本文關(guān)鍵詞：真假針刺對原發(fā)性失眠癥的作用比較研究　出處：《廣州中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 失眠 針灸 體針 假針刺 非穿刺 匹茲堡睡眠質(zhì)量評分

【摘要】：目的：本研究觀察針刺在治療原發(fā)性失眠中是否具有真正的臨床效應(yīng)或它只是安慰劑的另一種形式,做出單純針刺和非穿透性的假針刺比較。通過觀察患者治療前后的癥狀評估是否得改善的情況下, 為針灸療效提供進(jìn)一步的證明和確認(rèn)。方法：使用隨機對照的實驗方法, 將符合納入表準(zhǔn)的60例失眠患者按照1：1的比例隨機分為常規(guī)體針針刺的治療組與非穿刺假針刺的對照組。要求參與者在治療的一個月前沒有接受任何的針灸治療, 選擇的參與者都是進(jìn)一年內(nèi)很少接觸或從未接受過針灸的參與者。兩組失眠患者每周治療的次數(shù)為2-3次, 每次間隔的時間為至少2天完成10次治療為1個療程。常規(guī)針刺治療組主要選的穴位是內(nèi)關(guān)、神門、百會、照海、申脈和三陰交； 非穿刺假針刺對照組會在非經(jīng)絡(luò)穴位上進(jìn)行運作。 治療結(jié)果是在治療前后由匹茲堡睡眠質(zhì)量評分量表衡量而做比較。結(jié)果：60位參與者當(dāng)中,沒有參與者脫落退出研究。共有60為患者完成治療而被列入統(tǒng)計分析1.治療前：有基線數(shù)據(jù)上兩組間無統(tǒng)計學(xué)差異(P＞0.05),也在匹茲堡睡眠質(zhì)量評分量表(PSQI)分?jǐn)?shù)的差異,使得兩組患者具有可比性。2.將常規(guī)針刺組和非穿刺假刺組治療前后的匹茲堡睡眠質(zhì)量評分量表的總分和其中的六項項目,睡眠時間、入睡時間、睡眠質(zhì)量、睡眠效率、睡眠障礙、日常功能障礙積分進(jìn)行組內(nèi)比較, 經(jīng)過t檢驗分析, P＜0.05, 差異有統(tǒng)計學(xué)意義。在治療組的治療前各成分和總分均比治療后成分高, 研究顯示常規(guī)針刺的治療組對失眠在匹茲堡睡眠質(zhì)量評分量表中的成分都有較好的改善作用。 在對照組里,治療前各成分,除了睡眠效率和睡眠障礙的部分,和總分均比治療后成分高, 研究顯示非穿刺假針的治療組對失眠在匹茲堡睡眠質(zhì)量評分量表中的成分也有部分的改善作用。對照組的匹茲堡睡眠質(zhì)量評分量表治療后的總分比對照組高, 而在各成分的積分經(jīng)組間比較治療組的療效也優(yōu)于對照組。3.觀察的60例患者中,常規(guī)體刺針灸治療組的臨床總有效率為90%：9例治愈,13例顯著改善,5例顯效,和3例無效總30例患者；非穿刺假針灸的有效率為73.33%：6例治愈,7顯著改善,9顯效,和8例無效總30例患者.結(jié)論：在本臨床研究結(jié)果發(fā)現(xiàn), 常規(guī)針刺組和假針刺對照組對失眠的療效都取得一定的效果, 都能一定的程度上改善失眠患者的匹茲堡睡眠質(zhì)量評分量表的總分。治療組在在治療后的各成分積分上都比對照組優(yōu)勝。 雖然對照組大部分在治療后的各成分評分都有好轉(zhuǎn), 卻在睡眠效率和睡眠障礙上不沒有改善。 針灸是一個非藥物治療失眠的方法, 不但沒有依賴性或耐藥性的副作用, 也不會對人體造成嚴(yán)重的不良反應(yīng), 而且也是一個可以長期使用的一種治療放法。
[Abstract]:Objective: To observe whether acupuncture has a real clinical effect in the treatment of primary insomnia, or it is just another form of placebo, making a comparison between pure acupuncture and non penetrating false acupuncture. To provide further evidence and confirmation for the curative effect of acupuncture and moxibustion by observing whether the symptoms should be improved before and after the treatment of the patients. Methods: using randomized control, will be incorporated into the standard 60 cases of insomnia patients according to the ratio of 1:1 were randomly divided into control group routine body acupuncture treatment group and sham acupuncture needle. The participants were asked not to receive any acupuncture treatment until one month before treatment. The participants were participants who had little contact or never received acupuncture during one year. The number of two groups of insomnia patients was 2-3 times a week, and the time of each interval was at least 2 days to complete 10 treatment for 1 courses. The conventional acupoint acupuncture treatment group mainly selected the Neiguan, Shenmen, Baihui, Zhaohai and Shenmai and Sanyinjiao; non penetrating sham acupuncture group will operate in the non meridian point. Results of treatment before and after treatment by the Pittsburgh sleep quality scale to measure and compare. Results: none of the 60 participants dropped out of the study. A total of 60 patients completed the treatment and were included in the statistical analysis of 1. before treatment: baseline data no significant difference between the two groups (P > 0.05), also in Pittsburgh sleep quality rating scale (PSQI) score difference, comparable to the two groups of patients. 2. conventional acupuncture group and sham acupuncture group non puncture before and after treatment in Pittsburgh sleep quality rating scale score and the six items, sleep time, sleep time, sleep quality, sleep efficiency, sleep disorders, daily dysfunction within group comparison, by t test analysis, P < 0.05, there was statistical significant difference. In the treatment group before each component and the total score after treatment were higher than the high component, studies have shown that the treatment group routine acupuncture on insomnia in Pittsburgh sleep quality scale in all has good effect. In the control group before the treatment, in addition to sleep efficiency and sleep disorders, and the total score after treatment were higher than the high component, studies have shown that the treatment group than sham acupuncture for insomnia puncture in Pittsburgh sleep quality rating scale in part also improved. The control group of the Pittsburgh sleep quality rating scale after treatment score higher than the control group, and the curative effect in the integral of each component by the treatment group is better than that of control group. 60 cases of observation of 3. patients, conventional spines clinical acupuncture treatment group the total efficiency of 90%:9 cases were cured, 13 cases improved, 5 cases were cured, 3 cases were invalid and the total 30 patients; non penetrating sham acupuncture effective 73.33%:6 cases were cured, 7 improved, 9 effective, and 8 cases a total of 30 patients were invalid. Conclusion: in the clinical study found that acupuncture group and sham acupuncture group on insomnia curative effect have certain effect, can improve the patients with insomnia in Pittsburgh sleep quality rating scale score to a certain extent. The treatment group was better than the control group on the scores of all the components after the treatment. Although most of the components in the control group improved after the treatment, they had no improvement in sleep efficiency and sleep disorders. Acupuncture is a method of non pharmacological treatment of insomnia. It not only has no dependence or drug resistance, but also does not cause serious adverse reactions to human body. It is also a long-term treatment.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.6

