【摘要】：目的:觀察穴位埋線治療痰瘀互結(jié)型OSAHS的臨床療效,為患者探索一種為之有效的治療方法。方法:采用Doll’s臨床病例隨機(jī)表進(jìn)行分組,將符合納入標(biāo)準(zhǔn)的40例痰瘀互結(jié)型OSAHS患者分為兩組:穴位埋線組(觀察組)和常規(guī)針刺組(對(duì)照組),兩組各20例,根據(jù)導(dǎo)師多年臨床經(jīng)驗(yàn),處方選取豐隆、足三里、血海、陰陵泉、肺俞、脾俞、腎俞。分別記錄兩組患者在治療前、治療一個(gè)療程及治療結(jié)束后的多導(dǎo)睡眠監(jiān)測(PSG)結(jié)果、愛潑沃斯嗜睡量表(ESS)(見附錄1)評(píng)分以及中醫(yī)癥狀評(píng)分(見附錄2)的變化,判定臨床療效。結(jié)果:1.用獨(dú)立樣本t檢驗(yàn)分析兩組患者的一般資料(性別、年齡),差異不具有統(tǒng)計(jì)學(xué)意義(P0.05),兩組資料具有可比性。2.PSG各項(xiàng)指標(biāo)(AHI、LSaO_2)及愛潑沃斯嗜睡量表(ESS)評(píng)分以及中醫(yī)癥狀評(píng)分:治療后,組內(nèi)經(jīng)t檢驗(yàn)比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.05);組間經(jīng)t檢驗(yàn)比較,差異不具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:穴位埋線療法可有效地緩解患者的中醫(yī)臨床癥狀、改善愛潑沃斯嗜睡量表(ESS)評(píng)分、改善AHI(呼吸紊亂指數(shù)),LSaO_2(最低血氧飽和度)等,值得臨床推廣。
[Abstract]:Objective: to observe the clinical effect of catgut embedding at acupoints in the treatment of phlegm and blood stasis syndrome (OSAHS), and to explore an effective treatment method for the patients. Methods: Doll's clinical cases were randomly divided into two groups: acupoint embedding group (observation group) and routine acupuncture group (control group). 20 cases in each group were divided into two groups: acupoint embedding group (observation group) and routine acupuncture group (control group). According to the tutor's many years clinical experience, the prescription selected Fenglong, Zusanli, Xue Hai, Yin Ling Quan, Fei Yu, Pi Yu, Shen Yu. The results of polysomnography (PSG) before treatment, one course of treatment and the end of treatment were recorded respectively. The changes of (ESS) (score and TCM symptom score (see appendix 2) were recorded to evaluate the clinical efficacy. The result is 1: 1. The general data (sex, age) of the two groups were analyzed by independent sample t-test. There was no significant difference between the two groups (P0.05). The data of the two groups were comparable. 2. The indexes of PSG (AHI,LSaO_2), (ESS) score of Epworth somnolence scale and TCM symptom score: after treatment, there was no significant difference between the two groups. The difference between the two groups was statistically significant (P0.05), while there was no significant difference between the two groups (P0.05). Conclusion: acupoint catgut embedding therapy can effectively relieve the clinical symptoms of the patients, improve the (ESS) score of Epworth's somnolence scale, and improve the AHI (respiratory disorder index) and LSaO2 (minimum oxygen saturation), etc., which is worth popularizing in clinic.
【學(xué)位授予單位】：山東中醫(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)】：R246.81

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 廖貴華;;清咽化結(jié)湯聯(lián)合低溫等離子舌根射頻消融術(shù)治療阻塞性睡眠呼吸暫停低通氣綜合征療效觀察[J];現(xiàn)代中西醫(yī)結(jié)合雜志;2016年06期

2 王留根;李和平;江澤;李曉云;關(guān)曉波;曾西;;電刺激舌下神經(jīng)治療阻塞性呼吸睡眠暫停低通氣綜合征的臨床觀察[J];中國老年學(xué)雜志;2016年02期

3 趙慶儒;;阻塞性睡眠呼吸暫停低通氣綜合征的手術(shù)療效觀察[J];中國醫(yī)藥指南;2016年02期

4 許李娜;張念志;;532例阻塞性睡眠呼吸暫停綜合征患者中醫(yī)證候?qū)W研究[J];中國中醫(yī)急癥;2016年01期

5 王峗芝;;針刺治療急性腦梗死合并阻塞性睡眠呼吸暫停低通氣綜合征療效觀察[J];上海針灸雜志;2015年11期

6 張予;胡元會(huì);左立鎮(zhèn);劉嬌媚;張安晶;吳婧;魏藝;;180例阻塞性睡眠呼吸暫停低通氣綜合征患者臨床特征分析[J];中西醫(yī)結(jié)合心腦血管病雜志;2015年05期

7 陳沁;林勁榕;葉玲;洪旭初;;磁珠耳壓療法治療阻塞性睡眠呼吸暫停綜合征臨床研究[J];陜西中醫(yī)學(xué)院學(xué)報(bào);2015年03期

8 沈?qū)?邱夢茹;朱雪;張偉;陳憲海;;睡眠呼吸暫停低通氣綜合征中醫(yī)辨治思路[J];中醫(yī)雜志;2015年04期

9 王健;趙磊;;推拿配合艾灸治療鼾癥12例[J];中國針灸;2014年03期

10 李明高;李德臣;李樹人;;針刺治療睡眠呼吸暫停綜合征43例[J];上海針灸雜志;2014年02期

相關(guān)博士學(xué)位論文 前1條

1 祝道松;耳壓療法治療阻塞型睡眠呼吸暫停綜合征的臨床研究[D];廣州中醫(yī)藥大學(xué);2012年

，

本文編號(hào)：2221516