通督推拿法治疗心脾两虚型失眠的临床探究.pdfVIP

提 要 目的：通过临床随机对照的研究方法，观察采用通督推拿法治疗心脾两虚型失眠 的疗效，探讨通督推拿法治疗心脾两虚型失眠的作用机制及优势。方法：将符合纳入 标准的 60 例入选病例，按病例入选后顺序用随机数字表方法随机分组，决定受试者 所采用的治疗措施，具体包括治疗组30例、对照组30例。治疗组采用通督推拿法进 行治疗，每日治疗一次，15 次为一疗程，治疗两个疗程；对照组采用耳穴压豆法进 行治疗，3天更换一次，两耳交替使用，15天为1疗程，共治疗2疗程。在首次治疗 前和末次治疗后，按照统一评价标准进行评分记录。 结果：两组患者治疗后睡眠质 量症状积分、中医证候评分、PSQI 总评分对比，治疗组优于对照组；两组患者治疗 后PSQI各指标评分对比，睡眠质量、入眠时间、日间功能障碍的改善无显著性差异； 两组患者的睡眠时间、睡眠障碍指标的比较，有显著性差异（P0.01），治疗组优于 对照组；两组患者的睡眠效率、总评分、总评分差值的比较，有差异性（P0.05）， 治疗组优于对照组；两组患者治疗后失眠临床总疗效的比较，治疗组优于对照组。结 论：通督推拿法对心脾两虚型失眠有较好的临床疗效，在消除症状及提高睡眠质量方 面效果明显。 关键词 失眠；心脾两虚型；通督推拿法；临床研究 Clinical Research on Insomnia of Heart-spleen Deficiency Type by Tongdu Massage Speciality: Acupuncture, Moxibustion and Massage Author: Xu Zili Tutor: Wang Yongquan Abstract Objective: Through randomized controlled clinical research methods, to investigate the clinical effects of Tongdu massage in treating insomnia of heart and spleen deficiency type, and probe into the treating mechanism and the advantages of Tongdu massage. Methods: According to the inclusive criteria, 60 cases were selected, and were randomly devided into 2 groups using a random number table, 30 cases in each group. Tongdu massage was used in the treatment group, daily treatment, 15 times as a course of treatment, two courses totally; auricular point pressing with bean method was used in the control group, changed every 3 days, two ears alternatively used, 15 days as a course of treatment, two courses totally. Before and after treatment, the unified evaluation standard score were recorded. Results: After treatment, the sleep quality score of two groups, TCM syndromes score, total score of PSQI were contrasted, and the treatment group was better than the control group;