【相似文獻(xiàn)】

相關(guān)期刊論文 前8條

1 于慧娟;張昕;譚奇紋;;關(guān)于假針刺的文獻(xiàn)分析[J];河南中醫(yī);2014年01期

2 ;在敏感點進(jìn)行針刺和假針刺的隨機對照試驗:頸部慢性疼痛和肩凝的緩解[J];國外醫(yī)學(xué)(中醫(yī)中藥分冊);2001年02期

3 于潔;徐世芬;宋曉平;;電針與假針刺對抑郁癥大鼠模型行為學(xué)及學(xué)習(xí)記憶能力的影響[J];新疆中醫(yī)藥;2013年02期

4 楊佐琴;鄭倩華;李瑛;吳曦;;針灸臨床研究中假針刺的運用及研究概況[J];新中醫(yī);2009年03期

5 吳幫啟;劉存志;于建春;韓景獻(xiàn);;針刺研究中假針刺組的設(shè)置概況[J];上海針灸雜志;2009年01期

6 蔣永亮;尹磊淼;王宇;單純筱;劉艷艷;徐玉東;魏穎;冉君;劉曉燕;楊永清;;隨機對照試驗研究中各種假針刺的評價(英文)[J];Journal of Acupuncture and Tuina Science;2011年04期

7 林仁勇;吳俊賢;張佩;陳俊琦;甄爾傳;郭雅斐;劉麗芝;黃泳;;神門穴真、假針刺對心率和心率變異性影響的比較研究[J];時珍國醫(yī)國藥;2012年03期

8 ;[J];;年期

相關(guān)會議論文 前2條

1 胡卡明;王承平;謝慧君;J．海寧;;真、假針刺與大腦功能關(guān)系的功能性磁共振成像(fMRI)[A];2006中國針灸學(xué)會臨床分會第十四屆全國針灸學(xué)術(shù)研討會針?biāo)幗Y(jié)合論壇[C];2006年

2 秦慶廣;榮培晶;余玲玲;;SCI期刊有關(guān)安慰針刺和假針刺的研究[A];2011中國針灸學(xué)會年會論文集（摘要）[C];2011年

相關(guān)碩士學(xué)位論文 前3條

1 Jasmine Yee Hing Leung;真假針刺對原發(fā)性失眠癥的作用比較研究[D];廣州中醫(yī)藥大學(xué);2016年

2 于潔;電針與假針刺對抑郁癥大鼠模型行為學(xué)及學(xué)習(xí)記憶能力的影響[D];新疆醫(yī)科大學(xué);2013年

3 徐婧;針刺與假針刺治療慢性頸痛的臨床研究[D];廣州中醫(yī)藥大學(xué);2012年

，

本文編號：1346314