基于多導(dǎo)睡眠監(jiān)測評價肝俞“龍虎交戰(zhàn)”針法治療亞健康失眠的臨床研究
發(fā)布時間：2019-03-10 18:52
【摘要】：目的基于多導(dǎo)睡眠監(jiān)測評價肝俞“龍虎交戰(zhàn)”針法治療亞健康失眠的臨床療效及優(yōu)勢方法研究采用隨機對照的方法,將70例亞健康失眠受試者隨機分配到治療組(34例)和對照組(36例)。治療組采用肝俞“龍虎交戰(zhàn)”針法配合常規(guī)針刺,對照組則采用肝俞平補平瀉配合常規(guī)針刺,10次為1個療程,共治療2個療程。通過匹茲堡睡眠質(zhì)量指數(shù)量表及多導(dǎo)睡眠監(jiān)測來評估受試者的睡眠變化情況。數(shù)據(jù)采用SPSS17.0軟件進行統(tǒng)計分析。結(jié)果1.療效比較：治療組總有效率為96.97%,對照組總有效率為91.18%。治療組的痊愈人數(shù)與對照組比較,差異具有統(tǒng)計學(xué)意義(P0.05)。2.匹茲堡睡眠質(zhì)量指數(shù)量表評分：2.1組內(nèi)比較：兩組治療后與治療前、1月后隨訪與治療前的PSQI評分在睡眠質(zhì)量、入睡時間、睡眠時間、睡眠效率、睡眠障礙、日間功能障礙、總分的比較上差異均具有統(tǒng)計學(xué)意義(P0.01)。2.2組間比較：治療組治療后與治療前在睡眠質(zhì)量、睡眠時間、日間功能障礙、總分的改善值和對照組比較差異具有統(tǒng)計學(xué)意義(P0.01),在入睡時間的改善值比較上差異具有統(tǒng)計學(xué)意義妒0.05)。治療組1月后隨訪與治療前在睡眠質(zhì)量、睡眠效率、總分的改善值和對照組比較差異具有統(tǒng)計學(xué)意義(P0.01),在入睡時間、睡眠時間、日間功能障礙改善值的比較上差異具有統(tǒng)計學(xué)意義p0.05)。2.3肝俞“龍虎交戰(zhàn)”針法療效優(yōu)勢比較：治療組痊愈的受試者與對照組有效的受試者在入睡時間、睡眠時間、日間功能障礙、總分的改善值比較上差異具有統(tǒng)計學(xué)意義(P0.01),在睡眠質(zhì)量、睡眠效率的改善值比較上差異具有統(tǒng)計學(xué)意義(P0.05)。3.多導(dǎo)睡眠監(jiān)測：3.1組內(nèi)比較：治療組治療后與治療前在睡眠潛伏期、總睡眠時間、睡眠效率、入睡后清醒時間的比較上差異具有統(tǒng)計學(xué)意義(P0.01),在R期睡眠潛伏期、N2期睡眠時間的比較上差異具有統(tǒng)計學(xué)意義(P0.05)。對照組治療后與治療前在睡眠潛伏期、睡眠效率、N2期睡眠時間的比較上差異具有統(tǒng)計學(xué)意義(P0.01),在R期睡眠潛伏期、總睡眠時間、入睡后清醒時間的比較上差異具有統(tǒng)計學(xué)意義(P0.05)。3.2組間比較：治療組與對照組在睡眠潛伏期的改善值比較上差異具有統(tǒng)計學(xué)意義(P0.05)。3.3肝俞“龍虎交戰(zhàn)”針法療效優(yōu)勢比較：治療組痊愈患者與對照組有效患者在睡眠潛伏期、睡眠效率、入睡后清醒時間、N3期睡眠時間、覺醒次數(shù)、覺醒指數(shù)的改善值比較上差異具有統(tǒng)計學(xué)意義(P0.01),在R期、N1期的改善值比較上差異具有統(tǒng)計學(xué)意義(P0.05)。結(jié)論1.針刺治療亞健康失眠療效肯定,且療效可以持續(xù)至治療完成后1個月。肝俞“龍虎交戰(zhàn)”針法能顯著提高臨床痊愈率。2.肝俞“龍虎交戰(zhàn)”針法能明顯縮短睡眠潛伏期,增加睡眠時間,改善日間功能障礙,其療效優(yōu)于對照組；痊愈人群睡眠連續(xù)性良好,有睡眠深度輕度增加的優(yōu)勢。
[Abstract]:Objective based on polysomnography, to evaluate the clinical efficacy and advantage of Ganshu "Dragon Tiger Warfare" acupuncture in the treatment of sub-health insomnia. Seventy sub-health insomnia subjects were randomly assigned to the treatment group (34 cases) and the control group (36 cases). The treatment group was treated with Gan Shu "Dragon Tiger warring War" acupuncture combined with conventional acupuncture, while the control group was treated with Gan Shu Ping Bu Ping Xie combined with routine acupuncture, 10 times as a course of treatment, a total of 2 courses of treatment. The changes of sleep were assessed by Pittsburgh Sleep quality Index scale and polysomnography. The data were analyzed by SPSS17.0 software. Outcome 1. Curative effect comparison: the total effective rate of the treatment group was 96.97%, and the total effective rate of the control group was 91.18%. The number of cured persons in the treatment group was significantly different from that in the control group (P0.05). Pittsburgh Sleep quality Index scale: 2. 1 intra-group comparison: the PSQI scores of the two groups were compared with those before treatment and one month after treatment in terms of sleep quality, sleep time, sleep efficiency, sleep disorders, and sleep quality, sleep time, sleep efficiency, and sleep disorders. There were statistically significant differences in daytime dysfunction and total score (P0.01). 