本文選題：任督點(diǎn)穴　切入點(diǎn)：穴位敷貼　出處：《湖南中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:觀察任督點(diǎn)穴配合穴位敷貼療法治療肝郁化火型失眠患者的臨床療效,為該病證提供一種安全、有效的治療方案。方法:將符合納入標(biāo)準(zhǔn)的60例肝郁化火型失眠患者隨機(jī)分為治療組和對(duì)照組,每組各30例。治療組采用任督點(diǎn)穴配合穴位敷貼療法治療,對(duì)照組采用睡前口服舒樂安定。兩組每日均治療1次,10次為一個(gè)療程,療程之間間隔2天,連續(xù)治療2個(gè)療程。對(duì)兩組患者分別于治療前和治療2個(gè)療程結(jié)束后進(jìn)行匹茲堡睡眠質(zhì)量指數(shù)(PSQI)量表和中醫(yī)證候積分表評(píng)分及臨床療效比較,并于治療結(jié)束后1個(gè)月進(jìn)行隨訪。結(jié)果:1.兩組治療前后PSQI各指標(biāo)比較:在改善患者入睡時(shí)間、睡眠時(shí)間、睡眠效率、睡眠質(zhì)量、睡眠障礙和日間功能障礙評(píng)分方面比治療前好,且差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。2.治療組在改善患者入睡時(shí)間、睡眠時(shí)間、睡眠效率、睡眠質(zhì)量、睡眠障礙和日間功能障礙及降低PSQI總評(píng)分方面與對(duì)照比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。3.兩組治療前后中醫(yī)證候評(píng)分比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05),治療后兩組間中醫(yī)證候評(píng)分及中醫(yī)證候總有效率比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。4.兩組治療后臨床療效比較:治療組總有效率為83.34%,對(duì)照組總有效率為80.00%,兩組比較差異無統(tǒng)計(jì)學(xué)意義(P0.05);治療結(jié)束后1個(gè)月兩組比較,治療組總有效率為75.86%,對(duì)照組總有效率67.86%,兩組比較差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:1.任督點(diǎn)穴配合穴位敷貼療法與口服舒樂安定兩種治療方案在改善肝郁化火型失眠患者的入睡時(shí)間、睡眠時(shí)間、睡眠效率、睡眠質(zhì)量、睡眠障礙和日間功能障礙評(píng)分方面均有效。2.任督點(diǎn)穴配合穴位敷貼療法在近期改善患者入睡時(shí)間、睡眠時(shí)間、睡眠效率、睡眠質(zhì)量、睡眠障礙和日間功能障礙評(píng)分,降低PSQI總評(píng)分、中醫(yī)證候評(píng)分,提高中醫(yī)證候總有效率及療效方面與口服舒樂安定相當(dāng),遠(yuǎn)期改善臨床療效總有效率方面優(yōu)于口服舒樂安定。3.任督點(diǎn)穴配合穴位敷貼療法安全、有效,值得臨床進(jìn)一步研究與推廣。
[Abstract]:Objective: to observe the clinical effect of Ren du point and acupoint application therapy on insomnia with liver depression and fire, and to provide a kind of safety for the syndrome of this disease. Methods: 60 patients with insomnia of liver depression and fire type were randomly divided into treatment group and control group with 30 cases in each group. The treatment group was treated with Ren du points combined with acupoint application therapy, the treatment group was divided into two groups: the control group (n = 30), the control group (n = 30), and the control group (n = 30). The control group was treated with oral fluprodiazepam before bedtime, and the two groups were treated once a day for 10 times as a course of treatment, with an interval of 2 days between the two groups. The patients in the two groups were evaluated with Pittsburgh Sleep quality Index (PSQI) scale, TCM syndrome score and clinical efficacy before and after two courses of treatment. One month after the treatment, the PSQI indexes of the two groups were compared: the scores of sleep time, sleep time, sleep efficiency, sleep quality, sleep disorder and daytime dysfunction were better than those before treatment. Compared with the control group, the treatment group improved the patients' sleep time, sleep time, sleep efficiency, sleep quality, sleep disorder and daytime dysfunction, and decreased the total score of PSQI, compared with the control group, and compared with the control group in improving the sleep time, sleep time, sleep efficiency, sleep quality, sleep disorder and daytime dysfunction, and reducing the total score of PSQI. There was no significant difference between the two groups before and after treatment. The difference was statistically significant (P 0.05). After treatment, the TCM syndromes score and the total effective rate of TCM syndromes were compared between the two groups. There was no significant difference between the two groups (P 0.05, P 0.05, P 0.05). The total effective rate in the treatment group was 83.34, and the total effective rate in the control group was 80.00.The difference between the two groups was not statistically significant (P 0.05), and there was no significant difference between the two groups one month after the end of the treatment, the total effective rate in the treatment group was 83.34. The total effective rate of the treatment group was 75.86 and the total effective rate of the control group was 67.86. The difference between the two groups was statistically significant (P 0.05). Conclusion: 1. The two treatment schemes of Ren du points combined with acupoint application and oral sulpazepam can improve the sleeping time of insomnia patients with liver depression and fire type. The scores of sleep time, sleep efficiency, sleep quality, sleep disorder and daytime dysfunction were all effective. 2. Ren du points combined with acupoint application can improve patients' sleep time, sleep time, sleep efficiency and sleep quality in the near future. The scores of sleep disorder and daytime dysfunction, reducing the total score of PSQI and TCM syndromes, improving the total effective rate and curative effect of TCM syndromes were similar to those of oral sulfolazepam. The total effective rate of long-term improvement of clinical efficacy is better than that of oral sulfodiazepam .3.Ren du points combined with acupoint application therapy is safe and effective, which is worthy of further clinical study and promotion.
【學(xué)位授予單位】：湖南中醫(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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