| 谭江勇,易玮.靳三针联合重复经颅磁治疗心脾两虚型失眠的临床研究[J].浙江中医药大学学报,2019,43(2):188-191. |
| 靳三针联合重复经颅磁治疗心脾两虚型失眠的临床研究 |
| The Clinical Study of Jin's Three-needle Therapy with Repetitive Transcranial Magnetic Stimulation Treating Insomnia of Deficiency of Heart and Spleen |
| DOI：10.16466/j.issn1005-5509.2019.02.015 |
| 中文关键词: 失眠 靳三针 重复经颅磁 心脾两虚 调神 匹兹堡睡眠质量指数 |
| 英文关键词: insomnia Jin's Three-needle Therapy Repetitive Transcranial Magnetic Stimulation(rTMS) deficiency of heart and spleen regulation of the mind Pittsburgh sleep quality index |
| 基金项目:广东省教育厅创新强校工程国家级重大培育项目(2014GKXM031) |
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| 中文摘要: |
| [目的]观察靳三针联合重复经颅磁(repetitive transcranial magnetic stimulation, rTMS)治疗心脾两虚型失眠的临床疗效。[方法]将符合纳入标准的60例失眠患者，依照随机数字表法随机分为A、B两组。B组予重复经颅磁治疗，A组在B组基础上增加针刺治疗，一天一次，以6天为一个疗程，共治疗4个疗程，治疗前后进行匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分。[结果]组内比较:与治疗前对比，两组治疗后PSQI评分均有显著下降，且差异均具有统计学意义(P<0.01)；组间比较:①两组治疗后PSQI评分对比，A组小于B组，差异具有统计学意义(P<0.05)；②两组患者治疗后总有效率比较，A组高于B组，且差异具有统计学意义(P<0.05)。[结论]靳三针联合重复经颅磁刺激能明显改善心脾两虚型失眠患者的睡眠质量，且疗效优于单用重复经颅磁治疗。 |
| 英文摘要: |
| [Objective]To observe the clinical effect of Jin's Three-needle Therapy combined with Repetitive Transcranial Magnetic Stimulation(rTMS) on insomnia with deficiency of heart and spleen. [Methods]Sixty patients with insomnia were randomly divided into group A and group B according to the random number table method. The group B was treated with rTMS. And the group A was treated with acupuncture based on the group B. All patients were treated one time per day, 6 days for a course of treatment, and 1 month for observed period of treatment. Scores of Pittsburgh sleep quality index(PSQI) were observed before and after treatment in the both groups. [Results]Intra-group comparison: Compared with before treatment, scores of PSQI in all groups were significantly decreased after treatment, and the difference was statistically significant(P<0.01) in both groups. Comparison between groups:①Compared with average scores of PSQI in two groups after treatment, group A was lower than group B, and the difference was statistically significant(P<0.05).②Group A was higher than group B when compared with the total effective rate after treatment, and the difference was statistically significant(P<0.05). [Conclusion]Combined with rTMS and Jin's Three-needle Therapy can significantly improve the sleep quality of patients with insomnia of deficiency of heart and spleen, and its curative effect is better than rTMS alone. |
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