二0一0届硕士研究生学位论文“龙虎交战”针法为主治疗肝郁气滞型失眠症的临床研究-针灸推拿学专业论文.docxVIP

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。疗程结束及一月后 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(P0.0 5)。 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 ( P0.05) 。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。 关键词：“龙虎交战”针法 失眠 肝郁气滞型 抑郁状态 焦虑状态 Abstract Objective： To observe sleep and psychological condition of patients suffering insomnia caused by liver Qi stagnation, and the clinical effect of insomnia o f 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 droppe