基于PSG的頭針結(jié)合腹針治療慢性失眠的臨床觀察
發(fā)布時間：2018-08-30 15:45
【摘要】：目的：旨在基于PSG評價頭針電針結(jié)合腹針電針療法對于慢性失眠的臨床療效。方法：選取慢性失眠患者60例,采用隨機量表分為治療組和對照組兩組,每組30例。治療組取穴腹一區(qū)、情感區(qū)、百會、四神聰,其中電針連接分別是情感區(qū)左右旁開兩穴連為一組,腹一區(qū)左右旁開兩穴連為一組,左右四神聰一組；對照組選用百會、四神聰、印堂、安眠(雙)、神門(雙)、照海(雙),其余根據(jù)辨證取穴加配穴,其中電針連接分別是左右四神聰一組,雙側(cè)安眠為一組,辨證取穴加配穴連一組。兩組電針頻率均采用疏波2Hz,每次治療30分鐘,7天為一個治療療程,連續(xù)治療4個療程。治療前以及治療4個療程后,分別利用匹茲堡睡眠質(zhì)量指數(shù)量表總分對患者的睡眠質(zhì)量進(jìn)行評估；利用多導(dǎo)睡眠監(jiān)測的各睡眠結(jié)構(gòu)參數(shù)評價睡眠結(jié)構(gòu)；利用睡眠日志評價睡眠模式；利用睡眠信念與態(tài)度量表總評分來評估患者對于睡眠的錯誤觀念的改變程度；采用Epworth嗜睡量表總分讓患者主觀評價其在常規(guī)環(huán)境中入睡的可能性和嗜睡的程度。治療結(jié)束后采用SPSS22.0統(tǒng)計學(xué)軟件進(jìn)行統(tǒng)計分析。結(jié)果：1.治療組與對照組ESS評分比較：治療后,兩組ESS評分分別進(jìn)行組內(nèi)比較(P0.01)和組間比較(P0.05),差異均具有統(tǒng)計學(xué)意義；2.治療組與對照組DBAS評分比較：治療后,兩組DBAS評分分別進(jìn)行組內(nèi)比較(P0.01)和組間比較(P0.05),差異均具有統(tǒng)計學(xué)意義；3.治療組與對照組PSQI評分比較：治療后,兩組PSQI評分分別進(jìn)行組內(nèi)比較(P0.01)和組間比較(P0.01),差異均具有統(tǒng)計學(xué)意義；4.治療組與對照組睡眠日志各項時間比較：治療后,兩組睡眠日志各項時間分別進(jìn)行組內(nèi)比較(P0.01)和組間比較(P0.05),差異均具有統(tǒng)計學(xué)意義；5.治療組與對照組PSG監(jiān)測各項比較：治療后,兩組PSG各項分別進(jìn)行組內(nèi)比較(P0.01)和組間比較(P0.05),差異均具有統(tǒng)計學(xué)意義。結(jié)論：1.頭針電針結(jié)合腹針電針療法對于慢性失眠患者是一種有效、依從性好的治療方法。2.頭針電針結(jié)合腹針電針療法在減少慢性失眠患者睡眠潛伏時間,減少入睡后覺醒時間,降低入睡后微覺醒指數(shù),延長總睡眠時間,提高睡眠效率方面有一定的優(yōu)勢。3.頭針電針結(jié)合腹針電針療法和傳統(tǒng)電針療法對于慢性失眠患者均有一定的臨床療效。
[Abstract]:Objective: to evaluate the clinical effect of scalp acupuncture combined with abdominal acupuncture on chronic insomnia based on PSG. Methods: 60 patients with chronic insomnia were randomly divided into treatment group and control group with 30 cases in each group. In the treatment group, the ventral region, the emotional area, the Baihui area, the Sishencong group were selected. Among them, the electroacupuncture connection was divided into two groups, one group was connected with the left and right points of the emotional region, the other two points were opened at the left and right sides of the first area of the abdomen as a group, and the other two points were opened at the left and right sides of the ventral region as a group. Yantang, Anmiao (double), Shenmen (double), Zhaohai (double), others according to syndrome differentiation points plus points, electroacupuncture connection is left and right four Shencong group, bilateral sleep as a group, syndrome differentiation points plus points in a group. The frequency of electroacupuncture in both groups was treated with sparsely wave 2Hz, 30 minutes and 7 days each time as a course of treatment and 4 consecutive courses of treatment. Pittsburgh Sleep quality Index (PQI) was used to evaluate the sleep quality of the patients before and after 4 courses of treatment, and the sleep structure parameters of polysomnography were used to evaluate the sleep structure. Sleep log was used to evaluate the sleep pattern, the total score of sleep belief and attitude scale was used to evaluate the degree of change of patients' sleep misconceptions. The total score of Epworth somnolence scale was used to subjectively evaluate the possibility of falling asleep and the degree of somnolence. After the treatment, SPSS22.0 statistical software was used for statistical analysis. The result is 1: 1. Comparison of ESS score between the treatment group and the control group: after treatment, the ESS scores of the two groups were compared within the group (P0.01) and the comparison between the groups (P0.05), the difference was statistically significant. Comparison of DBAS score between the treatment group and the control group: after treatment, the DBAS scores of the two groups were compared within the group (P0.01) and the comparison between the groups (P0.05), the difference was statistically significant. Comparison of PSQI score between the treatment group and the control group: after treatment, the PSQI scores of the two groups were compared within the group (P0.01) and the comparison between the groups (P0.01), the difference was statistically significant (P0.01). Treatment group and control group sleep log time comparison: after treatment, the two groups sleep log time were compared within the group (P0.01) and group comparison (P0.05), the difference was statistically significant. Comparison of PSG monitoring between the treatment group and the control group: after treatment, each item of PSG in the two groups was compared within the group (P0.01) and the comparison between the groups (P0.05), the difference was statistically significant. Conclusion 1. Scalp acupuncture combined with abdominal electroacupuncture is an effective and good compliance method for patients with chronic insomnia. Electroacupuncture combined with abdominal electroacupuncture therapy has some advantages in reducing sleep latency time, reducing wake time after falling asleep, decreasing micro-arousal index after falling asleep, prolonging total sleep time and improving sleep efficiency in patients with chronic insomnia. Scalp acupuncture combined with abdominal electroacupuncture and traditional electroacupuncture have certain clinical effects on patients with chronic insomnia.
