摘要
目的:分析针灸治疗慢性失眠的时效性与量效性临床效果。方法:选取2017年3月至2019年3月菏泽市中医医院收治的慢性失眠患者50例作为研究对象,依据就诊顺序分为观察组和对照组,每组25例。对照组患者给予2个疗程的针灸治疗,观察组患者则给予4个疗程的针灸治疗,2组治疗时间分别采取上午和下午,比较2组患者临床治疗效果。结果:观察组的治疗总有效率显著高于对照组,患者安眠药使用次数及睡醒次数明显少于对照组,生命质量评分明显高于对照组,差异有统计学意义(P <0. 05)。通过治疗结果显示,针灸治疗的最佳治疗时间为下午(时效性),而治疗周期越长(量效性)且治疗效果越好。结论:对慢性失眠患者采取下午时间段进行针灸治疗,并根据患者病症情况适当延长治疗周期,最终可得到较好的临床治疗效果,使患者的睡眠质量及生命质量得到良好改善。
Objective: To analyze the clinical effect of acupuncture and moxibustion in the treatment of chronic insomnia. Methods: A ttal of 50 patients with chronic insomnia in TCM Hospital of Heze City from March 2017 to March 2019 were randomly selected. They were divided into observation group 25 cases and control group with 25 cases in each group according to the order of treatment. The control group were treated with two courses of acupuncture and moxibustion treatment,and the observation group were treated with four courses of acupuncture and moxibustion treatment. The treatment time of two groups were respectively morning and afternoon. The clinical effects of two groups were compared. Result: The total effective rate of observation group was significantly higher than that of control group,the number of sleeping pills used and the number of wake-ups were significantly less than those of control group,the quality of life scores were obviously higher than those of control group,the differences were all statistically significant(P < 0. 05). The treatment results show that the best time for acupuncture treatment is in the afternoon(timeliness),and the longer the treatment cycle(dose-effectiveness) and the better the treatment effect. Conclusion: Acupuncture and moxibustion therapy in the afternoon for patients with chronic insomnia and prolonging the treatment cycle according to the patient's condition can eventually achieve better clinical therapeutic effect,and it can improve the sleep quality and quality of life of patients.
引文
[1]朱崇霞.针灸治疗慢性失眠的时效性与量效性临床效果观察[J].中医临床研究,2017,9(2):87-88.
[2]李淑兰,姚冬梅.针灸联合共情护理对慢性失眠症患者睡眠质量的影响[J].中国当代医药,2017,24(21):194-196.
[3]邓海珊,徐凤宜.针灸治疗失眠症的临床治疗效果分析[J].内蒙古中医药,2017,36(8):112.
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