肝俞“龍虎交戰(zhàn)”針法調(diào)節(jié)亞健康失眠與其改善情緒的相關(guān)性研究
發(fā)布時間：2018-10-13 16:48
【摘要】：目的：1.本研究以亞健康失眠作為研究對象,評價肝俞“龍虎交戰(zhàn)”針法的臨床療效及優(yōu)勢,并探討睡眠改善與情緒狀態(tài)改善的相關(guān)性,從調(diào)節(jié)情緒狀態(tài)的角度評價肝俞“龍虎交戰(zhàn)”針法治療亞健康失眠的臨床優(yōu)勢,旨在為該針法干預(yù)亞健康失眠的臨床運用和推廣提供科學(xué)、可靠的依據(jù)。2.證實“肝郁氣滯”是亞健康失眠的主要病機,為進一步運用針灸治療“未病”狀態(tài)提供思路。方法：選取2015年4月——2016年1月期間,四川省中醫(yī)院治未病中心門診病人及在校大學(xué)生中符合亞健康失眠納入標(biāo)準(zhǔn),年齡在18-60歲的受試者70例,隨機分成兩組。A組給予常規(guī)針刺加肝俞穴“龍虎交戰(zhàn)”針法,B組給予常規(guī)針刺加肝俞穴平補平瀉,每周五次,兩周為一個療程,共兩個療程。在治療結(jié)束后,比較兩組在治療前、后及隨訪時匹茲堡睡眠質(zhì)量指數(shù)量表(PSQI)與抑郁自評量表(SDS)、漢密爾頓焦慮量表(HAMA)、肝郁氣滯量表的評分變化情況,并觀察并評價兩組睡眠與情緒改善的相關(guān)性。結(jié)果：1.兩組自身前后對比：治療結(jié)束后,兩組的PSQI總評分、SDS、HAMA及肝郁氣滯量表評分均比治療前有明顯改善,其差異具有統(tǒng)計學(xué)意義(P0.05)2.治療后兩組組間對比：治療結(jié)束后,A組PSQI,總評分、肝郁氣滯量表評分的改善值均明顯優(yōu)于B組(P0.05)；兩組間的抑郁自評量表(SDS)評分、漢密爾頓焦慮量表(HAMA)評分的改善值無明顯差異(P0.05)3.兩組隨訪對比：一個月隨訪后,兩組的PSQI、SDS、HAMA、肝郁氣滯量表評分均比治療前有明顯改善,其差異具有統(tǒng)計學(xué)意義(P0.05),與治療后比較,差異均無統(tǒng)計學(xué)意義(P0.05)：兩組間比較,A組的PSQI、SDS、肝郁氣滯量表評分顯著低于B組,其差異具有統(tǒng)計學(xué)意義(P0.05),兩組間的HAMA評分無明顯差異(P0.05)4.睡眠與情緒改善相關(guān)性分析：治療結(jié)束后,A組的PSQI評分與SDS評分呈正相關(guān)性(r=0.468,P=0.006),與HAMA評分呈正相關(guān)性(r=0.412,P=0.017)；B組的PSQI評分與SDS評分呈正相關(guān)性(r=0.480,P=0.004),與HAMA評分呈正相關(guān)性(r=0.391,P=0.022)。結(jié)論：1.肝俞“龍虎交戰(zhàn)”針法能顯著改善亞健康失眠者的失眠癥狀及肝郁氣滯癥狀,療效明顯優(yōu)于常規(guī)針刺組。2.肝俞“龍虎交戰(zhàn)”針法與常規(guī)針刺對睡眠與情緒的改善呈程度相似的正相關(guān)性；在對亞健康失眠伴隨抑郁和焦慮癥狀的緩解上,肝俞“龍虎交戰(zhàn)”針法無明顯優(yōu)勢。3.肝俞“龍虎交戰(zhàn)”針法治療亞健康失眠遠期療效顯著,復(fù)發(fā)率低,不良反應(yīng)小,值得推廣。
[Abstract]:Purpose 1. In this study, sub-health insomnia was used as the research object to evaluate the clinical efficacy and advantages of Ganshu "Dragon and Tiger belligerent" acupuncture method, and to explore the correlation between sleep improvement and emotional state improvement. In order to provide scientific and reliable basis for clinical application and promotion of acupuncture intervention in sub-health insomnia, the clinical advantages of Ganshu "Dragon and Tiger belligerent" acupuncture in treating sub-health insomnia were evaluated from the point of view of regulating emotional state. 2. It is proved that "liver depression and qi stagnation" is the main pathogenesis of subhealth insomnia, which provides ideas for further application of acupuncture and moxibustion in the treatment of "undiseased" state. Methods: from April 2015 to January 2016, 70 subjects aged 18-60 years were selected from outpatients and college students of Sichuan traditional Chinese Medicine Hospital. Group A was given routine acupuncture plus "Dragon and Tiger belligerent" acupuncture at Ganshu point, and group B was given routine acupuncture plus Ganshu acupoint, five times a week for a course of treatment, two courses of treatment. After treatment, the scores of Pittsburgh Sleep quality Index (PSQI) and Self-rating Depression scale (SDS), Hamilton anxiety scale (HAMA), liver depression and qi stagnation scale (HAMA),) were compared between the two groups before, after and after the treatment. The correlation between sleep and mood improvement was observed and evaluated. The result is 1: 1. Two groups before and after the contrast: after treatment, the two groups of PSQI total score, SDS,HAMA and liver stagnation scale scores were significantly improved compared with before treatment, the difference was statistically significant (P0.05) 2. Comparison between the two groups after treatment: after treatment, the improvement value of PSQI, total score and liver stagnation of qi scale in group A were significantly better than those in group B (P0.05); the (SDS) score of self-rating depression scale between the two groups was significantly better than that in group B (P0.05). There was no significant difference in the improvement value of Hamilton anxiety scale (HAMA) score (P0.05) 3. Two groups were followed up: after one month follow-up, the scores of PSQI,SDS,HAMA, liver stagnation and Qi stagnation scale in both groups were significantly improved compared with those before treatment (P0.05), and compared with those after treatment, there was no significant difference between the two groups (P0.05). There was no significant difference between the two groups (P0.05): compared with the two groups, the score of PSQI,SDS, liver qi stagnation scale in group A was significantly lower than that in group B (P0.05), the difference was statistically significant (P0.05), and there was no significant difference in HAMA score between the two groups (P0.05). Analysis of the correlation between sleep and mood improvement: after treatment, the PSQI score of group A was positively correlated with the SDS score (r 0.468 P0. 006), the PSQI score of group A was positively correlated with that of SDS score (r 0. 480 0. 017); B), and the PSQI score of group A was positively correlated with HAMA score (r 0. 391g P0. 022). Conclusion 1. Ganshu "Dragon and Tiger belligerent" acupuncture method can significantly improve the insomnia symptoms and stagnation of liver qi in patients with sub-health insomnia, and the curative effect is obviously better than that of routine acupuncture group. 2. There was a similar positive correlation between the acupuncture method of Ganshu "Dragon and Tiger belligerence" and routine acupuncture on the improvement of sleep and mood, but there was no obvious advantage in the acupuncture of Ganshu "Battle of Dragon and Tiger" to alleviate depression and anxiety symptoms associated with sub-health insomnia. 3. The long-term curative effect of Ganshu "Dragon and Tiger belligerent" acupuncture for subhealth insomnia is remarkable, the recurrence rate is low, the adverse reaction is small, so it is worth popularizing.
