本文關(guān)鍵詞：針刺以“心俞三神”為主穴治療心脾兩虛型失眠的臨床觀察　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 失眠 心脾兩虛型 心俞三神 針刺

【摘要】：目的:通過對針刺以"心俞三神"為主穴治療心脾兩虛型失眠的臨床觀察,綜合評價本方法治療心脾兩虛型失眠的有效性,以期進一步為針刺治療心脾兩虛型失眠提供新的理論和方法,為其在臨床應(yīng)用中提供依據(jù)。方法:將60例符合納入標(biāo)準(zhǔn)的心脾兩虛型失眠患者按就診先后順序編號,并隨機分成針刺以"心俞三神"為主穴組(治療組)30例和常規(guī)針刺組(對照組)30例。治療2個療程后采用匹茲堡睡眠質(zhì)量指數(shù)量表(PSQI)、中醫(yī)證候評分標(biāo)準(zhǔn)表作為觀察指標(biāo),并通過臨床對比觀察兩組治療方法對心脾兩虛型失眠患者睡眠狀況的改善情況。結(jié)果:1.治療2個療程后,兩組組內(nèi)治療前后PSQI各因子評分比較,經(jīng)統(tǒng)計學(xué)處理,均具有顯著性差異(P0.01),說明兩組療法對失眠患者的睡眠狀況均具有明顯的改善作用。兩組治療后組間PSQI各因子評分比較,經(jīng)統(tǒng)計學(xué)處理,治療組在睡眠質(zhì)量、入睡時間、睡眠效率及日間功能障礙方面與對照組間的差異有統(tǒng)計學(xué)意義(P0.05),說明治療組對以上四方面的改善情況優(yōu)于對照組;在睡眠時間、睡眠障礙方面與對照組之間的差異無統(tǒng)計學(xué)意義(P0.05),說明兩組在改善以上兩方面臨床療效相近。2.治療2個療程后,兩組組內(nèi)治療前后PSQI總分比較,經(jīng)統(tǒng)計學(xué)處理,均具有顯著性差異(P0.01),說明兩組療法均能明顯改善心脾兩虛型失眠患者的睡眠狀況。兩組治療后組間PSQI總分比較,經(jīng)統(tǒng)計學(xué)處理,也具有顯著性差異(P0.05),說明治療組療效優(yōu)于對照組;治療2個療程后,兩組組內(nèi)治療前后中醫(yī)證候積分比較,經(jīng)統(tǒng)計學(xué)處理,均具有顯著性差異(P0.01),說明兩組療法對中醫(yī)證候均有明顯改善。兩組治療后組間中醫(yī)證候積分比較,經(jīng)統(tǒng)計學(xué)處理,也具有顯著性差異(P0.05),說明在中醫(yī)證候的改善上治療組優(yōu)于對照組。3.治療2個療程后,治療組總有效率為90.00%。對照組總有效率為83.33%。兩組總體臨床療效經(jīng)比較,其差異有統(tǒng)計學(xué)意義(P0.05),表明治療組總體臨床療效優(yōu)于對照組。結(jié)論:1針刺以"心俞三神"為主穴針刺法與常規(guī)針刺法均能改善失眠患者的睡眠質(zhì)量、入睡時間、睡眠時間、睡眠效率、睡眠障礙和日間障礙狀況;且在睡眠質(zhì)量、入睡時間、睡眠效率及日間障礙狀況方面的改善上,針刺以"心俞三神"為主穴針刺法優(yōu)于常規(guī)針刺法,在睡眠時間、睡眠障礙方面的改善上,兩組方法療效相近。2針刺以"心俞三神"為主穴針刺法與常規(guī)針刺法均對中醫(yī)證候有明顯改善,且針刺以"心俞三神"為主穴針刺法在中醫(yī)證候的改善上優(yōu)于常規(guī)針刺法。3針刺以"心俞三神"為主穴針刺法對心脾兩虛型失眠療效確切,能夠有效改善心脾兩虛型失眠患者的睡眠狀況。
[Abstract]:Objective: to evaluate the effectiveness of this method in the treatment of insomnia with deficiency of heart and spleen through clinical observation of acupuncture with "Xinshu Sanshen" as the main point. With a view to further acupuncture for the treatment of deficiency of both heart and spleen insomnia to provide a new theory and method. Methods: 60 cases of insomnia with deficiency of heart and spleen were numbered according to the order of consultation. And randomly divided into acupuncture "Xinshu Sanshen" as the main point group (30 cases in the treatment group and 30 cases in the routine acupuncture group (control group 30 cases). After 2 courses of treatment, Pittsburgh Sleep quality Index scale (PSQI) was used. TCM syndromes scoring standard table as an observation index, and through clinical comparative observation of the two groups of treatment methods to improve the sleep status of insomnia patients with deficiency of heart and spleen. Results: 1. After two courses of treatment. The scores of PSQI factors before and after treatment were significantly different between the two groups (P 0.01). Two groups of treatment on insomnia patients sleep status has a significant improvement. Two groups after treatment between the PSQI score comparison, after statistical treatment, the treatment group in sleep quality, sleep time. There were significant differences in sleep efficiency and daytime dysfunction between the control group and the control group (P 0.05), which indicated that the improvement of the above four aspects in the treatment group was better than that in the control group. There was no significant difference between the two groups in sleep time, sleep disorder and control group, indicating that the two groups had similar clinical effects in improving the above two aspects. 2. After two courses of treatment. The total score of PSQI in the two groups before and after treatment was statistically significant difference (P 0.01). Two groups of treatment can significantly improve the sleep status of insomnia patients with deficiency of heart and spleen. The total score of PSQI between the two groups after treatment, statistical analysis, also has a significant difference (P0.05). The curative effect of treatment group was better than that of control group. After two courses of treatment, the two groups before and after treatment of traditional Chinese medicine syndrome score comparison, after statistical treatment, there was significant difference (P 0.01). Two groups of treatment on TCM syndrome were significantly improved. The two groups after treatment of TCM syndromes integral comparison, after statistical treatment, there is also a significant difference (P0.05). It shows that the treatment group is superior to the control group in the improvement of TCM syndromes. 3. After two courses of treatment, the treatment group is better than the control group. The total effective rate of the treatment group was 90.00g and the total effective rate of the control group was 83.33.The total clinical efficacy of the two groups was compared with that of the control group (P 0.05). The results showed that the total clinical efficacy of the treatment group was better than that of the control group. Conclusion the acupuncture of "Xinshu Sanshen" as the main point and routine acupuncture can improve the sleep quality, sleep time and sleep time of the patients with insomnia. Sleep efficiency, sleep disorders and daytime disorders; In the aspects of sleep quality, sleep time, sleep efficiency and daytime disorder, acupuncture with "Xinshu Sanshen" as the main point acupuncture method is superior to conventional acupuncture method, in sleep time, sleep disorder improvement. The curative effect of the two groups was similar. 2 acupuncture with "Xinshu and Sanshen" as the main point and routine acupuncture both improved the syndromes of TCM obviously. And acupuncture with "Xinshu Sanshen" as the main point acupuncture method in the improvement of TCM syndrome is better than the conventional acupuncture method .3 acupuncture "Xin Shu Sanshen" as the main point acupuncture method for insomnia of the type of deficiency of the heart and spleen. It can effectively improve the sleep status of insomnia patients with deficiency of both heart and spleen.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6

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