本文選題：針刺　切入點(diǎn)：雷火灸　出處：《遼寧中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:觀察針刺結(jié)合雷火灸治療心脾兩虛型不寐的臨床療效。方法:1試驗對象:心脾兩虛型不寐患者。2分組方法:將符合心脾兩虛型不寐的中西醫(yī)的診斷標(biāo)準(zhǔn)的門診及住院患者60例,采用隨機(jī)分組法,將患者分為治療組及對照組,每組各30例。兩組患者人口學(xué)特征(年齡、性別)進(jìn)行比較,認(rèn)為差異無統(tǒng)計學(xué)意義(P0.05),具有可比性。3干預(yù)措施:治療組采用常規(guī)針刺及雷火灸療法。主穴選安眠(雙)、神門(雙)、內(nèi)關(guān)(雙)、三陰交(雙)、申脈(雙)、照海(雙)。配穴選百會、中脘、足三里(雙)、心俞、腎俞。采用常規(guī)的針刺方法,針刺行針過程中在配穴上給予雷火灸懸灸,對照組取穴與治療組的取穴相同只單純進(jìn)行針刺,兩組的治療周期均為兩個療程,一個療程為兩周即十四天。4觀察指標(biāo):觀察兩組治療前后匹茲堡睡眠質(zhì)量指數(shù)(Pittsburgh sleep quality index,PSQI)評分的各項得分和總分?jǐn)?shù)。5統(tǒng)計學(xué)方法:應(yīng)用SPSS17.0統(tǒng)計軟件,計量資料的比較,符合正態(tài)分布應(yīng)用t檢驗,不符合正態(tài)分布的使用秩和檢驗,所有計量資料均用均數(shù)(?)標(biāo)準(zhǔn)差((?)±S)表示;計數(shù)資料應(yīng)用X~2檢驗;結(jié)果均以P0.05,差異被認(rèn)為具有統(tǒng)計學(xué)意義。結(jié)果:1兩組患者治療前PSQI各項評分及總評分比較,差異無統(tǒng)計學(xué)意義(P0.05),具有可比性。兩組患者治療后PSQI各項評分及總評分比較,差異具有統(tǒng)計學(xué)意義(P0.05);經(jīng)秩和檢驗,匹茲堡睡眠質(zhì)量各項目比較入睡時間、睡眠障礙、睡眠時間、催眠藥物,差異有統(tǒng)計學(xué)意義(P0.05),具有可比性;睡眠質(zhì)量、睡眠效率、日間功能障礙,差異無統(tǒng)計學(xué)意義(P0.05);匹茲堡睡眠質(zhì)量總分兩組比較,差異有統(tǒng)計學(xué)意義(P0.05)。2結(jié)果表明治療組臨床總有效率為90%,明顯高于對照組臨床總有效率的73%,兩組間比較有統(tǒng)計學(xué)意義。(P0.05)結(jié)論:1針灸治療心脾兩虛型失眠方法有效。2治療心脾兩虛型失眠,針刺結(jié)合雷火灸療效明顯優(yōu)于單純針刺常規(guī)穴位。
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with thunder fire moxibustion on insomnia with deficiency of both heart and spleen. 60 outpatients and inpatients, The patients were randomly divided into treatment group and control group with 30 cases in each group. The demographic characteristics (age, sex) of the two groups were compared. The results showed that the difference was not statistically significant (P 0.05), and the intervention measures were comparable: the treatment group was treated with routine acupuncture and moxibustion with thunder and fire. The main points were selected for sleep (Shuangli, Shenmen (Shuangli), Neiguan (Shuangli), Sanyinjiao (Shuangli), Shenmai (Shuangwei, Zhaohai)). Shuangyong. Choose a hundred club with a hole, Zhongwan, Zusanli (Shuangzhu, Xinshu, Shenshu). The routine acupuncture method was used. The moxibustion of thunder fire moxibustion was given in the process of acupuncture. Both groups had two courses of treatment. A course of treatment for two weeks, that is, 14 days of observation indicators: observe the Pittsburgh sleep quality index before and after treatment and Pittsburgh sleep quality index PSQI scores of scores and total scores of statistical methods: use SPSS17.0 statistical software, the comparison of metrological data, A t test is used for normal distribution, and a rank sum test is used for nonconforming normal distribution. (standard deviation? The count data were measured by X2 test, the results were all P0.05, the difference was statistically significant. Results the PSQI scores and total scores were compared between the two groups before treatment. PSQI scores and total scores of the two groups after treatment were statistically significant (P 0.05). By rank sum test, sleep quality items of Pittsburgh were compared with sleep time, sleep disorder, sleep time, sleep time, sleep time, sleep time, sleep time, sleep time, sleep time, sleep time, sleep time, sleep disorder, sleep time. Hypnotic drugs, the difference was statistically significant (P 0.05), comparable; sleep quality, sleep efficiency, daytime dysfunction, the difference was not statistically significant (P 0.05); Pittsburgh sleep quality was compared between the two groups. The results showed that the total clinical effective rate of the treatment group was 90, which was significantly higher than that of the control group. The difference between the two groups was statistically significant (P 0.05). Conclusion the acupuncture and moxibustion of the treatment group is effective in treating insomnia with deficiency of both heart and spleen. Treating insomnia with deficiency of heart and spleen, The curative effect of acupuncture combined with fire moxibustion was better than that of simple acupuncture.
【學(xué)位授予單位】：遼寧中醫(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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