【摘要】：目的:本研究以原發(fā)性失眠患者為觀察對(duì)象,均以穴位埋線配合認(rèn)知行為療法作為治療手段,分別于2周一次及4周一次進(jìn)行干預(yù)治療,評(píng)價(jià)治療前后匹茲堡(PSQI)總評(píng)分及主要成分評(píng)分的變化、睡眠率及其臨床總體療效,為不同治療間期的穴位埋線治療原發(fā)性失眠的臨床應(yīng)用推廣提供依據(jù)。方法:將符合入選標(biāo)準(zhǔn)的原發(fā)性失眠患者56例隨機(jī)分為兩個(gè)不同治療間期組,即治療組一(2周組)和治療組二(4周組),脫落5例,有效病例51例,治療組一26例,治療組二25例。兩組均采用穴位埋線配合認(rèn)知行為療法進(jìn)行治療,治療組一于第1周末、第3周末及第5周末進(jìn)行治療,每2周一次,共3次;治療組二于第1周末、第5周末進(jìn)行治療,每4周一次,共2次。同時(shí),兩組均于治療前、治療2周后、治療4周后、治療結(jié)束2周后及治療結(jié)束6周后隨訪行癥狀評(píng)估,并對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)與分析。結(jié)果:1.兩組治療前匹茲堡(PSQI)總評(píng)分及主要成分評(píng)分相比較,p0.05,差異無(wú)統(tǒng)計(jì)學(xué)意義,二者具有齊同可比性。2.兩組患者治療第2周、第4周以及治療結(jié)束后2周、6周隨訪PSQI總評(píng)分及主要成分評(píng)分與治療前比較,差異均有統(tǒng)計(jì)學(xué)意義(p0.05)。3.與治療第2周相比較:治療第4周評(píng)分仍有所下降,差異具有統(tǒng)計(jì)學(xué)意義(p0.05),與治療第4周相比:2周后隨訪評(píng)分下降,差異有統(tǒng)計(jì)學(xué)意義(p0.05)。但與2周后隨訪相比:6周后隨訪比較差異無(wú)統(tǒng)計(jì)學(xué)意義(p0.05)。4.兩組之間各個(gè)時(shí)點(diǎn)總評(píng)分比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義(p0.05)。5.兩組間的睡眠率及總有效率相比較,組間差異無(wú)統(tǒng)計(jì)學(xué)意義(p0.05),結(jié)論:1.穴位埋線配合認(rèn)知行為療法對(duì)失眠癥狀有一定的改善作用。2.兩種不同的治療間期對(duì)失眠患者整體癥狀的改善作用大致相當(dāng),該結(jié)果有待后期擴(kuò)大樣本含量進(jìn)一步驗(yàn)證。3.兩種不同的治療間期在隨訪期對(duì)療效均有一定的維持作用,且維持作用相當(dāng)。
[Abstract]:Objective: in this study, patients with primary insomnia were treated with acupoint catgut embedding combined with cognitive behavior therapy. The changes of (PSQI) total score and main components score, sleep rate and clinical efficacy before and after treatment were evaluated, so as to provide evidence for the clinical application of acupoint catgut embedding therapy with different treatment intervals in the treatment of primary insomnia. Methods: 56 patients with primary insomnia were randomly divided into two groups: treatment group 1 (2 weeks group) and treatment group 2 (4 weeks group). There were 5 cases of shedding, 51 cases of effective cases, 26 cases of treatment group and 2 25 cases of treatment group. Both groups were treated with acupoint catgut embedding combined with cognitive behavior therapy, the treatment group was treated every 2 weeks at the end of the first weekend, the third weekend and the fifth weekend, and the treatment group 2 was treated every 4 weeks at the end of the first weekend and the fifth weekend. At the same time, the symptoms of the two groups were evaluated before treatment, 2 weeks after treatment, 4 weeks after treatment, 2 weeks after treatment and 6 weeks after treatment, and the data were statistically analyzed. Result: 1. There was no significant difference in the total score and main component score of Pittsburgh (PSQI) between the two groups before treatment, and there was no significant difference between the two groups. There were significant differences in the total score and main components score of PSQI between the two groups at the 2nd and 4th week of treatment and 2 weeks and 6 weeks after treatment (p0.05). Compared with the second week of treatment, the score of the fourth week of treatment was still decreased, the difference was statistically significant (p0.05), and compared with the fourth week of treatment, the score of follow-up decreased after 2 weeks, the difference was statistically significant (p0.05). However, compared with the follow-up after 2 weeks, there was no significant difference in the follow-up after 6 weeks (p0.05). 4. There was no significant difference in the total score between the two groups at each time point (p0.05). 5. There was no significant difference in sleep rate and total effective rate between the two groups (p0.05). Conclusion: 1. Acupoint catgut embedding combined with cognitive behavior therapy can improve insomnia symptoms to a certain extent. 2. The effect of the two different treatment intervals on the overall symptoms of insomnia patients was about the same, and the results needed to be further verified by the later expansion of the sample content. 3. The two different therapeutic intervals had a certain maintenance effect on the curative effect during the follow-up period, and the maintenance effect was the same.
【學(xué)位授予單位】：湖南中醫(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)】：R246.6

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