摘要
目的:评价藏医陶罐头浴疗法治疗失眠的临床疗效,为其规范化推广提供依据.方法:选取2019年10月至2023年4月西藏林芝市藏医院收治的藏医"隆"性失眠患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例.对照组采用藏药治疗,即早、中、晚分别服用索曾吉久、堆仔吉久和赤列那杰,1次/d,3周为1个疗程;观察组采用藏医陶罐头浴疗法治疗,1次/d,连续治疗6天后休息1天,3周为1个疗程.结果:匹兹堡睡眠质量指数(PSQI)结果显示,对照组治疗前后、观察组治疗前后、治疗后观察组与对照组间的PSQI评分比较,差异有统计学意义(P＜0.001),其中观察组治疗后的PSQI评分(6.87±2.72)分最低.对照组治疗前后血常规指标比较,差异无统计学意义(P＞0.05),治疗后观察组的红细胞计数(RBC)、血红蛋白(HGB)、红细胞比容(HCT)均显著低于治疗前(P=0.002、0.001、0.001).治疗前对照组和观察组的血常规指标比较,差异无统计学意义(P＞0.05),治疗后观察组的红细胞计数(RBC)、血红蛋白(HGB)、红细胞比容(HCT)和血小板(PLT)指标均显著低于对照组(P=0.003、0.007、0.004、0.026).对照组治疗前后肝功能指标比较,差异无统计学意义(P＞0.05),治疗后观察组的丙氨酸氨基转移酶(ALT)和总胆红素(TBIL)指标较治疗前显著降低,差异有统计学意义(P=0.035、0.012).结论:藏医头浴疗法能有效改善藏医"隆"性失眠,且疗效和安全性均显著优于药物观察组,这一机制可能同降隆扶正、活血化瘀、保肝利胆和促进代谢等有关.
Abstract
Objective:To evaluate the clinical effect of Tibetan medical head bath therapy on insomnia,and to provide reference for its clinical promotion.Methods:Using the method of randomized parallel controlled clinical trial,80 patients diagnosed with insomnia were randomly divided into control group and observation group,40 cases in each group.The control group was treated with Tibetan medicine,that is,Suozengjijiu,Duizi Jijiu and Chilienajie were taken in the morning,middle and evening,once a day,for 3 weeks.The observation group was treated with the Tibetan medical head bath once a day,after 6 consecutive days of treatment,rest for 1 day,3 weeks as a course of treatment.Results:The results of Pittsburgh Sleep Quality Index(PSQI)showed that there were significant differences in PSQI scores between control group before and after treatment,observation group before and after treatment,and observation group and control group after treatment(P＜0.001),and the PSQI score of observation group after treatment(6.87±2.72)was the lowest.There were no significant changes in blood routine indexes of the control group be-fore and after treatment(P＞0.05),but the red blood cell count(RBC),hemoglobin(HGB)and erythrocyte specific volume(HCT)of the observation group after treatment were significantly lower than those before treatment(P=0.002,0.001,0.001).Before treatment,there was no significant difference in blood routine indexes between the control group and the observation group(P＞0.05),but after treatment,the indexes of red blood cell count(RBC),hemoglobin(HGB),erythrocyte specific volume(HCT)and platelet(PLT)in the observation group were significantly lower than those in the control group(P=0.003,0.007,0.004,0.026).The liver function indexes of the control group had no significant change before and after treatment(P＞0.05),but the indexes of alanine aminotransferase(ALT)and total bilirubin(TBIL)in the observation group after treatment were signifi-cantly decreased compared with those before treatment(P=0.035,0.012).Conclusion:Tibetan medicine head bath therapy can significantly improve insomnia,and the efficacy and safety are significantly better than drug therapy,which may be related to the mechanism of lowering Long,promoting blood circulation and removing blood stasis,protecting the liver and gallbladder,and pro-moting metabolism.
基金项目
西藏自治区科技计划项目——(XZ202001ZY0032G)
万方数据