基于调气理论三部推拿法治疗失眠的随机对照研究  

Randomized controlled study on the treatment of insomnia by three parts Tuina based on qi regulation theory

作　　者：杨惠然 王玉霞[3] 周斌[4] 雷洋[2] 杨涛[2] 王金淼[2] 王建业[4] 周运峰[2] YANG Huiran;WANG Yuxia;ZHOU Bin;LEI Yang;YANG Tao;WANG Jinmiao;WANG Jianye;ZHOU Yunfeng(Xinyang Vocational and Technical College,Xinyang 464000,China;Henan University of Chinese Medicine,Zhengzhou 450046,China;The First Affiliated Hospital of Henan University of CM,Zhengzhou 450003,China;Third Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450003,China)

机构地区：[1]信阳职业技术学院,信阳464000 [2]河南中医药大学,郑州450046 [3]河南中医药大学第一附属医院,郑州450003 [4]河南中医药大学第三附属医院,郑州450003

出　　处：《中华中医药杂志》2024年第1期510-513,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81874513);河南省高层次人才特殊支持计划中原千人计划—中原名医(No.ZYQR201912120);河南省医学教育研究项目(No.Wjlx2019244)。

摘　　要：目的:对基于调气理论指导下的三部推拿法治疗失眠的临床疗效及安全性进行探讨。方法:72例失眠患者随机分为推拿组和药物组,各36例。两组均在治疗前后进行临床疗效、匹兹堡睡眠质量指数(PSQI)、疲劳量表-14(FS-14)、过度觉醒量表(HAS)评价。结果:推拿组和药物组临床总有效率差异无统计学意义;PSQI评分、FS-14评分、HAS评分比较,两组治疗后均优于治疗前(P<0.05),治疗前后组间差异均无统计学意义。结论:基于调气理论指导下的三部推拿法能有效治疗失眠,同时能改善疲劳程度及过度觉醒,安全性较高。Objective:To explore the clinical efficacy and safety of the three parts Tuina for the treatment of insomnia based on the guidance of qi regulation theory.Methods:Seventy-two patients with insomnia were randomly divided into Tuina group and drug group,with 36 patients in each group.Clinical efficacy,Pittsburgh sleep quality index(PSQI),fatigue scale-14(FS-14),hyperarousal scale(HAS)were evaluated before and after treatment in both groups.Results:There was no statistical difference in the total clinical efficacy between the Tuina group and drug group;the PSQI score,FS-14 score,and HAS score were better in both groups after treatment than before treatment(P<0.05),and there was no statistical difference between the two groups before and after treatment.Conclusion:The three parts Tuina based on the guidance of qi regulation theory can effectively treat insomnia and improve fatigue level and excessive wakefulness at the same time with a high safety level.

关 键 词：调气 三部推拿法 失眠 临床研究 

分 类 号：R244.1[医药卫生—针灸推拿学]