發(fā)布時(shí)間：2019-02-21 19:52

【摘要】：目的:本研究在中西醫(yī)理論指導(dǎo)下運(yùn)用深刺水突穴為主治療原發(fā)性失眠癥,觀察其與常規(guī)針刺法的睡眠質(zhì)量及生存質(zhì)量改善情況,比較其與常規(guī)針刺法的臨床療效,豐富臨床治療方法。方法:本課題篩選出符合診斷標(biāo)準(zhǔn)和納入標(biāo)準(zhǔn),且自愿同意參加本課題研究,并簽署知情同意書者60例進(jìn)入臨床研究,按簡(jiǎn)單隨機(jī)化原則分配至治療組及對(duì)照組,每組各30例。兩組均予基礎(chǔ)治療,配合常規(guī)針刺治療(選取穴位參照全國(guó)高等中醫(yī)藥院校規(guī)劃教材《針灸治療學(xué)》(第二版)),治療組在對(duì)照組針刺取穴基礎(chǔ)上加深刺水突穴針刺;1天1次,6次為1個(gè)療程,療程間休息1天,連續(xù)治療3個(gè)療程。采用匹茲堡睡眠質(zhì)量指數(shù)量表(PSQI),世界衛(wèi)生組織生存質(zhì)量測(cè)定量表簡(jiǎn)表(WHOQOL-BREF)對(duì)患者治療前后的睡眠狀態(tài)及生存質(zhì)量進(jìn)行評(píng)分,并比較兩組臨床療效。結(jié)果:一般數(shù)據(jù)方面,治療前兩組患者在一般資料(如性別、年齡、病程)上比較差異無(wú)統(tǒng)計(jì)意義(均P0.05),提示兩組患者基數(shù)資料基本一致,各影響因素分布均衡,具有可比性。匹茲堡睡眠質(zhì)量指數(shù)量表評(píng)分方面,兩組患者治療前評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。兩組患者治療后評(píng)分較治療前均明顯減少,差異均有統(tǒng)計(jì)學(xué)意義(P0.01)。治療組治療后評(píng)分比對(duì)照組下降更明顯(P0.01)。世界衛(wèi)生組織生存質(zhì)量測(cè)定量表簡(jiǎn)表評(píng)分方面,兩組患者治療前評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。兩組患者治療后評(píng)分較治療前均明顯增加,差異均有統(tǒng)計(jì)學(xué)意義(P0.01)。治療組治療后評(píng)分比對(duì)照組升高更明顯(P0.01)。臨床療效方面,治療組總有效率高于對(duì)照組,兩組間療效差異有統(tǒng)計(jì)學(xué)意義(P0.01),具有可比性,可以認(rèn)為治療組患者的臨床療效優(yōu)于對(duì)照組。結(jié)論:深刺水突穴為主針刺法更能有效地改善原發(fā)性失眠癥患者的臨床癥狀,其臨床療效優(yōu)于常規(guī)針刺法,能有效改善原發(fā)性失眠癥患者的睡眠質(zhì)量,顯著提高生存質(zhì)量。
[Abstract]:Objective: to observe the improvement of sleep quality and quality of life of patients with primary insomnia under the guidance of the theory of traditional Chinese and western medicine, and to compare their clinical efficacy with that of routine acupuncture. Enrich the clinical treatment methods. Methods: 60 patients who agreed to participate in the study were selected according to the diagnostic criteria and inclusion criteria, and 60 patients who signed informed consent were assigned to the treatment group and the control group according to the principle of simple randomization, with 30 cases in each group. Both groups were treated with basic therapy, combined with routine acupuncture therapy (selecting acupoints to refer to the planning textbook "Acupuncture and Therapeutics") (the second edition of), treatment group deepened acupuncture on the basis of acupoints taken from acupuncture in the control group; Once a day, 6 times as a course of treatment, between courses of rest 1 day, continuous treatment of 3 courses. The Pittsburgh Sleep quality Index (PSQI),) World Health Organization quality of Life scale (WHOQOL-BREF) was used to evaluate the sleep state and quality of life (QOL) of the patients before and after treatment and to compare the clinical efficacy between the two groups. Results: in general data, there was no statistical significance between the two groups in general data (such as sex, age, course of disease) before treatment (P0.05), indicating that the cardinal data of the two groups were basically the same, and the distribution of influencing factors was balanced. Comparable. Pittsburgh Sleep quality Index scale score, the two groups of patients before treatment scores, the difference was not statistically significant (P0.05), comparable. After treatment, the scores of the two groups were significantly reduced compared with those before treatment, and the differences were statistically significant (P0.01). The scores in the treatment group were significantly lower than those in the control group (P 0.01). Who quality of life scale summary score, the two groups of patients before treatment scores, the difference was not statistically significant (P0.05), comparable. After treatment, the scores of the two groups were significantly higher than those before treatment, and the differences were statistically significant (P0.01). The scores in the treatment group were significantly higher than those in the control group (P 0.01). The total effective rate in the treatment group was higher than that in the control group, and the difference between the two groups was statistically significant (P0.01). Conclusion: the main acupuncture method of deep needling of Shuitu point can effectively improve the clinical symptoms of patients with primary insomnia, and its clinical effect is better than that of routine acupuncture. It can effectively improve the sleep quality and improve the quality of life of patients with primary insomnia.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.6

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