“津沽推拿”之通脉调神手法对心脾两虚型心理生理性失眠患者多导睡眠图总睡眠时间、各期睡眠百分比的影响  

Jingu Massage in Tongmai Tiaoshen Practices on Heart Deficiency Type Psychophysiological Insomnia Patients Polysomnography Total Sleep Time,Percentage of Each Sleep Stage

作　　者：谭涛[1] 王金贵[1] 孙庆[1] 

机构地区：[1]天津中医药大学第一附属医院推拿科,天津300193

出　　处：《辽宁中医杂志》2014年第9期1811-1814,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：天津市卫生局中医;中西医结合科研课题(07061)

摘　　要：目的:探讨通脉调神手法对心脾两虚型心理生理性失眠患者多导睡眠图总睡眠时间、各期睡眠百分比的影响。方法:将60例本病门诊患者,采用临床随机、对照法研究,按照1∶1比例分为手法治疗组和西药对照组,每组30例,疗程为20 d,治疗后第3个月末进行随访。以匹茨堡睡眠质量指数量表的评分作为观察指标。于治疗前、疗程结束后检测多导睡眠图总睡眠时间、各期睡眠百分比。结果:手法治疗组愈显率为70.00%,总有效率为96.70%,西药对照组的愈显率为43.33%,总有效率为86.67%,两组比较有显著统计学差异(P<0.01)。治疗前后多导睡眠图监测总睡眠时间、各期睡眠百分比,两组比较均有显著性差异(P<0.01)。结论:通脉调神手法治疗心脾两虚型心理生理性失眠的疗效显著,有效地避免了西药治疗存在的依赖性、成瘾性。通脉调神手法是治疗心理生理性失眠安全有效的方案,复发率低,是一个简便验廉、规范化、适于推广应用的心理生理性失眠临床治疗方法。Objective ： To investigate Tongmai Tiaoshen practices on heart deficiency type psychophysiological insomnia patients polysomnography total sleep time, percentage of each sleep stage. Methods ：60 cases of the disease outpatients, using clinical ran- domized, controlled study law, in accordance with the ratio of 1：1 into manual therapy group and western medicine control group 30 cases, treatment for 20 days after treatment, carried out at the end of the first three follow - up. Pittsburgh Sleep Quality Index Scale score was observed. Before treatment, after treatment polysomnography test total sleep time and percentage of each sleep stage were observed. Results ：The markedly effective manual therapy group was 70% and the total effective rate was 96. 7% in the treatment group. In control group, the effective rate was 43.33% and the total effective rate was 86. 67% respectively. There were statistically significant differences （P 〈 0. 01 ）. Polysomnography before and after treatment to monitor total sleep time, percentage of each sleep stage of the two groups were significantly different （P 〈 0. 01 ）. Conclusion：Tongmai Tiaoshen manipulative therapy for heart deficiency type psychophysiological insomnia has significant effect, effectively avoid the presence of western medicine de- pendence,addiction. Tongmai Tiaoshen practices for psychophysiological insomnia treatment is safe and effective. The recurrence rate is low. It is a simple and inexpensive test, standardized and suitable for promotion and application of psychophysiological in- somnia clinical treatments.

关 键 词：通脉调神法 心脾两虚 心理生理性失眠 多导睡眠图 

分 类 号：R256.23[医药卫生—中医内科学]