【摘要】：目的:本研究總結(jié)導(dǎo)師臨床工作經(jīng)驗(yàn),針對中老年原發(fā)性失眠的主要病機(jī),選取導(dǎo)師臨床常用穴位組合“髓會穴組”配穴位神門、太溪,與常規(guī)針刺處方相比較,對比針刺前后患者的臨床癥狀、工作、生活質(zhì)量、精神狀態(tài)等,以期為老年原發(fā)性失眠患者針刺治療提供一種新的治療思路。方法:將符合納入標(biāo)準(zhǔn)的60例中老年原發(fā)性失眠患者隨機(jī)分為治療組和對照組,每組各30例,治療組予針刺“髓會穴組”配神門、太溪穴,對照組予常規(guī)針刺。3個療程后觀察療效,并比較兩組治療前后匹茨堡睡眠質(zhì)量指數(shù)(PSQI)量表各級評分的變化。結(jié)果:1.治療組總有效率為90.0%,對照組為80.0%,兩組之間有顯著性差異(P0.01)。2.兩組治療后在各項(xiàng)評分及總分上,均較治療前明顯降低(P0.05)。治療組睡眠質(zhì)量、時間、效率,功能障礙及總分治療后較對照組治療后明顯降低,睡眠障礙及藥物上無差異(P0.05)。結(jié)論:兩組均能明顯改善睡眠質(zhì)量指數(shù)(PSQI)量表評分(P0.01),且在改善臨床癥狀及總體療效上,治療組優(yōu)越于對照組(P0.05)。
[Abstract]:Objective: to summarize the clinical work experience of tutor, and to compare the main pathogenesis of primary insomnia in middle-aged and elderly patients with routine acupuncture prescription by selecting "Sui Hui acupoint group" with Shenmen and Taixi acupoints, which is commonly used by tutor in clinical practice. The clinical symptoms, work, quality of life and mental state of the patients before and after acupuncture were compared in order to provide a new way of treatment for senile patients with primary insomnia. Methods: sixty middle-aged and elderly patients with primary insomnia were randomly divided into treatment group (n = 30) and control group (n = 30). The control group was treated with routine acupuncture. The curative effect was observed after 3 courses of treatment. The scores of Pittsburgh Sleep quality Index (PSQI) were compared between the two groups before and after treatment. The result is 1: 1. The total effective rate of the treatment group was 90.0 and that of the control group was 80.0.The difference between the two groups was significant (P0.01). After treatment, the scores and total scores of the two groups were significantly lower than those before treatment (P0.05). The sleep quality, time, efficiency, dysfunction and total score of the treatment group were significantly lower than that of the control group after treatment, and there was no difference in sleep disorders and drugs (P0.05). Conclusion: both groups can significantly improve the score of sleep quality index (PSQI) (P0.01), and the treatment group is superior to the control group in improving the clinical symptoms and overall curative effect (P0.05).
【學(xué)位授予單位】：山東中醫(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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