【學(xué)位授予單位】：黑龍江中醫(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
[Abstract]:Objective: to evaluate the clinical effect of scalp acupuncture combined with abdominal acupuncture on chronic insomnia based on PSG. Methods: 60 patients with chronic insomnia were randomly divided into treatment group and control group with 30 cases in each group. In the treatment group, the ventral region, the emotional area, the Baihui area, the Sishencong group were selected. Among them, the electroacupuncture connection was divided into two groups, one group was connected with the left and right points of the emotional region, the other two points were opened at the left and right sides of the first area of the abdomen as a group, and the other two points were opened at the left and right sides of the ventral region as a group. Yantang, Anmiao (double), Shenmen (double), Zhaohai (double), others according to syndrome differentiation points plus points, electroacupuncture connection is left and right four Shencong group, bilateral sleep as a group, syndrome differentiation points plus points in a group. The frequency of electroacupuncture in both groups was treated with sparsely wave 2Hz, 30 minutes and 7 days each time as a course of treatment and 4 consecutive courses of treatment. Pittsburgh Sleep quality Index (PQI) was used to evaluate the sleep quality of the patients before and after 4 courses of treatment, and the sleep structure parameters of polysomnography were used to evaluate the sleep structure. Sleep log was used to evaluate the sleep pattern, the total score of sleep belief and attitude scale was used to evaluate the degree of change of patients' sleep misconceptions. The total score of Epworth somnolence scale was used to subjectively evaluate the possibility of falling asleep and the degree of somnolence. After the treatment, SPSS22.0 statistical software was used for statistical analysis. The result is 1: 1. Comparison of ESS score between the treatment group and the control group: after treatment, the ESS scores of the two groups were compared within the group (P0.01) and the comparison between the groups (P0.05), the difference was statistically significant. Comparison of DBAS score between the treatment group and the control group: after treatment, the DBAS scores of the two groups were compared within the group (P0.01) and the comparison between the groups (P0.05), the difference was statistically significant. Comparison of PSQI score between the treatment group and the control group: after treatment, the PSQI scores of the two groups were compared within the group (P0.01) and the comparison between the groups (P0.01), the difference was statistically significant (P0.01). Treatment group and control group sleep log time comparison: after treatment, the two groups sleep log time were compared within the group (P0.01) and group comparison (P0.05), the difference was statistically significant. Comparison of PSG monitoring between the treatment group and the control group: after treatment, each item of PSG in the two groups was compared within the group (P0.01) and the comparison between the groups (P0.05), the difference was statistically significant. Conclusion 1. Scalp acupuncture combined with abdominal electroacupuncture is an effective and good compliance method for patients with chronic insomnia. Electroacupuncture combined with abdominal electroacupuncture therapy has some advantages in reducing sleep latency time, reducing wake time after falling asleep, decreasing micro-arousal index after falling asleep, prolonging total sleep time and improving sleep efficiency in patients with chronic insomnia. Scalp acupuncture combined with abdominal electroacupuncture and traditional electroacupuncture have certain clinical effects on patients with chronic insomnia.
【學(xué)位授予單位】：黑龍江中醫(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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