益气化气养血法联合头颈部推拿治疗慢性失眠  

Clinical efficacy of the Yiqi Huaqi Yangxue Decoction combined with the head and neck massage therapy in the treatment of chronic insomnia

作　　者：周丽波 王睿琼 王昊[3] 王一佼[4] ZHOU Libo;WANG Ruiqiong;WANG Hao;WANG Yijiao(Beijing Yangfangdian Hospital,Beijing 100038,China;Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Institute of Clinical Basic Medicine of Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Beijing Hepingli Hospital,Beijing 100013,China)

机构地区：[1]北京市羊坊店医院,北京100038 [2]山东中医药大学,济南250355 [3]中国中医科学院中医临床基础医学研究所,北京100700 [4]北京市和平里医院,北京100013

出　　处：《吉林中医药》2022年第7期831-833,共3页Jilin Journal of Chinese Medicine

基　　金：国家科技部重点研发计划项目(2019YFC1711705);中国中医科学院创新工程项目(CI2021A00705-2)。

摘　　要：目的观察益气化气养血法联合头颈部推拿治疗慢性失眠的临床疗效,分析比较其对主客观睡眠的影响。方法共纳入符合标准的病例67例,随机分为2组,对照组33例,头颈部推拿手法2次;实验组34例,在对照组基础上服用益气化气养血加减汤,治疗周期均为2周,观察患者治疗前后睡眠改善情况。结果2组治疗后睡眠客观各项数据指标比较,睡眠主观指标比较(P<0.05),差异具有统计学意义,主观指标与客观数据具有一定一致性;治疗后2组中医症状积分较治疗前均显著降低,且实验组显著低于对照组(P<0.01)。结论益气化气养血法结合头颈部推拿疗效显著,临床上可用于治疗慢性失眠。Objective To observe the clinical efficacy of the Yiqi Huaqi Yangxue Decoction combined with the head and neck massage therapy in the treatment of chronic insomnia,and to analyze and compare its effects on subjective and objective sleep.Methods A total of 67 cases meeting the inclusion criteria were randomly divided into a control group(n=33)and an experimental group(n=34).The control group was treated with the head and neck massage therapy twice a day,while the experimental group was treated additionally with the modified Yiqi Huaqi Yangxue Decoction on the basis of the control group,both for two weeks.The sleep improvement before and after treatment was observed in the two groups.Results After treatment,both the objective and subjective sleep indicators in the two groups were significantly improved(P<0.05),and the subjective indicators were consistent with the objective ones.After treatment,the TCM symptom scores of the two groups were significantly decreased than before treatment,and the experimental group was significantly lower than the control group(P<0.01).Conclusion The Yiqi Huaqi Yangxue Decoction combined with the head and neck massage therapy is effective and can be used in the treatment of chronic insomnia.

关 键 词：慢性失眠 益气化气养血法 头颈部推拿手法 

分 类 号：R256.23[医药卫生—中医内科学]