【摘要】：目的：通過觀察腹針治療更年期失眠癥的臨床研究,評價腹針治療更年期失眠的臨床療效并探討其作用機理。 研究方法：將60例更年期失癥眠患者隨機分為2組,一是腹針組,二是體針組,每組各30例。10次為1療程,共治療2個療程。兩組在治療前后分別進行匹茲堡睡眠質(zhì)量指數(shù)測驗(PSQI)和焦慮自評量表測驗(SAS),觀察指數(shù)治療前后差值作組間比較。 結果： 1、自身比較：腹針療法與體針療法均是治療更年期失眠癥的有效方法。兩組治療后匹茲堡睡眠質(zhì)量指數(shù)評定量表(PSQI)中各項與治療前比較均具有統(tǒng)計學意義(P0.05)；腹針組(治療組)與體針組(對照組)治療前后焦慮自評量表評分(SAS)均有明顯的下降(P0.05)。 2、組間比較：治療1療程后腹針組(治療組)和體針組(對照組)在入睡時間、實際睡眠時間、睡眠障礙項目評分差異非常顯著,具有統(tǒng)計學意義(P0.05)；2療程后治療組和對照組在實際睡眠時間、睡眠效率評分差異有顯著性意義(P0.05),但兩組每療程其余各項目無明顯差別；兩組治療后焦慮自評量表(SAS)評分差異非常明顯,具有統(tǒng)計學意義(P0.05)。 3、臨床療效：治療組(腹針組)30例,2療程后痊愈10例,顯效15例,有效4例,無效1例,總有效率97.7%；對照組(體針組)30例,2療程后痊愈5,顯效14,有效8,無效3,總有效率90% 結論：腹針療法是治療更年期婦女失眠癥非常有效,改善的狀況明顯優(yōu)于體針療法
[Abstract]:Objective: to evaluate the clinical efficacy and mechanism of abdominal acupuncture in treating menopausal insomnia. Methods: 60 patients with menopausal asphyxia were randomly divided into two groups: abdominal acupuncture group and body acupuncture group, 30 cases in each group, 10 times as a course of treatment, 2 courses of treatment. Pittsburgh Sleep quality Index (PSQI) and Self-Rating anxiety scale (SAS),) before and after treatment were compared between the two groups. Results: 1. Self-comparison: abdominal acupuncture therapy and body acupuncture therapy are effective methods in the treatment of menopausal insomnia. All items in Pittsburgh Sleep quality Index rating scale (PSQI) after treatment were statistically significant compared with those before treatment (P0.05). The (SAS) scores of abdominal acupuncture group (treatment group) and body acupuncture group (control group) were significantly decreased before and after treatment (P0.05). 2, comparison between groups: abdominal acupuncture group (treatment group) and body acupuncture group (control group) were significantly different in sleep time, actual sleep time and sleep disorder score after one course of treatment (P0.05); There was significant difference in sleep time and sleep efficiency between treatment group and control group after treatment (P0.05), but there was no significant difference in other items in each course of treatment between the two groups. The (SAS) scores of the two groups were significantly different after treatment (P0.05). 3. Clinical efficacy: 30 cases in the treatment group (abdominal acupuncture group), 10 cases were cured after 2 courses of treatment, 15 cases were markedly effective, 4 cases were effective, 1 case was ineffective, the total effective rate was 97.7%. 30 cases in the control group (body acupuncture group) were cured after 2 courses of treatment, with remarkable effects of 14, effective 8 and ineffective 3, total effective rate 90%. Conclusion: abdominal acupuncture therapy is very effective in treating insomnia of climacteric women, and the improved condition is obviously better than that of body acupuncture therapy.
【學位授予單位】：南京中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：R246.6

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