1. 航天中心医院中医科
2. 北京中医药大学东直门医院针灸科
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王婧, 孙文博, 刘云霞. 腹针治疗药物依赖性失眠患者30例疗效及躯体化因子聚类分析[J]. 北京中医药, 2018,37(4):315-317.
WANG Jing, SUN Wen-bo, LIU Yun-xia. Efficacy of abdominal acupuncture for 30 cases of drug-dependent insomnia and clustering analysis of somatization factors[J]. Beijing Journal of Traditional Chinese Medicine, 2018,37(4):315-317.
王婧, 孙文博, 刘云霞. 腹针治疗药物依赖性失眠患者30例疗效及躯体化因子聚类分析[J]. 北京中医药, 2018,37(4):315-317. DOI: 10.16025/j.1674-1307.2018.04.011.
WANG Jing, SUN Wen-bo, LIU Yun-xia. Efficacy of abdominal acupuncture for 30 cases of drug-dependent insomnia and clustering analysis of somatization factors[J]. Beijing Journal of Traditional Chinese Medicine, 2018,37(4):315-317. DOI: 10.16025/j.1674-1307.2018.04.011.
目的探讨腹针疗法治疗药物依赖性失眠的临床效果,并通过聚类分析为腹针治疗药物依赖性失眠提供理论依据。方法对30例药物依赖性失眠患者进行腹针疗法干预,对比治疗前后匹兹堡睡眠质量评分(PSQI)和症状自评量表(SCL-90),并通过聚类统计进行降维分析,探讨其理论基础。结果 PSQI及SCL-90量表总分治疗4周后与治疗前相比差异均有统计学意义(P<0.05),治疗后低于治疗前。SCL-90量表躯体化项T值由26例阳性(T>2)转为12例阳性,14例转阴,T值由2.56下降为1.96。结论故认为患者治疗前后躯体化症状有明显改善,而腹针对其作用机制主要与调动气血、调节气血运行、疏通经络有关。
Objective To discuss the efficacy of abdominal acupuncture on drug-dependent insomnia and establish the theoretical basis for it with clustering analysis. Methods 30 patients of drug-dependent insomnia were treated with abdominal acupuncture,and the pre-and post-treatment results of Pittsburgh Sleep Quality Index( PSQI) and symptom self-evaluation scale( SCL-90) were compared. The data were processed with clustering statistics and dimension reduction analysis to discuss the theoretical foundation for the treatment. Results The pre-/post-differences of PSQI and SCL-90 scores were both statistically significant( P < 0. 05) after four weeks of treatment,with post-treatment scores lowering than that of pre-ones. The items " somatization" on SCL-90 of 14 out of 26 patients turned from positive( pre-) to negative( post-) with T value reducing from 2. 56 to 1. 96. Conclution Somatic symptoms can be greatly improved by abdominal acupuncture after the treatment as the movement of qi and blood could be invigorated and adjusted and the meridian and collateral system could be smoothed.
腹针药物依赖性失眠躯体化
abdominal acupuncturedrug dependent insomniasomatization
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