镇肝安神脏腑推拿疗法治疗肝火扰心型失眠临床观察
Clinical Observation of Liver-Calming and Mind-Soothing Massage Therapy in the Treatment of Insomnia with Syndrome of Liver Fire Disturbing the Heart
典迎彬 1胡艳丽 1贾慧敏2
作者信息
- 1. 河南中医药大学第一附属医院龙子湖院区中医特色疗法中心,河南 郑州 450046
- 2. 河南中医药大学,河南 郑州 450046
- 折叠
摘要
目的:观察镇肝安神脏腑推拿疗法治疗肝火扰心型失眠的临床疗效.方法:选取2022 年4 月至2023 年9 月在河南中医药大学第一附属医院龙子湖院区中医特色疗法中心门诊就诊,符合肝火扰心型失眠诊断标准的患者70 例,采用随机数字表法分为治疗组和对照组,每组35 例.治疗组运用镇肝安神脏腑推拿疗法进行治疗,对照组给予龙胆泻肝汤治疗.观察两组治疗前后匹兹堡睡眠质量指数(pittsburgh sleep quality index,PQSI)评分、中医证候积分及临床疗效.结果:治疗组有效率为100.00%,对照组有效率为94.29%,治疗组有效率高于对照组,差异有统计学意义(P<0.05);两组治疗后PSQI评分均低于治疗前,且治疗组治疗后PSQI评分低于对照组,差异有统计学意义(P<0.05);两组治疗后中医证候积分均低于治疗前,且治疗组治疗后中医证候积分低于对照组,差异有统计学意义(P<0.05).结论:镇肝安神脏腑推拿疗法治疗肝火扰心型失眠,能提高疗效,改善患者症状.
Abstract
Objective:To observe the clinical efficacy of liver-calming and mind-soothing massage therapy on insomnia with syndrome of liver fire disturbing the heart.Methods:A total of 70 patients who met the diagnostic criteria for insomnia with syndrome of liver fire dis-turbing the heart and were treated at Longzi Lake Branch Traditional Chinese Medicine Characteristic Therapy Center of The First Affili-ated Hospital of Henan University of Chinese Medicine from April 2022 to September 2023 were selected.They were randomly divided into the treatment group and the control group,with 35 cases in each group.The treatment group was treated with liver-calming and mind-soothing massage therapy,while the control group received Gentian Liver-Draining Decoction.The changes in Pittsburgh Sleep Quality Index(PSQI),TCM syndrome scores,and clinical efficacy before and after treatment were compared between the two groups.Results:The effective rate was 100.0%in the treatment group,and 94.29%in the control group respectively,with the treatment group's higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,both groups showed a decrease in PSQI scores,with the treatment group showing a significantly lower score than that of the control group,and the difference was statistically significant(P<0.05).Both groups showed a decrease in TCM syndrome scores,and the treatment group had a signifi-cantly lower score than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Liver-calming and mind-soothing massage therapy significantly improves the clinical efficacy and alleviates symptoms in patients with insomnia of liver fire disturbing the heart type.
关键词
失眠/镇肝安神脏腑推拿/肝火扰心证/龙胆泻肝汤/兹堡睡眠质量指数Key words
insomnia/liver-calming and mind-soothing massage therapy/syndrome of liver fire disturbing the heart/Gentian Liver-Drai-ning Decoction/Pittsburgh Sleep Quality Index引用本文复制引用
出版年
2024