【摘要】：目的:觀察針刺聯(lián)合五行音樂治療肝氣郁結(jié)型不寐的臨床療效,并且與單純針刺治療進(jìn)行對(duì)比,觀察兩組的臨床療效差別。材料與方法:本次研究納入的60例患者是來自2014年3月至2014年10月于遼寧中醫(yī)藥大學(xué)附屬醫(yī)院門診腦病K2科就診的經(jīng)中醫(yī)整體辯證符合肝氣郁結(jié)型,且符合本次研究的納入標(biāo)準(zhǔn)的不寐患者。按照隨機(jī)的原則,分為治療組30人(針刺聯(lián)合五行音樂組)和對(duì)照組30人(單純針刺組)。對(duì)照組的取穴:四神聰、百會(huì)、膻中、安眠(雙側(cè))、內(nèi)關(guān)(雙側(cè))、神門(雙側(cè))、絕骨(雙側(cè))、太沖(雙側(cè)),配穴隨證辯證適當(dāng)加減,每日針刺1次,30分鐘/次,5次為一個(gè)療程,兩療程間隔兩日,共針刺4個(gè)療程。治療組:在單純針刺治療的基礎(chǔ)上,根據(jù)中醫(yī)五臟對(duì)應(yīng)五音的原則,選用傳統(tǒng)五行音樂中與肝相對(duì)應(yīng)的治療性音樂“角”調(diào)式音樂,五音治療儀同步應(yīng)用,30分鐘/次,5次/療程,兩療程間隔兩日,共治療4個(gè)療程。4個(gè)療程治療結(jié)束后,采用匹茲堡睡眠質(zhì)量指數(shù),肝氣郁結(jié)型不寐的中醫(yī)癥候評(píng)分,以及綜合臨床療效,運(yùn)用SPSS19.0統(tǒng)計(jì)軟件分析,將所得結(jié)果分別進(jìn)行組內(nèi)、組間比較,分析結(jié)果并且得出結(jié)論。結(jié)果:1.兩組經(jīng)治療后,綜合治療療效比較,治療組的總有效率為86.67%,對(duì)照組的總有效率為76.67%,其差異具有顯著性意義(P0.05)。2.匹茲堡睡眠質(zhì)量指數(shù)(PSQI)比較,兩組的睡眠質(zhì)量評(píng)分均降低,兩組間比較,治療組優(yōu)于對(duì)照組(P0.05)。3.中醫(yī)癥候評(píng)分比較,治療前后,兩組癥狀除婦女月經(jīng)失調(diào)癥狀,其他癥狀的癥候評(píng)分均降低,兩組間比較,治療組的優(yōu)于對(duì)照組(P0.05)。結(jié)論:在單純針刺的基礎(chǔ)上,聯(lián)合傳統(tǒng)五行音樂中“角”式音樂治療肝氣郁結(jié)型不寐具有顯著性臨床療效,加強(qiáng)了單純針刺治療不寐的治療作用,與單純針刺治療相比,其遠(yuǎn)期療效明顯,復(fù)發(fā)率低,值得進(jìn)一步研究與推廣。
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with five elements music in treating insomnia with stagnation of liver-qi, and to observe the difference between the two groups. Materials and methods: from March 2014 to October 2014, 60 patients from Department K2 of Encephalopathy, Department of Encephalopathy, affiliated Hospital of Liaoning University of traditional Chinese Medicine, were included in this study. Patients with insomnia who met the criteria for inclusion in this study. According to the random principle, 30 patients were divided into treatment group (acupuncture combined with five elements music group) and control group (simple acupuncture group). The points taken from the control group were as follows: Sishen Cong, Baihui, Tanzhong, Anshuiao (bilateral), Neiguan (bilateral), Shenmen (bilateral), absolute bone (bilateral), Taicong (bilateral), appropriate addition and subtraction with syndrome, acupuncture once a day for 30 minutes per time as a course of treatment, The two courses of treatment were separated by two days, and there were 4 courses of acupuncture. Treatment group: on the basis of simple acupuncture treatment, according to the principle of five viscera corresponding to five sounds of traditional Chinese medicine, the traditional five elements music and liver corresponding to the "angle" music, The five-tone therapy instrument was used simultaneously for 30 minutes / time and 5 times / course of treatment, with two courses of treatment interval of two days. After four courses of treatment, Pittsburgh Sleep quality Index (Pittsburgh Sleep quality Index) and TCM symptom score of liver-qi stagnation type insomnia were used. The results were compared within and between groups, and the results were analyzed and concluded. The result is 1: 1. The total effective rate of the treatment group was 86.67, the total effective rate of the control group was 76.67, the difference was significant (P0.05). 2. Pittsburgh sleep quality index (PSQI) comparison, the two groups sleep quality score decreased, between the two groups, the treatment group is better than the control group (P0.05). 3. Before and after treatment, the symptoms of the two groups except women menstrual disorders, other symptoms of symptoms were reduced, the treatment group was better than the control group (P0.05). Conclusion: on the basis of simple acupuncture, the combination of "angle" music in traditional five elements music for insomnia with stagnation of liver-qi has a significant clinical effect, which strengthens the therapeutic effect of simple acupuncture on insomnia, compared with the treatment of simple acupuncture. Its long-term curative effect is obvious, the recurrence rate is low, it is worth further research and promotion.
【學(xué)位授予單位】：遼寧中醫(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)】：R256.23
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本文編號(hào)：2155062