引阳入阴推拿法联合气息引导法治疗不寐临床研究  

Clinical Study on Tuina Therapy of Inducing Yang into Yin Combined with Breath Guiding Method for Insomnia

作　　者：狄静[1] 郑彩花 朱小区[2] DI Jing;ZHENG Caihua;ZHU Xiaoqu

机构地区：[1]温州市中医院质管科,浙江温州325000 [2]温州市中医院肝病科,浙江温州325000

出　　处：《新中医》2021年第24期157-160,共4页New Chinese Medicine

基　　金：温州市科技计划项目(Y20180809)。

摘　　要：目的:观察引阳入阴推拿法联合气息引导法治疗不寐的临床疗效。方法:选取60例不寐患者,随机分为治疗组和对照组各30例。对照组给予艾司唑仑片治疗,治疗组采用引阳入阴推拿法联合气息引导法治疗,2组均治疗30 d。比较2组临床疗效;比较2组治疗前后匹兹堡睡眠质量指数(PSQI)评分、血清5-羟色胺(5-HT)和多巴胺(DA)水平。结果:治疗组总有效率为93.33%,高于对照组的70.00%(P<0.05)。治疗后,2组PSQI评分均较治疗前降低(P<0.05),治疗组PSQI评分低于对照组(P<0.05)。治疗后,2组血清5-HT水平均较治疗前升高(P<0.05),血清DA水平均较治疗前降低(P<0.05);治疗组血清5-HT水平高于对照组(P<0.05),血清DA水平低于对照组(P<0.05)。结论:引阳入阴推拿法联合气息引导法治疗不寐疗效较好,可有效改善患者的睡眠质量,调节神经递质水平。Objective:To observe the clinical effect of tuina therapy of inducing yang into yin combined with breath guiding method on insomnia.Methods:A total of 60 patients with insomnia were randomly divided into the treatment group and the control group,with 30 cases in each group.The control group was treated with esazolam tablets,and the treatment group was treated with tuina therapy of inducing yang into yin combined with breath guiding method.Both groups were treated for 30 days.The clinical effect in the two groups were compared.Before and after treatment,the scores of Pittsburgh Sleep Quality Index(PSQI)and levels of 5-hydroxytryptamine(5-HT)and dopamine(DA)in serum in the two groups were compared.Results:The total effective rate was 93.33%in the treatment group,higher than that of 70.00%in the control group(P<0.05).After treatment,the PSQI scores in the two groups were decreased when compared with those before treatment(P<0.05),and the PSQI score in the treatment group was lower than that in the control group(P<0.05).After treatment,the levels of 5-HT in serum in the two groups were increased when compared with those before treatment(P<0.05),and the levels of DA in serum were decreased(P<0.05);the levels of 5-HT in serum in the treatment group was higher than that in the control group(P<0.05),and the levels of DA in serum was lower(P<0.05).Conclusion:Tuina therapy of inducing yang into yin combined with breath guiding method has a good curative effect on patients with insomnia,which can effectively improve the sleep quality and regulate the neurotransmitter levels.

关 键 词：不寐 引阳入阴推拿法 气息引导法 匹兹堡睡眠质量指数 5-羟色胺 多巴胺 

分 类 号：R256.23[医药卫生—中医内科学] R244.1[医药卫生—中医学]