleep quality index (PSQI) and the main symptoms score table of liver depression and spleen deficiency type, the curative effect was evaluated. The statistical analysis was carried out by using SPSS17.0 statistical software. Results: after the first course of treatment, the total effective rate was 63.33% in the slow twisting acupuncture group and 66.67% in the western medicine control group, there was no significant difference between the two groups (P 0.05). There was no significant difference in the total score of PSQI between the two groups (P 0.05). There was no significant difference in the total score of symptom score between the two groups (P 0.05). After the second course of treatment, the total effective rate was 86.67% in the slow twisting acupuncture group and 80.00% in the western medicine control group, there was no significant difference between the two groups (P 0.05). Compared with the total score of PSQI scale in the two groups, the total score of PSQI scale in the treatment group was lower than that in the control group, the difference was statistically significant (P 0.05). Compared with the total score of symptom score in the two groups, the total score of symptom score in the treatment group was lower than that in the control group, and the difference was statistically significant (P 0.05). Conclusion: (1) both slow twisting acupuncture and western medicine can improve sleep. (2) there is no significant difference between slow twisting acupuncture and western medicine. There was no significant difference between the two groups in improving the symptoms of liver depression and spleen deficiency after the first course of treatment, but the symptoms of liver depression and spleen deficiency in the treatment group were significantly better than those in the western medicine control group after the second course of treatment.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6
本文编号：2500969
[Abstract]:Objective: to evaluate the curative effect of slow twisting acupuncture in the treatment of insomnia of liver depression and spleen deficiency type, and to explore the curative effect and advantage of this method according to the clinical curative effect standard of insomnia, Pittsburgh sleep quality index (PSQI) and the main symptom score table of liver depression and spleen deficiency type. Methods: sixty patients with insomnia of liver depression and spleen deficiency type were collected from the acupuncture clinic of Renai Branch Hospital, the first affiliated Hospital of Guangxi University of traditional Chinese Medicine. According to the order of treatment, they were randomly divided into two groups: slow twisting acupuncture treatment group (n = 30) and western medicine control group (n = 30). In the treatment group, Shenmen (Shuang), Zusanli (Shuang), Sanyinjiao (Shuang), Taichong (Shuang) and Baihui (moxibustion only) were treated by slow twisting acupuncture. The western medicine control group was treated with eszolam tablets. Both of them were treated for 10 days as a course of treatment, and the next course of treatment was continued after 2 days of rest, for a total of 2 courses of treatment. Before treatment, after the first course of treatment and after the second course of treatment, the data were collected at these three time points. According to the clinical efficacy standard of insomnia, Pittsburgh sleep quality index (PSQI) and the main symptoms score table of liver depression and spleen deficiency type, the curative effect was evaluated. The statistical analysis was carried out by using SPSS17.0 statistical software. Results: after the first course of treatment, the total effective rate was 63.33% in the slow twisting acupuncture group and 66.67% in the western medicine control group, there was no significant difference between the two groups (P 0.05). There was no significant difference in the total score of PSQI between the two groups (P 0.05). There was no significant difference in the total score of symptom score between the two groups (P 0.05). After the second course of treatment, the total effective rate was 86.67% in the slow twisting acupuncture group and 80.00% in the western medicine control group, there was no significant difference between the two groups (P 0.05). Compared with the total score of PSQI scale in the two groups, the total score of PSQI scale in the treatment group was lower than that in the control group, the difference was statistically significant (P 0.05). Compared with the total score of symptom score in the two groups, the total score of symptom score in the treatment group was lower than that in the control group, and the difference was statistically significant (P 0.05). Conclusion: (1) both slow twisting acupuncture and western medicine can improve sleep. (2) there is no significant difference between slow twisting acupuncture and western medicine. There was no significant difference between the two groups in improving the symptoms of liver depression and spleen deficiency after the first course of treatment, but the symptoms of liver depression and spleen deficiency in the treatment group were significantly better than those in the western medicine control group after the second course of treatment.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6
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