本文關(guān)鍵詞：以心脾俞募配穴為主治療心脾兩虛型失眠的臨床觀(guān)察　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類(lèi)型：學(xué)位論文

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【摘要】：目的:本課題通過(guò)對(duì)比以心脾俞募配穴為主配合歸脾湯與單純使用歸脾湯治療心脾兩虛型失眠的臨床療效,為臨床上治療心脾兩虛型失眠提供更為有效的治療方法。方法:本次課題研究將符合納入標(biāo)準(zhǔn)的60例心脾兩虛型失眠病人按就診先后順序隨機(jī)分成兩組,即針刺配合湯藥組(治療組)和單純湯藥組(對(duì)照組),兩組患者每組各30例。治療組采用以心脾俞募配穴主配合歸脾湯的治療方法,取心俞脾俞巨闕章門(mén)神門(mén)安眠三陰交,日一次針刺,留針40min,均行捻轉(zhuǎn)補(bǔ)法,每星期連續(xù)針刺6天,休息1天,湯藥選歸脾湯加減,組成:白術(shù)18g茯神18g黃芪(炙)18g龍眼肉18g酸棗仁(炒)18g人參9g木香9g甘草(炙)6g當(dāng)歸3g遠(yuǎn)志3g,300ml,日1劑,早晚溫服。對(duì)照組采用單純歸脾湯加減治療(同治療組)。4星期為1療程,經(jīng)過(guò)1療程治療后觀(guān)察兩組的療效,將治療組中醫(yī)證候量表評(píng)分改善情況、PSQI量表評(píng)分、總體療效與對(duì)照組相對(duì)比,利用spss20.0統(tǒng)計(jì)軟件對(duì)所得出的數(shù)據(jù)進(jìn)行統(tǒng)計(jì)學(xué)分析處理。結(jié)果:1.以心脾俞募配穴為主療法與單純服用歸脾湯均可以明顯改善心脾兩虛型失眠患者的PSQI量表評(píng)分,以心脾俞募配穴為主療法優(yōu)于單純服用歸脾湯治療,經(jīng)統(tǒng)計(jì)學(xué)分析,有顯著差異性(p0.05)。2.以心脾俞募配穴為主療法與單純服用歸脾湯均可以明顯改善心脾兩虛型失眠患者的中醫(yī)癥候評(píng)分,以心脾俞募配穴為主療法優(yōu)于單純服用歸脾湯治療,經(jīng)統(tǒng)計(jì)學(xué)分析,有顯著差異性(p0.05)。3.以心脾俞募配穴為主療法與單純服用歸脾湯治療心脾兩虛型失眠患者均有療效,以心脾俞募配穴為主療法優(yōu)于單純服用歸脾湯治療,經(jīng)統(tǒng)計(jì)學(xué)分析,有顯著差異性(p0.05)。結(jié)論:1.以心脾俞募配穴為主療法在改善心脾兩虛型失眠患者匹茲堡睡眠質(zhì)量評(píng)分與中醫(yī)證候觀(guān)察指標(biāo)評(píng)分方面均優(yōu)于單純服用歸脾湯方法。2.以心脾俞募配穴為主療法在改善心脾兩虛型失眠患者總體療效方面優(yōu)于單純服用歸脾湯方法。
[Abstract]:Objective: to compare the clinical curative effect of Guipi decoction and Guipi decoction in treating insomnia with deficiency of both heart and spleen. Methods: 60 cases of insomnia with deficiency of heart and spleen were randomly divided into two groups. Acupuncture combined with decoction group (treatment group) and simple decoction group (control group 30 cases each group of patients in each group. Take Xinshu spleen Yu Juque door door door sleep Sanyinjiao, once a day acupuncture, stay needle 40 minutes, all carry on twirling complement method, every week continuously acupuncture 6 days, rest 1 day, the soup medicine is selected to spleen decoction. Composition: Astragalus macrocephala 18g Fushen 18g Radix Astragali (18g longan meat 18g Zizyphus jujuba seeds (18g ginseng 9g Radix Glycyrrhiza 9g Radix angelicae sinensis 3 g Radix angelicae Sinensis 3 g / day, 1 dose per day). The control group was treated with pure Guipi decoction (the same treatment group was treated for a course of 4 weeks, after one course of treatment, the curative effect of the two groups was observed after one course of treatment, and the TCM syndrome scale score of the treatment group was improved. The score of PSQI scale and the total curative effect were compared with those of the control group. Spss20.0 statistical software was used to analyze and process the obtained data. Results:. 1. The PSQI scale score of insomnia patients with deficiency of both heart and spleen could be obviously improved by the main therapy of Xinpi Shu fuzhu and Guipi decoction alone. The main treatment of Xinpi Shu fufang acupoint was better than that of Guipi decoction alone, which was analyzed by statistics. There is a significant difference (p0.05) .2.The main therapy of Xinpi Shu and Guipi decoction alone can obviously improve the TCM symptom score of insomnia patients with deficiency of both heart and spleen. The main treatment of Xinpi Shu fufang acupoint was better than that of Guipi decoction alone, which was analyzed by statistics. There is a significant difference (P 0.05) .3.The treatment of insomnia with Xinpi Shu and Guipi decoction alone has curative effect on insomnia patients with deficiency of both heart and spleen. The main treatment of Xinpi Shu fufang acupoint was better than that of Guipi decoction alone, which was analyzed by statistics. There was significant difference (p0.05). ... conclusion:. 1. The main treatment of Xinpi Shu Fufang points in improving the Pittsburgh sleep quality score and TCM syndrome observation index score of insomnia patients with deficiency of both heart and spleen is superior to taking Guipi decoction alone. 2. The point of Xinpi Shu is used to improve the sleep quality of the insomnia patients with deficiency of the heart and spleen and the observation index of TCM syndromes. 2. The general curative effect of main therapy in improving insomnia patients with deficiency of both heart and spleen is better than that of Guipi decoction alone.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R246.6

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