针刺辨证治疗功能性消化不良伴睡眠障碍65例

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1、针刺辨证治疗功能性消化不良伴睡眠障碍65例刘巧媚'周利2张春丽'胡晔'张红星'(1.湖北中医药大学针灸骨伤学院，湖北武汉430061;2.湖北省武汉市中苗医结合医院，湖北武汉430022)【摘要】目的：观察针刺辨证治疗功能性消化不良伴睡眠障碍的临床疗效。方法：应用随机数字表将65例研究对象分为治疗组38例，对照组27例。对治疗组患者进行辨证分型，分别对证施以相应的针刺方案治疗；对照组则不辨证统一采用一种针刺方案治疗。对两组患者治疗前后症状积分及疗效指数、PSQI、HAD和SF-36评分进行比较。结果：治疗组总有效率92.10%,对照组总有效率70.37%

2、,经卡方检验，组I'可差异有统计学意义(P<0.05)。治疗完成1月后随访时，两组相对治疗前PSQT及HAD显著降低,SF-36显著升高(均P<0.01)；且疗后同期比较治疗组PSQ1及HAD明显低于对照组，SF-36明显高于对照组(均P<0.05)。结论：对功能性消化不良伴睡眠障碍患者进行辨证针刺和不辨证针刺都是有效的治疗手段，辨证针刺组的总有效率及远期的疗效均明显优于普通针刺组。【关键词】功能性消化不良；睡眠障碍；针刺；辨证Treatmentbasedonsyndromedifferentiationacupunctureonfunctionaldy

3、spepsiawithsleepdisordersin65casesLIUQiao-mei1,ZHOULi2,ZHANGChun-li1,HUYe,ZHANGHong-xing(1.HubeiUniversityoftraditionalChineseMedicineCollegeofacupunctureandboneinjury,WuhanHubei430061;2.WuhanCity,HubeiprovincewithcombinationofTCMandWesternmedicinehospital,Wuhan,Hubei430022)ABST

4、RACT:ObjectiveObservationonthesyndromedifferentiationandtreatmentoffunctionaldyspepsiawithacupunctureclinicaleffectsofsleepdisorders・Methods65casestudiesusingrandomnumberstableobjectsaredividedinto38casesoftreatmentgroup,controlgroupin27cases・Onsyndromedifferentiationtypinginpat

5、ientswithtreatmentgroups,respectivelyapplyingtoverifytheappropriateacupunctureinthetreatmentof;controlgroupisnotunifiedsyndromedifferentiationacupuncturetreatment.Twogroupsofpatientsbeforeandaftertreatmentofsymptomscoreandclinicalindices,PSQI,SF-36andHADscorecompares・ResultsTotal

6、effectiverate92・1%treatmentgroup,controlgrouptotaieffective:rate70.37%,Chisquaretest,therewasastatisticallysignificantdifferencebetweengroups(P<0.05)-Whenfollow-upaftertreatmentiscompleteinJanuary,twosetsofrelativePSQIbeforetreatmentandIIADsignificantlyreduced,SF-36significantly

7、increased(P<0.01);AndtherapytreatmentgroupcomparedwiththesameperiodafterPSQIandHADsignificantlylowerthanthecontrolgroup,SF-36significantlyhigherthanthecontrolgroup(P<0・05).ConclusionOnfunctionaldyspepsiawithacupunctureofsyndromeDiff-erentiationinpatientswithsleepdisordersandwit

8、houtacupunctureisaneffectivemeansoftrea