本文關(guān)鍵詞：針刺調(diào)理營衛(wèi)治療原發(fā)性失眠臨床療效觀察　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

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【摘要】：近年來,失眠作為一種亞健康狀態(tài)甚至病態(tài)已經(jīng)越來越為人們熟知,而由失眠所引起的一系列臨床癥狀如心理狀態(tài)改變、機(jī)體免疫機(jī)能下降等對患者的日常工作及生活所造成的影響也越來越大。臨床上針對這個疾病的治療,無論是西醫(yī)還是中醫(yī)都有一定的見解,但由于西醫(yī)安眠藥的副作用較大,療效也并不十分理想。因此中醫(yī)針灸就成為治療本病選擇之一。目的：本研究采用營衛(wèi)配合取穴電針治療原發(fā)性失眠,治療組采用陰陽蹺脈結(jié)合任督脈取穴,并與常規(guī)選穴組比較治療前后兩組原發(fā)性失眠患者FS-14評分和PSQI評分,觀察調(diào)理營衛(wèi)刺法對原發(fā)性失眠的臨床療效。方法：本研究將符合納入標(biāo)準(zhǔn)的患者60例按隨機(jī)分組原則分為治療組及對照組。治療組主穴為列缺、后溪、申脈、照海(調(diào)理營衛(wèi)組),配合臟腑辨證選穴,進(jìn)行電針治療；對照組則采用《針灸治療學(xué)》對本病的治療取穴神門、內(nèi)關(guān)、百會、安眠,同樣配合臟腑辨證取穴進(jìn)行普通針刺治療。治療共4個療程,每個療程7天,治療時間共1個月。運(yùn)用FS-14疲勞量表及PSQI匹茲堡睡眠質(zhì)量指數(shù)量表分別對兩組患者治療前后進(jìn)行組間和組內(nèi)對照評分。用統(tǒng)計學(xué)軟件SPSS19.0對所收集的數(shù)據(jù)進(jìn)行統(tǒng)計學(xué)分析,依次評價兩種選穴方法在臨床上對本病的療效。結(jié)果：1 PSQI量表評分比較治療前基線比較,治療組與對照組評分差異無統(tǒng)計學(xué)意義,具有可比性。治療后,治療組與對照組在睡眠質(zhì)量、睡眠時間、睡眠效率日間功能、睡眠障礙和總分方面P值均小于0.05,證明治療組在這幾個方面對本病的療效均優(yōu)于對照組,而在入睡時間方面P值大于0.05,說明在這個方面治療組與對照組的療效均等。2 FS-14量表評分比較治療前,用FS-14對兩組患者進(jìn)行評分比較,差異無統(tǒng)計學(xué)意義(P0.05),具有可比性。給予不同治療方式后,兩組患者FS-14評分均有改善。組間比較,P0.05,說明治療組在改善疲勞程度方面優(yōu)于對照組。3臨床療效比較兩組患者治療后根據(jù)《中醫(yī)病癥診斷療效標(biāo)準(zhǔn)》比較其臨床療效,治療組愈顯率73.34%,總有效率90%；對照組愈顯率46.67%,總有效率80%,根據(jù)秩和檢驗(yàn)分析可知,P0.05,治療組睡眠質(zhì)量療效評價高于對照組。結(jié)論：通過研究結(jié)果分析,針刺列缺、后溪、申脈、照海,通過陰陽蹺脈及任督脈調(diào)理營衛(wèi)治療原發(fā)性失眠,能有效改善患者的睡眠質(zhì)量,減輕患者疲勞程度,緩解患者的日常工作生活壓力。與目前教材所采用的選穴相比,療效更妥善,且針刺部位選穴方便合理,值得臨床推廣運(yùn)用。
[Abstract]:In recent years, insomnia as a sub healthy state and even morbid has become increasingly well known, and is caused by a series of clinical symptoms such as insomnia, mental status changes, immune function decline caused by the patient's daily life and work become more and more. The clinical treatment for this disease, no matter Western Medicine or Chinese medicine has certain ideas, but the side effects of Western medicine pills greatly, curative effect is not very ideal. Therefore, acupuncture has become one of the choice of the treatment of this disease. Objective: This study used Ying Wei with acupoints acupuncture treatment of primary insomnia, treatment group were treated with combination of yin and Yang Qiao Ren and Du Mai take acupoint treatment were compared with conventional acupoint group before and after the two groups of patients with primary insomnia FS-14 score and PSQI score, to observe the clinical curative effect of acupuncture on regulating Ying and Wei primary insomnia. Methods: This study will address Inclusion standard of 60 patients were randomly divided into treatment group and control group. The treatment group: the main points for Lieque, Hou Xi, Shen Mai, Zhao Hai (conditioning Ying Wei Group), with internal organs dialectical point selection, the electro acupuncture treatment; the control group used the "acupuncture therapy on the treatment of this. Disease of acupoints of Shenmen, Neiguan, Baihui, sleeping, also with viscera syndrome differentiation Acupuncture Acupuncture treatment. Treatment of a total of 4 courses, 7 days in each course of treatment lasted 1 months. The FS-14 fatigue scale and PSQI sleep quality index in Pittsburgh scale were used in two groups before after between and within group control score. Using the statistical software SPSS19.0 to collect the data for statistical analysis in the evaluation of two point selection method in the clinical curative effect of the disease. Results: 1 PSQI score before treatment compared to the baseline, treatment group and control group were no significant difference Meaning, comparable. After treatment, the treatment group and the control group in sleep quality, sleep time, sleep efficiency and daytime function, sleep disorders and total P values were less than 0.05, the treatment group demonstrated in the aspects of curative effect on this disease were better than the control group, while in the sleep time P value greater than 0.05 in this regard, compared the treatment efficacy of the treatment group and the control group equal.2 FS-14 score, of two groups of patients with FS-14 score comparison, the difference was not statistically significant (P0.05), comparable. Give different treatment methods, two groups of patients with FS-14 score were improved. Comparison between groups P0.05, explain the treatment group in improving the fatigue degree than the control group, the clinical curative effect of.3 patients in the two groups were compared according to the standard of diagnosis and curative effect of TCM Diseases > compared the clinical efficacy, the treatment group markedly effective rate of 73.34%, the total efficiency of 90%; the effective rate of control group 46 .67%, the total efficiency of 80%, according to the test analysis, evaluation of treatment group P0.05, sleep quality is better than the control group. Conclusion: the results of acupuncture at Lieque, after the river, Shen Mai, Zhao Hai, yin and Yang through qiaomai and Ren and Du Ying Wei conditioning treatment of primary insomnia, can effectively improve the sleep quality of the patients, reduce the fatigue degree of patients, relieve pressure in patients with daily life. Compared with the currently used textbook acupoints, curative effect is more properly, and the acupuncture point selection is convenient and reasonable, and is worthy of clinical application.

【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

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