十三鬼穴配合养心安神针法治疗顽固性失眠30例临床观察(1)
摘要：目的观察十三鬼穴配合养心安神针法治疗顽固性失眠的临床疗效。方法将60例顽固性失眠患者随机分为观察组和对照组，观察组30例采用十三鬼穴配合养心安神针法治疗，对照组30例仅采用常规针刺，每周进行3次，10次为1疗程，2个疗程后进行疗效评定。结果观察组总有效率9333%，对照组总有效率7667%，差异具有统计学意义(P<005)。治疗前后2组患者睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能等PSQI各分项评分、总分，AIS评分，差异均具有统计学意义(P<005)。结论十三鬼穴配合养心安神针法治疗顽固性失眠疗效显著，为临床提供一种新颖独特的治疗方法，值得在临床上推广应用。
关键词：十三鬼穴；养心安神；顽固性失眠
中图分类号：R25623文献标志码：B文章编号：1007-2349(2017)08-0066-03
[WT5HZ][JZ]Clinical Observation on 30 Cases of Intractable Insomnia Treated by Thirteen Ghost Acupoints Combined[JZ]with Acupuncture Manipulation to Tranquilize Mind by Nourishing Heart
[WT5BZ][JZ]WANG Zu-hong1，GUO Chun-yan1，LI Yan2，BAO Xiong-ying2
[WT5"BX][JZ](1Traditional Chinese Medicine Hospital of Kunming City，Kunming 650011，China；[JZ]
2Yunnan University of Traditional Chinese Medicine，Kunming 650011，China)
[WTHZ]【Abstract】[WTBZ]Objective：To observe the clinical curative effect of thirteen ghost acupoints combined with acupuncture manipulation to tranquilize mind by nourishing heart on the treatment of intractable insomniaMethods：60 patients were randomly divided into an observation group and a control group，30 cases per groupThe observation group was treated with thirteen ghost acupoints while the control group was treated with conventional acupuncture alone，three times a week，10 times a course of treatmentThe effect evaluation was made after 2 coursesResults：The total effective rate was 9333% in the observation group and 7667% in the control group，and the difference was statistically significant(P<005)The score，total score and AIS score of PSQI in sleep quality，asleep time，sleep time，sleep efficiency，sleep disturbance and daytime function were statistically significant(P<005)Conclusion：Thirteen ghost acupoints are effective in the treatment of intractable insomnia，which is a new and unique treatment method，worthy of clinical application
[WTHZ]【Key words】[WTBZ]thirteen ghost acupoints，tranquilize mind by nourishing heart，intractable insomnia
[KG(0.15mm]頑固性失眠是指入睡困难、睡后易醒及早醒、睡眠质量低下、睡眠时间明显减少，有严重的患者还彻夜不眠等。长期失眠易引起心烦易乱、疲乏无力，甚至以头痛、多梦、多汗、记忆力减退，还可引起一系列临床症状，并诱发一些心身性疾病。是临床中常见病、多发病之一，病程较长，缠绵难愈。随着生活节奏的加快，竞争环境日益加剧，该病的发病率呈上升趋势，针对失眠的流行病学调查资料显示，10079例北京、上海、广州和杭州被访者中，其中，425%在回答亚森失眠量表时表明他们的整体睡眠质量不理想[1]。流行病学调查[2-3]表明，全球约每10～12人中就有1人患失眠，欧美国家中患病率高达352%，我国目前失眠症的发病率达10%～20%。[KG)]
笔者运用十三鬼穴配合养心安神针法治疗顽固性失眠，进行临床治疗和观察，以匹兹堡睡眠质量指数评定量表(PSQI)、阿森斯失眠量表(AIS)为观察指标，通过治疗前后疗效对比，疗效较为满意，现报道如下。
1临床资料
11一般资料所有病例均来自2013年6月～2016年6月昆明市中医医院针灸科门诊患者，经相关检查后确诊为顽固性失眠。采用随机数字表法将60例患者按1：1的比例分为观察组和对照组各30例，2组在性别、年龄、病程等方面无统计学意义(P>005)，具有可比性，见表1。, http://www.100md.com(王祖红郭春艳李艳包雄英)
关键词：十三鬼穴；养心安神；顽固性失眠
中图分类号：R25623文献标志码：B文章编号：1007-2349(2017)08-0066-03
[WT5HZ][JZ]Clinical Observation on 30 Cases of Intractable Insomnia Treated by Thirteen Ghost Acupoints Combined[JZ]with Acupuncture Manipulation to Tranquilize Mind by Nourishing Heart
[WT5BZ][JZ]WANG Zu-hong1，GUO Chun-yan1，LI Yan2，BAO Xiong-ying2
[WT5"BX][JZ](1Traditional Chinese Medicine Hospital of Kunming City，Kunming 650011，China；[JZ]
2Yunnan University of Traditional Chinese Medicine，Kunming 650011，China)
[WTHZ]【Abstract】[WTBZ]Objective：To observe the clinical curative effect of thirteen ghost acupoints combined with acupuncture manipulation to tranquilize mind by nourishing heart on the treatment of intractable insomniaMethods：60 patients were randomly divided into an observation group and a control group，30 cases per groupThe observation group was treated with thirteen ghost acupoints while the control group was treated with conventional acupuncture alone，three times a week，10 times a course of treatmentThe effect evaluation was made after 2 coursesResults：The total effective rate was 9333% in the observation group and 7667% in the control group，and the difference was statistically significant(P<005)The score，total score and AIS score of PSQI in sleep quality，asleep time，sleep time，sleep efficiency，sleep disturbance and daytime function were statistically significant(P<005)Conclusion：Thirteen ghost acupoints are effective in the treatment of intractable insomnia，which is a new and unique treatment method，worthy of clinical application
[WTHZ]【Key words】[WTBZ]thirteen ghost acupoints，tranquilize mind by nourishing heart，intractable insomnia
[KG(0.15mm]頑固性失眠是指入睡困难、睡后易醒及早醒、睡眠质量低下、睡眠时间明显减少，有严重的患者还彻夜不眠等。长期失眠易引起心烦易乱、疲乏无力，甚至以头痛、多梦、多汗、记忆力减退，还可引起一系列临床症状，并诱发一些心身性疾病。是临床中常见病、多发病之一，病程较长，缠绵难愈。随着生活节奏的加快，竞争环境日益加剧，该病的发病率呈上升趋势，针对失眠的流行病学调查资料显示，10079例北京、上海、广州和杭州被访者中，其中，425%在回答亚森失眠量表时表明他们的整体睡眠质量不理想[1]。流行病学调查[2-3]表明，全球约每10～12人中就有1人患失眠，欧美国家中患病率高达352%，我国目前失眠症的发病率达10%～20%。[KG)]
笔者运用十三鬼穴配合养心安神针法治疗顽固性失眠，进行临床治疗和观察，以匹兹堡睡眠质量指数评定量表(PSQI)、阿森斯失眠量表(AIS)为观察指标，通过治疗前后疗效对比，疗效较为满意，现报道如下。
1临床资料
11一般资料所有病例均来自2013年6月～2016年6月昆明市中医医院针灸科门诊患者，经相关检查后确诊为顽固性失眠。采用随机数字表法将60例患者按1：1的比例分为观察组和对照组各30例，2组在性别、年龄、病程等方面无统计学意义(P>005)，具有可比性，见表1。, http://www.100md.com(王祖红郭春艳李艳包雄英)
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