【作者】 杨运达；

【导师】 赖新生；

【作者基本信息】 广州中医药大学 ， 针灸推拿学， 2010， 博士

【摘要】 研究目的通过随机对照临床研究,对五脏调神针刺法治疗失眠的有效性进行评价。研究方法选取2009年2月至2010年4月在台北康禾堂中医诊所就诊的符合纳入标准的60例失眠患者,随机分为治疗组和对照组,每组30例。治疗组针刺选取五脏原穴：神门、太冲、太白、太渊、太溪；对照组选取神门、三阴交、四神聪。两组患者治疗1个疗程评价疗效。通过Epworth困倦量表、自评焦虑量表(SAS)、自评抑郁量表(SDS)、匹兹堡睡眠质量指数量表(PSQI)、中医证候量表进行治疗前后的自身以及组间对比,观察失眠患者的夜间睡眠质量以及白昼机能状态的改善情况。结果1.疗程结束时,匹兹堡睡眠质量指数较治疗前明显下降(P<0.05),组间差异有统计学意义(P<0.05)。2.疗程结束时,Epworth困倦量表积分较治疗前明显下降(P<0.05),组间差异有统计学意义(P<0.05)。3.疗程结束时,SAS量表积分较治疗前明显下降(P<0.05),组间差异有统计学意义(P<0.05)。4.两组治疗后,患者中医症状计分比较,差异有显著性意义(P<0.05)。5.疗程结束时,治疗组痊愈17例,显效7例,有效3例,无效2例,总有效率93.1%,对照组痊愈8例,显效10例,有效6例,无效4例,总有效率85.7%,两组的总体疗效经统计学处理,差异有统计学意义(P<0.05)。结论“五脏调神”针法具有调节睡眠的作用,它不仅能够改善患者夜间的睡眠质量,同时也能够有效的提高患者白天的机能状态,还可以缓解失眠带来的焦虑及抑郁情绪,其临床疗效明显优于传统针刺治疗。更多还原

【Abstract】 ObjectiveTo evaluated the effect of needling by regulating five viscera on insomnia by a randomized controlled trial. MethodsAccording to the inclusive criteria,60 cases were chosen from the Taibei Kanghetang Chinese clinic.60 cases were randomly divided into a treatment group (n=30) and a control group(n=30). The treatment group was treated with acupuncture at Yuan point of five viscera. The control group was treated with acupuncture at Shenmen, Sanyinjiao, Sishencong. After receiving a course of treatment, A few tables such as Epworth’s weary schedule, Self-anxiety schedule(SAS), Self-depression schedule, PSQI,TCM symptom schedule)are made to compare the effect before and after the treatment or interclass so as to know the situation of sleeping at night and status during the daytime.Results1. After the treatment by Needling by regulating five viscera, the Pittsburgh sleep quality index was lower than that of the beginning (P< 0.05) There were statistically significant differences between the two groups (P <0.05).2. After the treatment by Needling by regulating five viscera, the Epworth’s weary schedule was lower than that of the beginning (P< 0.05) There were statistically significant differences between the two groups (P <0.05).3. After the treatment by Needling by regulating five viscera, the SAS score was lower than that of the beginning (P< 0.05). There were statistically significant differences between the two groups (P<0.05)4. After treatment, there were statistically significant differences between the two groups in TCM symptom integral (P<0.05). 5. After treatment, in the treatment group,17 cases were cured,7 cases were remarkably effective,3 cases were effective,2 cases were ineffective and the total effective rate was 93.1%. While in the control group,8 cases were cured,10 cases were remarkably effective,6 cases were effective,4 cases were ineffective and the total effective rate was 85.7%. There were statistically significant differences between the two groups in the clinical effect (P<0.05)Conclusion"Needling by regulating five viscera" not only can improve the sleep quality of the insomnia patient at night, but also improve the status of the function during the daytime. So it improves the living quality of the insomnia patent in the day and night. At the same time it can adjust the disorder function of five organs. The total clinical effect of "Needling by regulating five viscera" were superior to the traditional acupuncture.更多还原