【作者】 周睿；

【导师】 吴节；

【作者基本信息】 成都中医药大学 ， 针灸推拿学， 2010， 硕士

【摘要】 目的：观察肝郁气滞型失眠症患者睡眠及心境状态,观察“龙虎交战”针法治疗肝郁气滞型失眠症的临床疗效,为肝郁气滞型失眠症等身心疾病临床治疗提供一种新的针刺治疗方案。方法：采用对照、单盲临床试验方法,参照《中国精神科学会精神疾病分类方案与诊断标准第三版(CCMD-3)》、国家卫生部《中药新药临床研究指导原则》和国家中医药管理局颁发的《中医病症诊断疗效标准(1994)》将符合纳入标准的肝郁气滞型失眠患者分为治疗组和对照组,每组36例,针灸治疗1天1次,10次为一个治疗周期,1个月为治疗时间,病人治疗结束后分别于第3个月随访。对照组采用常规针刺,治疗组同时家用肝俞穴“龙虎交战”针法。疗程结束及-月后进行睡眠情况和焦虑状态的评分。所有数据采用计算机SPSS15.0处理。结果：按照临床试验计划和研究方案要求,共72例受试者入选本试验,其中肝俞龙虎交战针法治疗组36例,普通对照组36例。治疗组共脱失2例,照组共脱失3例其余均按试验计划完成治疗共67例。治疗后3个月随访,治疗组随访25人,对照组随访26人。治疗组痊愈率50%,对照组痊愈率为24.24%,治疗组高于对照组,差异有统计学意义(P>0.05)。结论：“龙虎交战”针刺组及普通针刺组对伴肝郁气滞型失眠症均有明显疗效(P<0.05),且“龙虎交战”针刺组的总体疗效优于普通针刺组,抑郁、焦虑状态方面与普通针刺法比较,有一定的优势,但差异无统计学意义(P<O.05)。治疗组的睡眠因子中“减少催眠药物使用”的治疗前后比较(P<0.05),“龙虎交战”针刺组可以减少催眠药物的使用。更多还原

【Abstract】 Objective:To observe sleep and psychological condition of patients suffering insomnia caused by liver Qi stagnation, and the clinical effect of insomnia of this type treated by "Dragon and Tiger war" method of acupuncture. To provide a new way to treat the physical and mental diseases such as insomnia caused by liver Qi stagnation.Methods:A randomized, controlled, single blind clinical trial, will be included in the standard liver Qi stagnation, insomnia were randomly divided into treatment group and control group 36 cases,1 day 1 acupuncture treatment,1 month for a treatment cycle, patients were treated after the 3 month follow-up. Control group, conventional acupuncture treatment group added in the liver shu points, "Dragon and Tiger war" acupuncture. After the end of each treatment cycle of sleep and anxiety score. All data processing with computer SPSS15.0.Results:According to the clinical trial and research program requirements, a total of 72 subjects were enrolled in this study, including liver shu points, "Dragon and Tiger war" acupuncture treatment group,36 cases,36 cases of normal control group. Treatment group,2 patients were dropped out, according to group 3 patients were dropped out, according to the pilot scheme a total of 67 patients completed the treatment.3 months after treatment, the patients were asked to pay follow-up visits, finally, the treatment group contained 25 cases and the control group consisted of 26 ones. The recovery rate of treatment group is 50%, and that of control group is 24.24%, it is obvious that the former is higherand the difference between them had statistical signif icance(P>0.05).Conclusion:There were obvious effect in treating insomnia-patients with liver-qi stagnation by both "Dragon and Tiger war" and normal methods of acupuncture. However, the totally effective power of group treated by "Dragon and Tiger war" method was higher than that of the later group. In treatment of depression, anxiety etc.,the former method was more effective, but there was no statistical significance. In treatment group, through comparing whether hypnotic drugs has been reduced by the two methods of acupuncture, we found the sleep-producing drugs could be reduced by treating with "Dragon and Tiger" war method.更多还原