足少阳胆经推拿治疗失眠症的随机对照研究  

Randomized Controlled Trial of Meridian Manipulation on Foot-Shaoyang Gall Bladder Channel for Treatment of Insomnia

作　　者：庞军[1] 陈昭[2] 唐宏亮[1] 莫巧明[3] 

机构地区：[1]广西中医药大学第一附属医院,广西南宁530023 [2]广西壮族自治区人民医院,广西南宁530021 [3]南宁市第二人民医院,广西南宁530031

出　　处：《广州中医药大学学报》2015年第2期247-250,254,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广西自然科学基金资助项目(编号:2011GXNSFA018173);广西科学研究与技术开发项目(编号:桂科攻1140003B-58);广西中医药科技专项(编号:GZKZ1111);广西中医药民族医药继承创新工程立项课题(编号:GZZJ13-08;GZLC14-05;GZLC14-41)

摘　　要：【目的】比较足少阳胆经推拿与口服西药艾司唑仑治疗失眠症的疗效差异。【方法】将80例失眠患者随机分为治疗组和对照组各40例。治疗组给予足少阳胆经推拿治疗,选取头部颞侧足少阳胆经循行路线进行扫散法5 min,按揉阳白、本神、头临泣、正营、承灵、率谷、天冲、浮白、头窍阴、风池等穴,每穴1 min;对照组给予西药艾司唑仑口服治疗。连续治疗30 d后,观察2组患者治疗前后匹兹堡睡眠质量指数(PSQI)量表各维度评分及总分情况,并评定2组临床疗效。【结果】(1)经干预治疗后,治疗组总有效率为94.7%,疗效优于对照组的84.2%(P<0.01)。(2)治疗后,2组患者的PSQI量表各维度评分及总分均较治疗前显著改善(P<0.01)。2组除睡眠时间、入睡时间两项指标改善程度差异无统计学意义(P>0.05)外,治疗组在睡眠质量、睡眠效率、睡眠障碍、日间功能障碍、总评分等维度的改善作用均优于对照组(P<0.05或P<0.01)。【结论】足少阳胆经推拿治疗失眠症效果满意,其疗效优于口服西药艾司唑仑。Objective To compare the therapeutic effect of oral use of estazolam and meridian manipulation of Foot-Shaoyang Gall Bladder Channel for insomnia. Methods Eighty insomnia patients were evenly randomized into two groups. Treatment group received meridian dispersing manipulation of Foot-Shaoyang Gall Bladder Channel for 5 min, and press-kneading acupoints of Yangbai, Benshen, Toulinqi, Zhengying, Chengling,Shuaigu, Tianchong, Fubai, Touqiaoyin and Fengchi for one minute. Control group was treated with estazolam orally. The treatment for the two groups performed once a day, for 30 continuous days. Before and after treatment, the total scores of Pittsburgh sleep quality index（PSQI） and the scores of each dimension of PSQI were observed in the two groups. After treatment, the therapeutic effect in both groups was evaluated. Results（ 1） After treatment, the total effective rate was 94.7% in the treatment group and was 84.2% in the control group, the difference being significant（P〈0.01）.（2） After treatment, the total scores of PSQI and the scores of each dimension of PSQI were much improved in both groups compared with those before treatment（P〈0.01）.The effect on improving sleep time and time for falling sleep in the treatment group was similar to that in the control group（ P〉0.05）, but the treatment group had better effect than the control group on improving sleep quality, sleep efficiency, sleep disorder, daily activities disorder and total PSQI scores（P〈0.05 or P〈0.01）.Conclusion Meridian manipulation of Foot-Shaoyang Gall Bladder Channel is effective for treatment of insomnia, showing better effect than oral use of estazolam.

关 键 词：失眠 足少阳胆经推拿 艾司唑仑 随机对照 

分 类 号：R256.23[医药卫生—中医内科学]