本文選題：腹針療法 + 靈龜八法　； 參考：《廣西中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:在薄智云老師及其門下學(xué)者以及導(dǎo)師黃玲多年研究腹針及腹針臨床經(jīng)驗(yàn)的基礎(chǔ)上,通過臨床研究腹針配合靈龜八法治療失眠癥,分析探討薄氏腹針配合靈龜八法對(duì)失眠癥的中醫(yī)干預(yù)作用,研究其治療失眠癥的確切療效,研究并制定腹針配合靈龜八法治療失眠癥的選穴方案和臨床標(biāo)準(zhǔn)操作規(guī)范,尋找并制定一套標(biāo)準(zhǔn)規(guī)范的方法來改善失眠患者的睡眠質(zhì)量和生活狀態(tài),進(jìn)一步豐富治療失眠癥的方法。方法:選擇來自廣西柳州市中醫(yī)院腦病科腹針門診病人符合診斷標(biāo)準(zhǔn)的60例失眠癥患者,按隨機(jī)數(shù)字表隨機(jī)分為治療組(腹針+靈龜八法)及對(duì)照組(傳統(tǒng)體針)30例。治療組選穴:腹針主要取引氣歸元穴(中脘、下脘、氣海、關(guān)元),腹四關(guān)穴(雙滑肉門、雙外陵),并隨證加減:○1肝郁化火加上風(fēng)濕點(diǎn)(右)、下風(fēng)濕點(diǎn)(右),○2痰熱內(nèi)擾加調(diào)脾氣(雙大橫),○3陰虛火旺加商曲(雙)、氣穴(雙)、上風(fēng)濕點(diǎn)(雙),○4心脾兩虛加天樞(雙)、商曲(左)、氣穴(左)、上風(fēng)濕點(diǎn)(左)、下風(fēng)濕點(diǎn)(左),○5心膽氣虛加商曲(左)、氣穴(右);靈龜八法取穴按病人每次就診治療的時(shí)間運(yùn)用靈龜八法開穴。對(duì)照組選穴:主穴取神門、內(nèi)關(guān)、百會(huì)、安眠;隨證加減:○1肝郁化火加風(fēng)池、太沖、行間(行瀉法),○2痰熱內(nèi)擾加內(nèi)庭、豐隆、中脘(行瀉法),○3陰虛火旺加涌泉、太沖、太溪(行平補(bǔ)平瀉法),○4心脾兩虛加三陰交、心俞、脾俞(行補(bǔ)法),○5心膽氣虛加丘墟、心俞、膽俞(行補(bǔ)法)。治療周期1個(gè)療程(10次),除周日休息,余連續(xù)治療10次。通過對(duì)比觀察匹茨堡睡眠質(zhì)量評(píng)分量表(PSQI)、焦慮自評(píng)量表(SAS)、抑郁自評(píng)量表(SDS)治療前后的評(píng)分及有效率并記錄分值,對(duì)比治療組和對(duì)照組的臨床療效,最后利用SPSS17.0統(tǒng)計(jì)軟件處理數(shù)據(jù),得出結(jié)論。結(jié)果:1、治療前,治療組(腹針+靈龜八法組)與對(duì)照組(傳統(tǒng)體針組)在年齡、性別、病程和PSQI量表、SAS量表、SDS量表評(píng)分,以及研究對(duì)象所屬5種中醫(yī)證型的納入情況均無差異性(P0.05),具有可比性。2、1個(gè)療程后,兩組PSQI量表、SAS量表、SDS量表總評(píng)分與治療前比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。3、1個(gè)療程后,治療組分別與對(duì)照組PSQI量表、SAS量表、SDS量表評(píng)分比較,以及治療后1個(gè)月,兩組PSQI量表、SAS量表、SDS量表評(píng)分差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。4、治療后對(duì)比兩組各中醫(yī)證型病患的治療情況,其中肝郁化火和痰熱內(nèi)擾型經(jīng)統(tǒng)計(jì),差異有統(tǒng)計(jì)學(xué)意義(P0.05),而總體而言,治療組對(duì)各種證型的治療療效均優(yōu)于對(duì)照組。5、在臨床觀察方面,1個(gè)療程治療后,治療組治愈12人,好轉(zhuǎn)14人,未愈4人,總有效率為86.7%,對(duì)照組治愈5人,好轉(zhuǎn)13人,未愈12人,總有效率60%,兩組總有效率比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:本項(xiàng)目表明:1、腹針配合靈龜八法及傳統(tǒng)體針對(duì)治療失眠癥均有明確療效,且腹針+靈龜八法組(治療組)療效優(yōu)于傳統(tǒng)體針組(對(duì)照組)。2、通過對(duì)PSQI量表、SAS量表、SDS量表治療前后總評(píng)分的對(duì)比,治療組與對(duì)照組均能改善失眠患者的臨床癥狀,且治療組總體改善情況優(yōu)于對(duì)照組。3、通過對(duì)治療后以及治療后1個(gè)月兩組PSQI量表、SAS量表、SDS量表總評(píng)分的比較,治療組對(duì)于治療失眠癥仍優(yōu)于對(duì)照組。4、治療組對(duì)于改善各種證型失眠癥總體療效優(yōu)于對(duì)照組;5、通過對(duì)比,說明薄氏腹針配合靈龜八法可積極改善失眠患者的身心狀態(tài),腹針+靈龜八法是治療失眠癥更為理想的治療方案。
[Abstract]:Objective: based in Bo Zhiyun under the door and scholar teacher and mentor Huang Ling years of study of abdominal acupuncture and abdominal acupuncture clinical experience, through clinical research of abdominal acupuncture combined with eight methods of Intelligent Turtle analysis on the treatment of insomnia, TCM Intervention Effect of Bo's abdominal acupuncture combined with eight methods of intelligent turtle on insomnia, curative effect on the treatment of insomnia, and study formulation of abdominal acupuncture combined with acupoint selection scheme Lingui eight methods in the treatment of insomnia and the clinical operating standards, and establish a method to find a set of specifications to improve sleep quality in patients with insomnia and living conditions, further enrich the method of treatment of insomnia. Methods: from Guangxi Liuzhou City Hospital of traditional Chinese Medicine Abdominal encephalopathy department outpatients with 60 needle the diagnostic criteria of insomnia patients, were randomly divided into treatment group (abdominal acupuncture + Lingui eight method) and control group (traditional acupuncture) in 30 cases. The treatment group: the main abdominal acupuncture point selection 瑕佸彇寮曟皵褰掑厓絀，

本文編號(hào)：1755990