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1、中文摘要穴位埋線法對心脾兩虛型不寐證的臨床研究目的本研究旨在觀察穴位埋線治療心脾兩虛型不寐證的臨床療效和安全性,試圖找到一條臨床療效較好、運用較方便的治療途徑,并為臨床應(yīng)用提供證據(jù)。方法本研究選擇心脾兩虛型不寐證患者為研究對象,進行隨機對照臨床試驗。分為針刺組和穴位埋線組,每組各30例,針刺組對穴位進行普通針刺,留針30分鐘后拔針,穴位埋線組對選定的心俞、脾俞、內(nèi)關(guān)、足三里、三陰交埋入適當(dāng)長度的羊腸線。治療前及治療1個療程后分別采用匹茲堡睡眠質(zhì)量指數(shù)量表對患者進行評分。觀察患者睡眠質(zhì)量的改善情況,并對其進行安全性評價。結(jié)果兩組患者基線
2、比較,其年齡、性別、病程、治療前量表評分差異均無統(tǒng)計學(xué)意義(P>0.05),具有可比性。治療后兩組患者睡眠質(zhì)量均有明顯改善,針刺組總有效率達86.67%,穴位埋線組總有效率達96.67%,穴位埋線組略高于針刺組,但未顯示明顯差異。匹茲堡睡眠質(zhì)量指數(shù)量表評分比較,兩組治療后與治療前相比均有非常顯著性差異(P<0.01),治療后埋線組與針刺組比較也有非常顯著性差異(P<0.01),說明穴位埋線法對改善患者睡眠質(zhì)量的療效優(yōu)于針刺治療。結(jié)論穴位埋線法對心脾兩虛型不寐證的臨床研究表明:針刺和穴位埋線能有效地改善患者的睡眠質(zhì)量;穴位埋線改善睡眠質(zhì)
3、量療效優(yōu)于針刺組;穴位埋線法耗時少、刺激持久、方便易行,是治療失眠癥較為安全有效的方法。關(guān)鍵詞不寐,穴位埋線I萬方數(shù)據(jù)ABSTRACTClinicalObservationofCatgueImplantationatAcupointonInsomniawiththeTypeofDeficiencyofboththeHeartandSpleenObjective:Thepurposeofthisstudywastoobservetheclinicaleffectandsafetyofcatgueimplantationatacupion
4、toninsomniawiththetypeofdeficiencyofboththeheartandspleen,inordertofindaneffectiveandsaferemedy.Methods:Atotalof60insomniapatientswiththetypeofdeficiencyofboththeheartandspleencollectedinclinicalresearchwererandomlydividedintotwogroupswith30casesineach.Theacupuncturegro
5、uptreatedwithcommonacupuncture,keeptheneedlesinpointsfor30minutes;theothergrouptreatedwithcatgueimplantationatacupiontinXinshu,Pishu,Neiguan,Zusanli,Sanyinjiao.AllpatientswereassessedbyPittsburghSleepQualityIndex(PSQI),beforthetreatmentbeginandafteronecourseoftreatment.
6、Observethepatients’sleepqualityandestimatethismethed’ssafety.Results:Generalinformationofthetwogroupsincludingage,sex,courseofdiseases,pretherapyscalescorehadsignificantnodifference(P>0.05),thereforethetwogroupswerecomparable.Aftertreatment,bothgroupshadremarkableimprov
7、ement.Thetotaleffectiverateofacupuncturegroupwas86.67%,whiletheothergroupwas96.67%.It’seasytoknowthatthecurativeeffectofthecatgueimplantationatacupiontgroupwasmorebetterthantheacupuncturegroup,buttherewasnoconspicuousdifferencesinstatistics.Clinicalobservationsshowthata
8、ftertreatmentbothgroupsinPSQIassessmentscalescoreweresignificantlydifference(P<0.01)thanbeforetreatment.Thetwo