CAJ | 학술논문

目的：探讨中医辨证施治结合饮食调养和穴位按摩治疗社区失眠患者的效果。方法将152例失眠患者随机分为对照组85例和干预组67例，两组患者在接受辨证施治基础上，对照组给予常规护理，干预组在常规护理基础上，给予辨证饮食调养和穴位按摩。3个月后比较两组患者匹兹堡睡眠质量指数（pittsburgh sleep quality index，PSQI）得分及治疗效果。结果治疗（干预）后，除睡眠障碍外，PSQI总分与睡眠质量等5个维度得分均明显较治疗（干预）前降低，组内前后比较，差异具有统计学意义（均P＜0.05）；治疗（干预）后，在入睡时间、睡眠时间、睡眠效率及PSQI总分方面，干预组患者得分明显低于对照组，两组比较，差异具有统计学意义（均P＜0.05）；两组疗效比较，P＜0.05，差异具有统计学意义，干预组疗效明显优于对照组。结论根据中医辨证施治结合饮食调养和穴位按摩治疗社区失眠患者，能有效改善患者睡眠质量。
목적：탐토중의변증시치결합음식조양화혈위안마치료사구실면환자적효과。방법장152례실면환자수궤분위대조조85례화간예조67례，량조환자재접수변증시치기출상，대조조급여상규호리，간예조재상규호리기출상，급여변증음식조양화혈위안마。3개월후비교량조환자필자보수면질량지수（pittsburgh sleep quality index，PSQI）득분급치료효과。결과치료（간예）후，제수면장애외，PSQI총분여수면질량등5개유도득분균명현교치료（간예）전강저，조내전후비교，차이구유통계학의의（균P＜0.05）；치료（간예）후，재입수시간、수면시간、수면효솔급PSQI총분방면，간예조환자득분명현저우대조조，량조비교，차이구유통계학의의（균P＜0.05）；량조료효비교，P＜0.05，차이구유통계학의의，간예조료효명현우우대조조。결론근거중의변증시치결합음식조양화혈위안마치료사구실면환자，능유효개선환자수면질량。
Objective To study effect of TCM-based syndrome differentiation combined with diet nursing and point massage on insomnia.Methods Five hundred and twelve patients with insomnia were randomized into control group(n=85)and intervention group (n=67).The patients in both groups received treatment by TCM-based syndrome differentiation.Besides,the control group was given conventional nursing while those in the intervention group received diet nursing and point massage.The two groups were compared in three months in terms of sleep quality and curative effect.Results In comparisons of sleep quality index,the two groups both had statistically significant improvements respectively(both P<0.05).In terms of time to sleep, duration of sleep an sleep efficacy and Pittsburg sleep quality index,the intervention group scored significantly lower than the control group(all P<0.05).In terms of curative effect,the intervention group was significantly higher than the control group(P<0.05).Conclusion The method of TCM-based syndrome differentiation combined with diet nursing and point massage is effective in improving the sleep quality of those with insomnia.