背部经穴手法治疗失眠的临床效果.docVIP

背部经穴手法治疗失眠的临床效果 　　[摘要] 目的 探讨背部经穴手法治疗失眠的效果。 方法 选取2015年9月～2016年9月上海中医药大学附属岳阳中西医结合医院门诊确诊为失眠的患者30例，依据随机数字表法分为传统推拿手法治疗组（A组）15例和背部经穴手法治疗组（B组）15例。A组给予传统推拿手法治疗，B组给予背部经穴手法治疗，比较两组的临床疗效和治疗前后匹兹堡睡眠质量指数（PSQI）评分。 结果 两组疗效比较，差异有统计学意义（P 0.05）。两组治疗前后PSQI各项评分比较，差异有统计学意义（P 0.05）；两组治疗后睡眠质量、入睡时间评分和PSQI总分比较，差异有统计学意义（P 0.05）。 结论 背部经穴手法治疗失眠的初步临床效果显著，值得进一步验证研究。 　　[关键词] 背部经穴；手法；失眠 　　[中图分类号] R245.9 [文献标识码] A [文章编号] 1673-7210（2017）04（a）-0117-03 　　[Abstract] Objective To explore effect of back meridian manipulation in the treatment of insomnia. Methods 30 patients with insomnia from September 2015 to September 2016 in Outpatient Department of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine were selected and divided into traditional manipulation group （group A， 15 cases） and back meridian manipulation group （group B， 15 cases） according to random number table method. Traditional manipulation was used in group A， back meridian manipulation was applied in group B. Clinical effect， PSQI score before and after treatment between two groups were compared. Results The effect of two groups was compared， with statistical difference （P 0.05）. PSQI scores before and after treatment in two groups were compared， with statistical differences （P 0.05）. Sleep quality， sleep time and PSQI score between two groups after treatment were compared， with statistical differences （P 0.05）. Conclusion The effect of back meridian manipulation in the treatment of insomnia is significant， it is worthy of further study. 　　[Key words] Back meridian； Manipulation； Insomnia 　　失眠，又称为“不得卧”或“不寐”，是指患者对睡眠时间和/或质量不满足并影响日间社会功能的一种主观体验[1]。失眠为临床多发病，严重影响患者的生存质量。中医非药物疗法对失眠有治疗优势。在长期临床工作和研究中发现，以手法刺激背部经穴，可明显改善患者睡眠状态，提高睡眠质量。本研究主要探讨背部经穴手法治疗失眠的效果和机制。 　　1 资料与方法 　　1.1 一般资料 　　选取2015年9月～2016年9月上海中医药大学附属岳阳中西医结合医院门诊确诊为失眠的患者30例，依据随机数字表法分为两组：传统推拿手法治疗组（A组）15例和背部经穴手法治疗组（B组）15例。A组男7例，女8例；平均年龄（38.67±5.41）岁；平均病程（46.60±10.64）d。B组男5例，女10例；平均年龄（38.47±5.84）岁；平均