首页|振腹环揉推拿法对失眠患者血清胃泌素、胃动素含量影响的临床研究

振腹环揉推拿法对失眠患者血清胃泌素、胃动素含量影响的临床研究

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目的 探讨振腹环揉推拿法对失眠患者血清胃泌素、胃动素含量的影响.方法 在尊重临床伦理的前提下,招募40名胃失和降型失眠患者和20名健康志愿者,将40名患者随机分为治疗组和对照组,20名健康志愿者纳入健康组并未接受任何治疗;治疗组采取振腹环揉法进行治疗,每次30 min,每日1次;对照组采用保和丸口服,每次9 g,每日2次,5 d为1个疗程,共进行4个疗程;治疗前后,对2组患者的匹茨堡睡眠质量指数量表(PSQI)及阿森斯失眠量表(ASI)评分、胃泌素及胃动素检测结果进行统计学分析,并将胃泌素及胃动素检测结果与健康组进行对比.结果 2组治疗后与治疗前比较,各项数据均有明显改善,且治疗组较对照组改善明显,更接近健康组(P<0.05),差异具有统计学意义.结论 腹部推拿可显著地改善失眠患者的睡眠状态并提高睡眠质量,一定程度地提升了失眠患者的血清胃泌素及胃动素含量,进一步印证了"胃不和则卧不安"的经典理论的临床实用性.
Clinical investigation into the effects of vibro-annular abdominal massage on the serum levels of gastrin and motilin in patients with insomnia
Objective To investigate the effects of vibro-annular abdominal massage on the serum gastrin and motilin levels in patients with insomnia.Methods A total of 40 insomnia patients with the syndrome of stomach qi failing to descend,as well as 20 healthy volunteers,were recruited for the study.The patients were randomly divided into a treatment group and a control group,while 20 healthy volunteers constituted the healthy group and did not receive any treatment.The observation group was treated with abdominal massage,for 30 minutes each time,once a day,while the control group was treated with Baohe pills orally,twice a day,at a dose of 9 grams per administration.Each treatment program consisted of four courses over five days.Before and after treatment,a statistical analysis was conducted on the Pittsburgh Sleep Quality Index(PSQI)and Asens Insomnia Inventory(ASI)scores,as well as the levels of gastrin and motilin in both groups,and a comparison of gastrin and motilin levels was conducted between the observation group and the healthy group.Results After treatment,all the indicators were significantly improved in the two groups compared with before treatment,and the improvement was more significant in the treatment group than that in the control group,much closer to the indicators in the healthy group(P<0.05),with a statistical significance.Conclusion Abdominal massage can significantly improve the sleep state and quality of insomnia patients,and to a certain extent increase their serum gastrin and motilin levels,which further confirms the clinical practicality of the classic theory of"gastric disorders causing restless sleep".

vibro-annular abdominal massageinsomniagastrinmotilin

矫俊东、张红石、刘杨圣洁、姚远

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长春中医药大学附属医院,长春 130021

长春中医药大学,长春 130117

长春中医药大学附属第三临床医院,长春 130117

振腹环揉推拿法 失眠 胃泌素 胃动素

吉林省自然科学基金项目国家自然科学基金项目

20210101211JC80274569

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(7)
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