本文關(guān)鍵詞：真假針刺對(duì)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(píng)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(píng)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(jī)對(duì)照的實(shí)驗(yàn)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(jī)分為常規(guī)體針針刺的治療組與非穿刺假針刺的對(duì)照組。要求參與者在治療的一個(gè)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(shí)間為至少2天完成10次治療為1個(gè)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(huì)、照海、申脈和三陰交； 非穿刺假針刺對(duì)照組會(huì)在非經(jīng)絡(luò)穴位上進(jìn)行運(yùn)作。 治療結(jié)果是在治療前后由匹茲堡睡眠質(zhì)量評(píng)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(jì)分析1.治療前：有基線數(shù)據(jù)上兩組間無統(tǒng)計(jì)學(xué)差異(P＞0.05),也在匹茲堡睡眠質(zhì)量評(píng)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(píng)分量表的總分和其中的六項(xiàng)項(xiàng)目,睡眠時(shí)間、入睡時(shí)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(yàn)分析, P＜0.05, 差異有統(tǒng)計(jì)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(duì)失眠在匹茲堡睡眠質(zhì)量評(píng)分量表中的成分都有較好的改善作用。 在對(duì)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(duì)失眠在匹茲堡睡眠質(zhì)量評(píng)分量表中的成分也有部分的改善作用。對(duì)照組的匹茲堡睡眠質(zhì)量評(píng)分量表治療后的總分比對(duì)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(duì)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(duì)照組對(duì)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(píng)分量表的總分。治療組在在治療后的各成分積分上都比對(duì)照組優(yōu)勝。 雖然對(duì)照組大部分在治療后的各成分評(píng)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(gè)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(huì)對(duì)人體造成嚴(yán)重的不良反應(yīng), 而且也是一個(gè)可以長(zhǎng)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(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246.6

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