针刺联合朱氏一指禅推拿治疗失眠症临床观察  

Clinical Observation of Acupuncture plus ZHU's Thumb Pushing Manipulation for Insomnia

作　　者：石向东 吕瑛[2] 洪春荣 赵捷 

机构地区：[1]上海市长宁区华阳社区卫生服务中心,上海200042 [2]上海交通大学医学院附属同仁医院,上海200336

出　　处：《上海针灸杂志》2017年第10期1203-1206,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市进一步加快中医药事业发展三年行动计划项目(ZY3-FWMS-1-1001-KYJS-38);2014年上海市中西医结合学会社区中西医结合医学与健康管理课题研究专项基金项目(SH201446)

摘　　要：目的观察针刺联合朱氏一指禅推拿治疗失眠症的临床疗效。方法将92例失眠症患者随机分为治疗组46例和对照组46例。治疗组予针刺联合朱氏一指禅推拿治疗,对照组予单纯针刺治疗。治疗前后以匹兹堡睡眠指数(PSQI)评分进行疗效评估。结果治疗组总有效率为85.7%,与对照组66.7%比较差异有统计学意义(P<0.05)。两组患者治疗后PSQI各因子评分及总分与同组治疗前比较差异均具有统计学意义(P<0.01,P<0.05)。治疗组患者治疗后PSQI中睡眠质量、睡眠时间、催眠药物、日间功能评分及总分与对照组比较,治疗组均下降更为明显(P<0.01,P<0.05)。结论针刺联合朱氏一指禅推拿是治疗失眠症的有效方法。Objective To observe the clinical efficacy of acupuncture plus ZHU＇s thumb pushing tuina manipulation in treating insomnia. Method A total of 92 insomnia patients were randomized into a treatment group and a control group, 46 cases each. The treatment group was intervened by acupuncture plus ZHU＇s thumb-pushing manipulation; the control group was treated with acupuncture. They were scored by using Pittsburgh Sleep Quality Index（PSQI） before and after the treatment to evaluate the therapeutic efficacy. Result The total effective rate was 85.7% in the treatment group versus 66.7% in the control group, and the difference was statistically significant（P〈0.05）. The component and total scores of PSQI were significantly changed after the intervention in both groups（P〈0.01,P〈0.05）. Compared to the control group, the decreases in PSQI scores of sleep quality, sleep duration, use of sleep medications, and daytime dysfunction were more significant in the treatment group（P〈0.01,P〈0.05）. Conclusion Acupuncture plus ZHU＇s thumb pushing tuina manipulation is an effective approach in treating insomnia.

关 键 词：针刺 推拿 一指禅推 失眠症 PSQI 

分 类 号：R246.6[医药卫生—针灸推拿学]