【摘要】：目的：觀察八卦頭針配合火龍藥灸治療心脾兩虛型失眠的臨床療效。方法：將60例患者隨機(jī)分為治療組和對(duì)照組,每組30例。治療組采用八卦頭針配合火龍藥灸療法治療,對(duì)照組采用口服舒樂(lè)安定治療,2mg/次,睡前服。2組均每天1次,10天為1療程,療程間隔2天,共2個(gè)療程。分別于治療前和治療結(jié)束進(jìn)行匹茲堡睡眠質(zhì)量指數(shù)(PSQI)量表和中醫(yī)證候評(píng)分量表及臨床療效比較。治療結(jié)束后1個(gè)月進(jìn)行隨訪。結(jié)果：1.兩組治療前后各PSQI指標(biāo)比較：在改善患者入睡時(shí)間、睡眠時(shí)間、睡眠效率、睡眠質(zhì)量、睡眠障礙和日間功能障礙評(píng)分方面比治療前好,且差異均有統(tǒng)計(jì)學(xué)意義(p＜0.05)。2.兩組治療后的中醫(yī)證候評(píng)分以及臨床療效比較,差異均無(wú)顯著統(tǒng)計(jì)學(xué)意義(p＞0.05)。3.兩組治療結(jié)束后隨訪一個(gè)月的中醫(yī)證候評(píng)分以及臨床療效比較,差異均有顯著統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論：1.八卦頭針配合火龍藥灸療法及舒樂(lè)安定對(duì)改善心脾兩虛型失眠患者的入睡時(shí)間、睡眠時(shí)間、睡眠效率、睡眠質(zhì)量、睡眠障礙和日間功能障礙評(píng)分方面均有效。2.八卦頭針配合火龍藥灸近期治療心脾兩虛型失眠與口服舒樂(lè)安定療效相當(dāng)。3.八卦頭針配合火龍藥灸療法治療心脾兩虛型失眠的長(zhǎng)期療效優(yōu)于口服舒樂(lè)安定,值得臨床推廣。
[Abstract]:Objective: to observe the clinical effect of eight diagrams scalp acupuncture combined with Huolong herbal moxibustion on insomnia with deficiency of both heart and spleen. Methods: 60 patients were randomly divided into treatment group and control group with 30 cases in each group. The treatment group was treated with Bagua scalp acupuncture combined with moxibustion of fire dragon medicine, and the control group was treated with oral sulfamide, 2mg/ times, before bedtime. The two groups were treated once a day, 10 days as a course of treatment, with a course of treatment interval of 2 days, a total of 2 courses of treatment. Pittsburgh Sleep quality Index (PSQI), TCM Syndrome scale (TCM) and clinical efficacy were compared before and after treatment. The patients were followed up 1 month after treatment. Results: 1. Comparison of PSQI indexes before and after treatment: the scores of sleep time, sleep efficiency, sleep quality, sleep disorder and daytime dysfunction were better than those before treatment. The difference was statistically significant (p < 0.05). There was no significant difference in TCM syndrome score and clinical efficacy between the two groups after treatment (p > 0.05). The two groups were followed up for one month after the treatment of TCM syndromes score and clinical efficacy, the difference was statistically significant (P0.05). Conclusion 1. Gossip scalp acupuncture combined with fire dragon medicine moxibustion therapy and solanolam were effective in improving sleep time, sleep efficiency, sleep quality, sleep disorder and daytime dysfunction score of insomnia patients with deficiency of both heart and spleen. 2. Bagua scalp acupuncture combined with fire dragon medicine moxibustion for insomnia of deficiency of both heart and spleen is equivalent to oral sulfamide. The long-term curative effect of the treatment of insomnia of deficiency of heart and spleen is better than that of oral sulfamide, and it is worth popularizing in clinic.
【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(lèi)號(hào)】：R246.6

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