交通心肾推拿法治疗心肾不交型失眠症的临床疗效视察.pdfVIP

提 要 目的：本课题通过观察交通心肾推拿法对心肾不交型失眠症患者临床疗效的影 响，探讨此法治疗失眠症的临床机理，以寻求推拿治疗失眠症的新思路。 方法：本课题共选择符合《中国精神病分类与诊断标准 (CCMD-2-R) 》中失眠症 的诊断标准和中医不寐心肾不交型辨证标准的 60 例病人，随机分为两组，治疗组 30 例，对照组 30 例。治疗组给予交通心肾推拿法治疗，对照组口服舒乐安定。观察治 疗前后两组 PSQI 评分及中医证候评分表评分变化，并对两组治疗后的副反应进行比 较。 结果：经统计学分析，治疗组总有效率为 86.67%，对照组总有效率为 83.33%， 两组总疗效经秩和检验无显著差异 (P 0.05) ，说明交通心肾推拿法治疗心肾不交型 失眠症与口服舒乐安定疗效相当。但在改善 PSQI 量表的评分上，治疗组优于对照组 (P0.05) ；在改善中医症状方面，治疗组明显优于对照组 (P 0.01) ；并且治疗组的 不良反应明显少于对照组 (P 0.01) 。 结论：交通心肾推拿法具有交通心肾、滋阴安神的作用，对心肾不交型失眠症患 者有较好的疗效，可明显改善患者的中医症状，与口服舒乐安定相比副作用小，是一 种绿色健康的疗法。 关键词: 失眠症，心肾不交，交通心肾，推拿，临床研究，健康疗法 The Observation of the Clinical Effects by Applying Jiaotongxinshen Tuina Method to Treat Imbalance between Heart-Yang and Kidney-Yin Tpye of Insomnia Speciality: Acupuncture Moxibustion and Tuina Author:Su Riliang Tutor: Professor Ji Yuan Abstract Objective: According to the observation of the influences to the clinical efficacy by applying Jiaotongxinshen tuina method to treat imbalance between heart-yang and kidney-yin tpye of insomnia, this paper discusses the clinical mechanism to treat insomnia with this method, to seek new ideas to treat insomnia with tuina method. Method: 60 insomnia Patients who meet the dignostic criteria inChinas psychiatric classification and diagnosis standard (CCMD - 2 - R) and the TCM criteria for imbalance between heart yang and kidney yin type of insomnia ,were randomly divided into two groups: 30 cases in the treatment group,and 30 cases in the control group.The treatment group was given Jiaotongxinshen tuina method,and the control group took estazolam. Observe the PSQI scores and symptom assessing scores before and after t