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  本文關鍵詞： 單純性失眠 心腎不交型 通元針法　出處：《廣州中醫(yī)藥大學》2017年碩士論文　論文類型：學位論文

【摘要】：目的:通過比較普通針刺與通元針法對心腎不交型單純性失眠的臨床療效,驗證通元針法治療心腎不交型單純性失眠的有效性,為推廣通元針法治療心腎不交型單純性失眠提供參考依據。方法:將60例心腎不交型單純性失眠患者依據隨機、對照、單盲法分成試驗組和對照組,每組各30例。試驗組予賴氏通元針法,取百會、印堂、天樞(雙)、關元、心俞(雙)、腎俞(雙)、內關(雙)、太溪(雙),常規(guī)針刺,得氣后留針30分鐘,每周治療6次,逢周日休息,一共治療4周;對照組予普通針刺、取百會、安眠(雙)、神門(雙)、內關(雙)、太溪(雙)、涌泉(雙),治療方法及療程同試驗組。兩組均在治療結束后4周進行隨訪。以兩組患者治療前后及隨訪期的匹茲堡睡眠質量指數(PSQI)的改善情況,評定治療效果。結果:(1)經統(tǒng)計學分析,通元針法組的總有效率為80%,普通針刺組的總有效率為70%,兩組結果無明顯統(tǒng)計學差異(P0.05),說明通元針法組和普通針刺組療效相當。(2)治療后兩組PSQI量表的各項指標及總分均改善,但通元針法組的睡眠質量、入睡時間、睡眠效率及PSQI總分4方面優(yōu)于普通針刺組。隨訪4周,通元針法組的睡眠質量、入睡時間、睡眠障礙、PSQI總分均較治療4周明顯好轉(P0.05),而在睡眠時間、睡眠效率、催眠藥物、日間功能障礙4方面的療效無明顯改變(P0.05);普通針刺組隨訪期的睡眠質量、入睡時間、睡眠時間、睡眠效率、睡眠障礙、催眠藥物、日間功能障礙、PSQI總評分8個方面的療效較治療后明顯下降(P0.05)。結論:通元針法與普通針刺治療心腎不交型單純性失眠均有療效,可以減少催眠藥物的使用并改善入睡時間、睡眠時間、睡眠效率、睡眠障礙和日間功能障礙,達到提高睡眠質量的效果,但通元針法對于心腎不交型單純性失眠的療效,尤其是遠期療效優(yōu)于普通針刺組。
[Abstract]:Objective: to compare the clinical effect of common acupuncture and Tongyuan acupuncture on simple insomnia of heart and kidney disjoint type, and to verify the effectiveness of Tongyuan acupuncture in treating simple insomnia of heart and kidney disjoint type. Methods: 60 cases of simple insomnia of heart and kidney disjoint type were divided into experimental group and control group according to random, control and single blind method. There were 30 cases in each group. The experimental group was treated with Lai's Tongyuan needling method, taking Baihui, Yantang, Tianshu (Shuangli, Guanyuan, Xinshu, Shenshu, Neiguan, Shuangwei, Taixi, routine acupuncture). After Qi retention needle 30 minutes, treatment 6 times a week, every Sunday rest, a total of 4 weeks treatment; The control group was treated with common acupuncture, taking Baihui, and sleeping (Shuangzao, Shenmen (Shuangzao, Neiguan), Taixi (Shuangzao, Yongquan). The treatment method and course of treatment were the same as the experimental group. The two groups were followed up for 4 weeks after the end of treatment. The improvement of Pittsburgh sleep quality index (PSQI) before and after treatment and follow-up period in both groups was evaluated. Results by statistical analysis, the total effective rate of Tongyuan acupuncture group was 80 and that of common acupuncture group was 70. There was no significant difference between the two groups (P 0.05). The results showed that the curative effect of Tongyuan acupuncture group and common acupuncture group was the same. 2) after treatment, the indexes and total scores of PSQI scale in both groups were improved, but the sleep quality and sleep time of Tongyuan acupuncture group were improved. The sleep efficiency and the total score of PSQI were better than that of the normal acupuncture group in 4 weeks follow-up, the sleep quality, sleep time and sleep disorder in Tongyuan acupuncture group. The total score of PSQI was significantly better than that of treatment for 4 weeks (P 0.05), but there was no significant change in sleep time, sleep efficiency, hypnotic drugs and daytime dysfunction. Sleep quality, sleep time, sleep time, sleep efficiency, sleep disorder, hypnotic drugs, daytime dysfunction in the general acupuncture group. The total score of PSQI in 8 aspects was significantly lower than that after treatment P0.05.Conclusion: Tongyuan acupuncture and common acupuncture are effective in treating simple insomnia of heart and kidney disjoint type. Can reduce the use of hypnotic drugs and improve sleep time, sleep time, sleep efficiency, sleep disorders and daytime dysfunction, to improve the quality of sleep effect. But the long-term effect of Tongyuan acupuncture on simple insomnia with heart and kidney disjoint was better than that of common acupuncture group.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.6

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本文編號：1475565