小儿推拿五经穴之心肝同清加捏脊法治疗夜惊夜啼临床研究

Clinical Effect of Applying Five-meridian Acupoints Massage (Qingxin-Qinggan Meridians) Combined with Chiropractic Therapy in the Treatment of Children with Night Terrors and Crying

目的:探讨小儿推拿五经穴之心肝同清加捏脊法治疗夜惊夜啼的疗效。方法:选取2019年5月~2020年5月在本院确诊的440例夜惊夜啼患儿,随机将患儿分为4组,每组各110例。a组采用心肝同清推拿法治疗,b组采用捏脊法治疗,c组采用心肝同清联合捏脊法治疗,d组采用腹部热敷治疗,以上各组均以5天1个疗程,共计治疗4个疗程。评估四组患儿的临床疗效,采用改良匹兹堡睡眠质量指数问卷(PSQI)和改良儿童睡眠紊乱量表(SDSC)评估四组患儿治疗前后的睡眠质量,观察四组患儿入睡所需时间、睡眠总时长和夜啼次数,比较四组患儿治疗前后的中医证候积分和治疗期间的不良反应发生率。结果:四组有效率分别为76.36%、78.18%、83.64%、74.55%,差异无统计学意义(P>0.05)。c组治疗后改良PSQI和改良SDSC评分均显著低于a、b、d组(P<0.05)。c组治疗后入睡所需时间显著短于a、b、d组,睡眠总时长显著长于a、b、d组,夜啼次数短于a、b、d组(P<0.05)。c组治疗后中医证候积分显著低于a、b、d组(P<0.05)。四组治疗期间不良反应发生率分别为11.82%、10.91%、13.64%、24.55%,差异有统计学意义(P<0.05)。结论:小儿推拿五经穴之心肝同清加捏脊法治疗可以显著提高夜惊夜啼患儿的临床疗效,改善患儿的睡眠质量。

Objective:To explore the curative effect of applying five-meridian acupoints massage(Qingxin-Qinggan meridians)combined with chiropractic therapy in the treatment of children with night terrors and crying.Methods:A total of 440 children with night terrors and crying confirmed in the hospital were enrolled between May 2019 and May 2020.They were randomly divided into a group A(massage of Qingxin-Qinggan meridians),a group B(chiropractic therapy),a group C(massage of Qingxin-Qinggan meridians combined with chiropractic therapy),and a group d(abdominal hot compress),with 110 cases in each group,all treated for four courses(5 d/course).The participant’s sleep quality was assessed by the Modified Pittsburgh Sleep Quality Index(PSQI)and Sleep Disturbance Scale for Children(SDSC)before and after treatment to evaluate the clinical curative effect.The spending time to fall asleep,total sleep time,and times of night crying in the four groups were observed.The scores of TCM syndromes before and after treatment and the incidence of adverse reactions during treatment among the four groups were compared.Results:The difference in effective rate among the four groups was not statistically significant(76.36%,78.18%,83.64%,74.55%)(P>0.05).After treatment,scores of Modified PSQI and SDSC in the group C were significantly lower than those in the other three groups(P<0.05).After treatment,the spending time to fall asleep in the group C was significantly shorter,total sleep time was significantly longer,and times of night crying were fewer than those in the other three groups(P<0.05).After treatment,scores of TCM syndromes in the group C were significantly lower than those in the other three groups(P<0.05).The differences in the incidence of adverse reactions during treatment among the four groups were statistically significant(11.82%,10.91%,13.64%,24.55%)(P<0.05).Conclusion:The five-meridian acupoints massage(Qingxin-Qinggan meridians)combined with chiropractic therapy can significantly improve clinical curative effect and improve sleep quality in children with night terrors and crying.