【學(xué)位授予單位】：成都中醫(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]:Purpose 1. In this study, sub-health insomnia was used as the research object to evaluate the clinical efficacy and advantages of Ganshu "Dragon and Tiger belligerent" acupuncture method, and to explore the correlation between sleep improvement and emotional state improvement. In order to provide scientific and reliable basis for clinical application and promotion of acupuncture intervention in sub-health insomnia, the clinical advantages of Ganshu "Dragon and Tiger belligerent" acupuncture in treating sub-health insomnia were evaluated from the point of view of regulating emotional state. 2. It is proved that "liver depression and qi stagnation" is the main pathogenesis of subhealth insomnia, which provides ideas for further application of acupuncture and moxibustion in the treatment of "undiseased" state. Methods: from April 2015 to January 2016, 70 subjects aged 18-60 years were selected from outpatients and college students of Sichuan traditional Chinese Medicine Hospital. Group A was given routine acupuncture plus "Dragon and Tiger belligerent" acupuncture at Ganshu point, and group B was given routine acupuncture plus Ganshu acupoint, five times a week for a course of treatment, two courses of treatment. After treatment, the scores of Pittsburgh Sleep quality Index (PSQI) and Self-rating Depression scale (SDS), Hamilton anxiety scale (HAMA), liver depression and qi stagnation scale (HAMA),) were compared between the two groups before, after and after the treatment. The correlation between sleep and mood improvement was observed and evaluated. The result is 1: 1. Two groups before and after the contrast: after treatment, the two groups of PSQI total score, SDS,HAMA and liver stagnation scale scores were significantly improved compared with before treatment, the difference was statistically significant (P0.05) 2. Comparison between the two groups after treatment: after treatment, the improvement value of PSQI, total score and liver stagnation of qi scale in group A were significantly better than those in group B (P0.05); the (SDS) score of self-rating depression scale between the two groups was significantly better than that in group B (P0.05). There was no significant difference in the improvement value of Hamilton anxiety scale (HAMA) score (P0.05) 3. Two groups were followed up: after one month follow-up, the scores of PSQI,SDS,HAMA, liver stagnation and Qi stagnation scale in both groups were significantly improved compared with those before treatment (P0.05), and compared with those after treatment, there was no significant difference between the two groups (P0.05). There was no significant difference between the two groups (P0.05): compared with the two groups, the score of PSQI,SDS, liver qi stagnation scale in group A was significantly lower than that in group B (P0.05), the difference was statistically significant (P0.05), and there was no significant difference in HAMA score between the two groups (P0.05). Analysis of the correlation between sleep and mood improvement: after treatment, the PSQI score of group A was positively correlated with the SDS score (r 0.468 P0. 006), the PSQI score of group A was positively correlated with that of SDS score (r 0. 480 0. 017); B), and the PSQI score of group A was positively correlated with HAMA score (r 0. 391g P0. 022). Conclusion 1. Ganshu "Dragon and Tiger belligerent" acupuncture method can significantly improve the insomnia symptoms and stagnation of liver qi in patients with sub-health insomnia, and the curative effect is obviously better than that of routine acupuncture group. 2. There was a similar positive correlation between the acupuncture method of Ganshu "Dragon and Tiger belligerence" and routine acupuncture on the improvement of sleep and mood, but there was no obvious advantage in the acupuncture of Ganshu "Battle of Dragon and Tiger" to alleviate depression and anxiety symptoms associated with sub-health insomnia. 3. The long-term curative effect of Ganshu "Dragon and Tiger belligerent" acupuncture for subhealth insomnia is remarkable, the recurrence rate is low, the adverse reaction is small, so it is worth popularizing.
【學(xué)位授予單位】：成都中醫(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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