2.2 comparison: after treatment and before treatment in the treatment group, sleep quality, sleep time, daytime dysfunction, the difference between the treatment group and before the treatment in the quality of sleep, sleep time, daytime dysfunction, The improvement of the total score was significantly different from that of the control group (P0.01), and the difference in the improvement of the sleeping time was statistically significant (0.05). There were statistically significant differences in sleep quality, sleep efficiency, total score improvement between the treatment group and the control group after one month of follow-up and pre-treatment (P0.01), at the time of falling asleep, the time of sleep, and the improvement of the total score of the treatment group. 2.3 comparison of the curative effect of Ganshu "Dragon-Tiger engagement" acupuncture method: the curative effect of the cured subjects in the treatment group and the effective subjects in the control group were in the time of falling asleep, the time of sleep, the difference between the two groups was statistically significant (p0.05). There was significant difference in the improvement of total score in daytime dysfunction (P0.01), and in the improvement of sleep quality and sleep efficiency (P0.05). (3) there were significant differences in the improvement of sleep quality and sleep efficiency (P0.05). Polysomnography: 3.1 intra-group comparison: there were significant differences in sleep latency, total sleep time, sleep efficiency and wake-up time after treatment between treatment group and before treatment (P0.01), and there were significant differences in sleep latency, total sleep time, sleep efficiency and wake-up time after sleep (P0.01). There were statistically significant differences in R-phase sleep latency and N-2 sleep time (P0.05). There were significant differences in sleep latency, sleep efficiency and N _ 2 sleep time between before and after treatment in the control group (P0.01), and there were significant differences in the sleep latency and total sleep time in R phase, and in the control group before and after treatment (P0.01). The difference in awake time after falling asleep was statistically significant (P0.05). 3.2 comparison: the improvement of sleep latency between the treatment group and the control group was statistically significant (P0.05). 3. .3 comparison of the curative effect of Ganshu "Dragon-Tiger warring" acupuncture method: the effective patients in the treatment group and the control group were in the sleep latency, There were significant differences in sleep efficiency, wake-up time after falling asleep, N _ 3 sleep time, arousal times, and improvement of arousal index (P0.01), in R phase, The difference in the improvement value of N1 phase was statistically significant (P0.05). Conclusion 1. Acupuncture treatment of sub-health insomnia is positive, and the curative effect can continue until 1 month after the completion of the treatment. Gan Shu "Dragon Tiger engagement" acupuncture method can significantly improve the clinical cure rate. 2. Gan Shu "Dragon Tiger engagement" acupuncture method can obviously shorten sleep latency, increase sleep time, improve daytime dysfunction, and its curative effect is better than that of the control group, and the cured population has the advantage of good sleep continuity and slight increase of sleep depth.
