浙江中西医结合杂志
浙江中西醫結閤雜誌
절강중서의결합잡지
ZHEJIANG JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE
2013年
10期
785-786,836
,共3页
失眠%心脾两虚型%掌振法%神阙
失眠%心脾兩虛型%掌振法%神闕
실면%심비량허형%장진법%신궐
insomnia%deficiency of the spleen and heart organ%palm vibrating method%Shenque
目的：：观察掌振神阙法治疗心脾两虚型失眠的临床疗效。方法：60例失眠患者，随机分为治疗组和对照组，各30例。治疗组以掌振神阙穴代替常规推拿手法中的腹部操作治疗；对照组采用常规推拿手法治疗。采用匹兹堡睡眠质量指数（PSQI）量表评估两组治疗前后睡眠变化情况，比较两组临床疗效差异。结果：治疗组总有效率86.67%，痊愈率16.67%；对照组分别为80.00%和13.33%。两组治疗后总有效率比较，差异无统计学意义（P跃0.05）。治疗前后两组入睡时间、睡眠时间、睡眠效率、日间功能障碍的PSQI评分和总分比较，差异有统计学意义（P<0.05）；治疗后两组睡眠质量评分比较，差异有统计学意义（P约0.05）。结论：掌振神阙法治疗心脾两虚型失眠与常规推拿法临床疗效相当。但掌振神阙法在改善患者睡眠质量方面优于常规推拿法，而且操作简便，缩短治疗时间，更易被患者接受。
目的：：觀察掌振神闕法治療心脾兩虛型失眠的臨床療效。方法：60例失眠患者，隨機分為治療組和對照組，各30例。治療組以掌振神闕穴代替常規推拿手法中的腹部操作治療；對照組採用常規推拿手法治療。採用匹玆堡睡眠質量指數（PSQI）量錶評估兩組治療前後睡眠變化情況，比較兩組臨床療效差異。結果：治療組總有效率86.67%，痊愈率16.67%；對照組分彆為80.00%和13.33%。兩組治療後總有效率比較，差異無統計學意義（P躍0.05）。治療前後兩組入睡時間、睡眠時間、睡眠效率、日間功能障礙的PSQI評分和總分比較，差異有統計學意義（P<0.05）；治療後兩組睡眠質量評分比較，差異有統計學意義（P約0.05）。結論：掌振神闕法治療心脾兩虛型失眠與常規推拿法臨床療效相噹。但掌振神闕法在改善患者睡眠質量方麵優于常規推拿法，而且操作簡便，縮短治療時間，更易被患者接受。
목적：：관찰장진신궐법치료심비량허형실면적림상료효。방법：60례실면환자，수궤분위치료조화대조조，각30례。치료조이장진신궐혈대체상규추나수법중적복부조작치료；대조조채용상규추나수법치료。채용필자보수면질량지수（PSQI）량표평고량조치료전후수면변화정황，비교량조림상료효차이。결과：치료조총유효솔86.67%，전유솔16.67%；대조조분별위80.00%화13.33%。량조치료후총유효솔비교，차이무통계학의의（P약0.05）。치료전후량조입수시간、수면시간、수면효솔、일간공능장애적PSQI평분화총분비교，차이유통계학의의（P<0.05）；치료후량조수면질량평분비교，차이유통계학의의（P약0.05）。결론：장진신궐법치료심비량허형실면여상규추나법림상료효상당。단장진신궐법재개선환자수면질량방면우우상규추나법，이차조작간편，축단치료시간，경역피환자접수。
Objective:To observe the effect of vibrating Shenque point with palm on insomnia caused by the defi-ciency of the spleen and heart organ. Methods:The 60 insomnia patients selected were randomly divided into the treatment group and control group,30 patients in each group. The treatment group was treated by vibrating Shenque point with palm and the control group was treated by routine tuina. Pittsburgh sleep quality index(PSQI) scale was used to assess sleep changes of patients before and after treatment. Results:The treatment group had the total ef-fective rate of 86.67% and recovery rate of 16.67%,while the control group had the correponding rate of 80.00%and 13.33%,respectively,with no significant difference in the two rates between the 2 groups(P<0.05). Significant differences was noted in PSQI scores for the time of falling asleep,sleep duration,sleep efficiency,daytime dysfunc tion and the total scores before and after treatment in both groups(P <0.05). A significant difference was found in sleep quality between the 2 groups after treatment(P <0.05). Conclusion:Both of the tuina method by vibrating Shenque point with palm and the routine tuina method have the equivalent effect on treating insomnia caused by the deficiency of the spleen and heart organ. However, the former was not only more superior in improving the quality of sleep than the later,but also easier to operate,and it can reduce treatment time and improve work effi-ciency. So it can be easily accepted by patients.
