针刺辨证治疗功能性消化不良伴睡眠障碍65例.docVIP

针刺辨证治疗功能性消化不良伴睡眠障碍65例 刘巧媚1周利2张春丽1 胡晔1 张红星2 (1.湖北中医药大学针灸骨伤学院,湖北武汉430061;2.湖北省武汉市中西医结合医院,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%，经卡方检验，组间差异有统计学意义（P ＜0.05）。治疗完成1 月后随访时, 两组相对治疗前PSQI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PSQI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 Treatment based on syndrome differentiation acupuncture on functional dyspe- psia with sleep disorders in 65 cases LIU Qiao-mei 1 , ZHOU Li2 ,ZHANG Chun-li1 ,HU Ye1 ,ZHANG Hong-xing2 (1.Hubei University of traditional Chinese Medicine College of acupuncture and bone injury, Wuhan Hubei 430061;2. Wuhan City, Hubei province with combination of TCM and Western medicine hospital ,Wuhan, Hubei 430022) ABSTRACT: Objective Observation on the syndrome differentiation and treatment of functional dyspepsia with acupuncture clinical effects of sleep disorders. Methods 65 case studies using random numbers table objects are divided into 38 cases of treatment group, control group in 27 cases. On syndrome differentiati-on typing in patients with treatment groups, respectively applying to verify the appropriate acupuncture in the treatment of; control group is not unified syndrome differentiation acupuncture treatment. Two groups of patients before and after treatment of symptom score and clinical indices, PSQI, SF-36 and HAD score compares. Results Total effective rate 92.1% treatment group, control group total effective rate 70.37%, Chi square test, there was a statistically significant difference between groups (P0.05). When follow-up after treatment is complete in January, two sets of relative PSQI before treatment and HAD si-gnificantly reduced, SF-36 significantly increased (P0.01); And therapy trea-tment group compared with the same perio