针刺头三神穴结合原络配穴埋针治疗中风后心肾不交型失眠症临床研究
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R256.23;R246.6

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金华市科学技术研究计划项目(2019-4-140)


Clinical Study on Acupuncture at Tousanshen Points Combined with Embedding Needle with Source- Connecting Point Combination for Insomnia of Non- Interaction Between Heart and Kidney Type After Stroke
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    摘要:

    目的:观察针刺头三神穴结合原络配穴埋针治疗中风后心肾不交型失眠症的临床效果。方法:将60 例中风后心肾不交型失眠症患者按随机数字表法分为对照组和研究组各30 例。对照组给予常规穴位针刺治疗,研究组给予针刺头三神穴结合原络配穴埋针治疗。比较2 组临床疗效、不良反应情况,以及治疗前后2 组匹兹堡睡眠质量指数(PSQI) 评分、平均睡眠潜伏时间(MSL)、焦虑自评量表(SAS) 和抑郁自评量表(SDS) 负面情绪评分。结果:研究组临床总有效率为93.33%,对照组为73.33%,2 组比较,差异有统计学意义(P<0.05)。治疗前,2 组PSQI 评分、MSL 比较,差异无统计学意义(P>0.05);治疗后,2 组PSQI 评分、MSL 均较治疗前降低(P<0.05),且研究组PSQI 评分、MSL 均低于对照组(P<0.05)。治疗前,2 组SAS、SDS 评分比较,差异无统计学意义(P>0.05);治疗后,2 组SAS、SDS 评分均较治疗前降低(P<0.05),且研究组2 项评分均低于对照组(P<0.05)。研究组不良反应发生率为10.00%,对照组为16.67%,2 组比较,差异无统计学意义(P>0.05)。结论:针刺头三神穴结合原络配穴埋针治疗中风后心肾不交型失眠症疗效显著,可明显改善患者睡眠质量,缓解焦虑抑郁负面情绪,且安全性良好。

    Abstract:

    Abstract: Objective: To observe the clinical effect of acupuncture at Tousanshen points combined with embedding needle with source-connecting point combination for insomnia of non-interaction between the heart and the kidney type after stroke. Methods:A total of 60 cases of patients with insomnia of non-interaction between the heart and the kidney type after stroke were divided into the control group and the study group according to the random number table method,with 30 cases in each group. The control group was given acupuncture at routine points, and the study group was given acupuncture at Tousanshen points combined with embedding needle with source- connecting point combination. The Pittsburgh Sleep Quality Index(PSQI),Mean Sleep Latency(MSL),and negative emotion scores of Self- rating Anxiety Scale(SAS) and Selfrating Depression Scale(SDS) before and after treatment as well as the clinical effects and adverse reactions in the two groups were compared. Results:The total clinical effective rate was 93.33% in the study group and 73.33% in the control group, the difference being significant(P<0.05). Before treatment,there was no significant difference being found in the comparison of PSQI scores and MSL between the two groups(P>0.05);after treatment,the PSQI scores and MSL in the two groups were decreased when compared with those before treatment(P<0.05), and the PSQI score and MSL in the study group were lower than those in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparison of scores of SAS and SDS between the two groups(P>0.05);after treatment,the scores of SAS and SDS were decreased when compared with those before treatment(P<0.05),and the two scores in the study group were lower than those in the control group(P<0.05). The incidence of adverse reactions was 10.00% in the study group and 16.67% in the control group, there being no significance in the difference(P>0.05). Conclusion: Acupuncture at Tousanshen points combined with embedding needle with source- connecting point combination has a significant curative effect in treating insomnia of non- interaction between the heart and the kidney type after stroke, which can significantly improve sleep quality,relieve negative emotions including anxiety and depression with good safety.

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曾婷婷,侯文光,方斌,陈凌波,袁文敏.针刺头三神穴结合原络配穴埋针治疗中风后心肾不交型失眠症临床研究[J].新中医,2022,54(4):138-142

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  • 在线发布日期: 2022-02-24
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