泻南补北安神针法合刮痧拔罐治疗顽固性失眠疗效观察
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摘要
目的观察泻南补北安神针法合刮痧拔罐治疗顽固性失眠的效果。方法将82例顽固性失眠患者随机分为治疗组和对照组,其中治疗组39例(2例脱落),对照组41例。治疗组采用泻南补北安神针法合刮痧拔罐治疗,对照组采用常规针刺治疗,2组均治疗8周。采用匹兹堡睡眠质量指数(PSQI)评价2组患者治疗前后睡眠质量,匹兹堡睡眠质量指数减分率评定临床疗效。结果 2组治疗后PSQI评分中睡眠质量、睡眠时间、入睡时间、睡眠障碍、睡眠效率评分及总分均明显降低(P均<0.05),且治疗组各评分均明显低于对照组(P均<0.05)。治疗组总有效率明显高于对照组(P<0.05)。结论泻南补北安神针法合刮痧拔罐治疗顽固性失眠疗效确切,治疗效果优于常规针法治疗。
Objective It is to observe the effect of acupuncture for purging the south, tonifying the north and tranquilizing the spirit with cupping and guasha on intractable insomnia. Methods Eighty-two patients with refractory insomnia were randomly divided into treatment group and control group, including 39 patients in the treatment group(2 patients expulsion) and 41 patients in the control group. The treatment group was treated with acupuncture for purging the south, tonifying the north and tranquilizing the spirit with cupping and guasha, the control group was treated with conventional acupuncture method, both groups were treated for 8 weeks. The Pittsburgh Sleep Quality Index(PSQI) was used to evaluate sleep quality, and the Pittsburgh Sleep Quality Index was used to assess the efficacy. Results The scores of sleep quality, sleep time, sleep latency, sleep disorder and sleep efficiency and total scores in PSQI were significantly improved after treatment in the two groups(P<0.05), and the improvements of the scores in the treatment group were better than those in the control group(P<0.05). The effective rate of the treatment group was significantly higher than that of the control group(P<0.05). Conclusion The acupuncture for purging the south, tonifying the north and tranquilizing the spirit with cupping and guasha is effective in the treatment of intractable insomnia, and the therapeutic effect is better than conventional treatment.
Objective It is to observe the effect of acupuncture for purging the south, tonifying the north and tranquilizing the spirit with cupping and guasha on intractable insomnia. Methods Eighty-two patients with refractory insomnia were randomly divided into treatment group and control group, including 39 patients in the treatment group(2 patients expulsion) and 41 patients in the control group. The treatment group was treated with acupuncture for purging the south, tonifying the north and tranquilizing the spirit with cupping and guasha, the control group was treated with conventional acupuncture method, both groups were treated for 8 weeks. The Pittsburgh Sleep Quality Index(PSQI) was used to evaluate sleep quality, and the Pittsburgh Sleep Quality Index was used to assess the efficacy. Results The scores of sleep quality, sleep time, sleep latency, sleep disorder and sleep efficiency and total scores in PSQI were significantly improved after treatment in the two groups(P<0.05), and the improvements of the scores in the treatment group were better than those in the control group(P<0.05). The effective rate of the treatment group was significantly higher than that of the control group(P<0.05). Conclusion The acupuncture for purging the south, tonifying the north and tranquilizing the spirit with cupping and guasha is effective in the treatment of intractable insomnia, and the therapeutic effect is better than conventional treatment.
引文
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[16] 滕斐,张永臣.针刺加拔罐治疗心肾不交型失眠20例[J].江西中医药,2012,6(43):39-40
[2] 孙国杰.针灸学[M].上海:上海科学技术出版社,2001:250-251
[3] 路桃影,李艳,夏萍,等.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学,2014,43(3):260-263
[4] 国家中医药管理局.22个专业95个病种中医诊疗方案[S].北京:国家中医药管理局医政司,2010:59
[5] 王艳君,韩一栩,王晔博,等.调督安神针法结合归脾汤治疗心脾两虚型不寐的疗效观察[J].世界中医药,2016,6(11):1070-1073
[6] 任珊.《黄帝内经》论治睡眠理论与不寐[J].中医研究,2011,24(4):3-5
[7] 肖文海.浅谈失眠证的辨证施治[J].中国中医药现代远程教育,2014,12(11):121-122
[8] 石学敏,戴锡孟,王键.中医内科学[M].北京:中国中医药出版社,2009:113-120
[9] 唐容川.血证论[M].北京:人民卫生出版社,2005:131
[10] 刘兵,杨芳.“肾藏精,精舍志”理论在治疗不寐中的应用[J].辽宁中医药大学学报,2018,20(4):163-165
[11] 马哲.益元安神方联合针灸[J].中医研究治疗老年失眠的临床观察,2018,33(3):375-377
[12] 李铁,哈丽娟,曹方,等.王富春教授“镇静安神”针法治疗失眠经验撷要[J].中国针灸,2015,35(11):1159-1161
[13] 叶天龙,周时高,王延红.基于中医传承辅助平台的针灸治疗失眠选穴组方规律分析[J].上海中医药杂志,2016,50(6):14-16
[14] 孙秋华,孟繁洁.中医护理学[M].北京:人民卫生出版社,2012:212
[15] 李国秀.辨证取穴刮痧配合配合情志护理治疗失眠[J].护理学杂志,2007,22(9):41-42
[16] 滕斐,张永臣.针刺加拔罐治疗心肾不交型失眠20例[J].江西中医药,2012,6(43):39-40