發(fā)布時間：2018-03-14 12:43

  本文選題：飛騰八法　切入點(diǎn)：原發(fā)性失眠　出處：《成都中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：觀察飛騰八法結(jié)合常規(guī)針刺與單純常規(guī)針刺治療原發(fā)性失眠的即時療效及累積療效差異,評價飛騰八法結(jié)合常規(guī)針刺治療原發(fā)性失眠的臨床療效。方法：采用隨機(jī)、對照的方法。將符合納入標(biāo)準(zhǔn)的62例受試者隨機(jī)分為治療組和對照組。每組各31例,治療組采用飛騰八法結(jié)合常規(guī)針刺治療,對照組采用常規(guī)針刺治療,療程均為3周。分別于治療前、初次治療后、治療結(jié)束后觀察匹茲堡睡眠質(zhì)量指數(shù)量表(PSQI)總分、睡眠因子評分之間的差異。結(jié)果：(1)即時療效比較：①組內(nèi)比較：治療組PSQI總分及睡眠質(zhì)量、入睡時間、睡眠時間、睡眠效率評分明顯下降且具有統(tǒng)計學(xué)意義(P0.05)；睡眠障礙、日間功能障礙評分有所下降,但無統(tǒng)計學(xué)意義(P0.05)。對照組睡眠各項因子評分無明顯變化(P0.05)。②組間比較：兩組PSQI,總分及睡眠質(zhì)量、入睡時間、睡眠時間評分比較有統(tǒng)計學(xué)意義(P0.05)；睡眠效率、睡眠障礙、日間功能障礙評分比較無統(tǒng)計學(xué)意義(P0.05)。(2)累積療效比較：①組內(nèi)比較：治療組PSQI總分及睡眠各項因子評分比較有統(tǒng)計學(xué)意義(P0.05)。對照組PSQI總分及入睡時間、睡眠時間、睡眠質(zhì)量、日間功能障礙評分比較有統(tǒng)計學(xué)意義(P0.05)；睡眠效率、睡眠障礙評分比較無統(tǒng)計學(xué)意義(P0.05)。②組間比較：兩組PSQI,總分及睡眠時間、睡眠效率評分比較有統(tǒng)計學(xué)意義(P0.05)；睡眠質(zhì)量、入睡時間、睡眠障礙、日間功能障礙評分比較無統(tǒng)計學(xué)意義(P0.05)。(3)總體療效比較：兩組睡眠總有效率比較無統(tǒng)計學(xué)意義(P0.05)。結(jié)論：(1)觀察到飛騰八法結(jié)合常規(guī)針刺及單純常規(guī)針刺治療原發(fā)性失眠均有效,但兩組總體療效相當(dāng)。(2)在即時療效方面,觀察到飛騰八法結(jié)合常規(guī)針刺較單純常規(guī)針刺具有更好的提高睡眠質(zhì)量,縮短入睡時間,增加睡眠時間的療效。在累積療效方面,觀察到飛騰八法結(jié)合常規(guī)針刺較常規(guī)針刺具有更好的增加睡眠時間,提高睡眠效率的療效。
[Abstract]:Objective: to observe the difference of immediate curative effect and cumulative curative effect between Feiteng eight method combined with routine acupuncture and simple routine acupuncture in the treatment of primary insomnia, and to evaluate the clinical effect of Feiteng eight method combined with routine acupuncture in the treatment of primary insomnia. 62 subjects who met the inclusion criteria were randomly divided into treatment group (n = 31) and control group (n = 31). The treatment group was treated with Feiten8 method combined with conventional acupuncture, while the control group was treated with routine acupuncture. The course of treatment was 3 weeks. The total score of Pittsburgh Sleep quality Index (PSQI) was observed before and after the first treatment. Results comparison of immediate curative effect: the total score of PSQI, sleep quality, sleep time, sleep time and sleep efficiency in the treatment group were significantly lower than those in the control group (P 0.05). The score of daytime dysfunction decreased, but there was no statistical significance (P 0.05). There was no significant change in the scores of sleep factors in the control group. The comparison between the two groups: PSQI, total score, sleep quality, sleep time, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, Sleep time scores were statistically significant (P 0.05), sleep efficiency, sleep disorders, Comparison of cumulative efficacy in group 1: total score of PSQI and scores of sleep factors in treatment group were significantly higher than those in control group (P 0.05). Total score of PSQI and total score of sleep time, sleep time, sleep quality in control group were significantly higher than those in control group (P < 0.05). There was no significant difference in the scores of sleep efficiency and sleep disorder between the two groups (PSQI, total score, sleep time, sleep efficiency score were significantly higher than that in the control group), sleep quality, sleep quality, sleep quality, sleep quality, total score, sleep time, sleep efficiency, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, sleep quality, Sleep time, sleep disorder, There was no significant difference in the score of daytime dysfunction (P 0.05). Comparison of the total effective rate of sleep between the two groups was not statistically significant (P 0.05). Conclusion the Feiten8 method combined with routine acupuncture and routine acupuncture is effective in the treatment of primary insomnia, conclusion: Feiten8 combined with routine acupuncture and simple routine acupuncture are effective in the treatment of primary insomnia. But the overall curative effect of the two groups is equivalent. 2) in the immediate curative effect, it is observed that Feiteng eight method combined with conventional acupuncture has a better effect on improving sleep quality, shortening sleep time and increasing sleep time than simple routine acupuncture. It was observed that Feiteng eight method combined with conventional acupuncture had a better effect on increasing sleep time and improving sleep efficiency than that of routine acupuncture.
【學(xué)位授予單位】：成都中醫(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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