【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]:Objective based on polysomnography, to evaluate the clinical efficacy and advantage of Ganshu "Dragon Tiger Warfare" acupuncture in the treatment of sub-health insomnia. Seventy sub-health insomnia subjects were randomly assigned to the treatment group (34 cases) and the control group (36 cases). The treatment group was treated with Gan Shu "Dragon Tiger warring War" acupuncture combined with conventional acupuncture, while the control group was treated with Gan Shu Ping Bu Ping Xie combined with routine acupuncture, 10 times as a course of treatment, a total of 2 courses of treatment. The changes of sleep were assessed by Pittsburgh Sleep quality Index scale and polysomnography. The data were analyzed by SPSS17.0 software. Outcome 1. Curative effect comparison: the total effective rate of the treatment group was 96.97%, and the total effective rate of the control group was 91.18%. The number of cured persons in the treatment group was significantly different from that in the control group (P0.05). Pittsburgh Sleep quality Index scale: 2. 1 intra-group comparison: the PSQI scores of the two groups were compared with those before treatment and one month after treatment in terms of sleep quality, sleep time, sleep efficiency, sleep disorders, and sleep quality, sleep time, sleep efficiency, and sleep disorders. There were statistically significant differences in daytime dysfunction and total score (P0.01). 2.2 comparison: after treatment and before treatment in the treatment group, sleep quality, sleep time, daytime dysfunction, the difference between the treatment group and before the treatment in the quality of sleep, sleep time, daytime dysfunction, The improvement of the total score was significantly different from that of the control group (P0.01), and the difference in the improvement of the sleeping time was statistically significant (0.05). There were statistically significant differences in sleep quality, sleep efficiency, total score improvement between the treatment group and the control group after one month of follow-up and pre-treatment (P0.01), at the time of falling asleep, the time of sleep, and the improvement of the total score of the treatment group. 2.3 comparison of the curative effect of Ganshu "Dragon-Tiger engagement" acupuncture method: the curative effect of the cured subjects in the treatment group and the effective subjects in the control group were in the time of falling asleep, the time of sleep, the difference between the two groups was statistically significant (p0.05). There was significant difference in the improvement of total score in daytime dysfunction (P0.01), and in the improvement of sleep quality and sleep efficiency (P0.05). (3) there were significant differences in the improvement of sleep quality and sleep efficiency (P0.05). Polysomnography: 3.1 intra-group comparison: there were significant differences in sleep latency, total sleep time, sleep efficiency and wake-up time after treatment between treatment group and before treatment (P0.01), and there were significant differences in sleep latency, total sleep time, sleep efficiency and wake-up time after sleep (P0.01). There were statistically significant differences in R-phase sleep latency and N-2 sleep time (P0.05). There were significant differences in sleep latency, sleep efficiency and N _ 2 sleep time between before and after treatment in the control group (P0.01), and there were significant differences in the sleep latency and total sleep time in R phase, and in the control group before and after treatment (P0.01). The difference in awake time after falling asleep was statistically significant (P0.05). 3.2 comparison: the improvement of sleep latency between the treatment group and the control group was statistically significant (P0.05). 3. .3 comparison of the curative effect of Ganshu "Dragon-Tiger warring" acupuncture method: the effective patients in the treatment group and the control group were in the sleep latency, There were significant differences in sleep efficiency, wake-up time after falling asleep, N _ 3 sleep time, arousal times, and improvement of arousal index (P0.01), in R phase, The difference in the improvement value of N1 phase was statistically significant (P0.05). Conclusion 1. Acupuncture treatment of sub-health insomnia is positive, and the curative effect can continue until 1 month after the completion of the treatment. Gan Shu "Dragon Tiger engagement" acupuncture method can significantly improve the clinical cure rate. 2. Gan Shu "Dragon Tiger engagement" acupuncture method can obviously shorten sleep latency, increase sleep time, improve daytime dysfunction, and its curative effect is better than that of the control group, and the cured population has the advantage of good sleep continuity and slight increase of sleep depth.
【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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