| 李增图,杨丽娉.掌振神阙法治疗心脾两虚型失眠临床观察[J].浙江中西医结合杂志,2013,23(10):785-836 |
| 掌振神阙法治疗心脾两虚型失眠临床观察 |
| Insomnia Caused by the Deficiency of the Spleen and Heart Organ Treated by Vibrating Shenque Point with Palm |
| 投稿时间：2013-05-20 |
| DOI： |
| 中文关键词: 失眠 心脾两虚型 掌振法 神阙 |
| 英文关键词:insomnia deficiency of the spleen and heart organ palm vibrating method Shenque |
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| 中文摘要: |
| 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>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<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。 |
| 英文摘要: |
| 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. |
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