枢经推拿治疗失眠症:随机对照研究

Treatment of insomnia with shujing massage therapy:a randomized controlled trial

目的:比较枢经推拿与口服艾司唑仑治疗失眠症的临床疗效差异。方法:将80例失眠患者随机分为枢经推拿组(40例)与药物组(40例)。枢经推拿组选取头部颞侧足少阳胆经循行路线进行扫散法5min,按揉阳白、本神、头临泣、正营、承灵、率谷、风池等穴,每穴1min;药物组睡前半小时口服艾司唑仑1mg。两组均每日治疗1次,连续治疗1个月后,评定两组患者治疗前后匹兹堡睡眠质量指数(PSQI)量表各维度评分及总分,并评定两组临床疗效。结果:经治疗后,两组患者的PSQI各项指标评分均较治疗前改善(均P<0.05);两组在睡眠时间、入睡时间的评分差异无统计学意义(均P>0.05),枢经推拿组在睡眠质量、睡眠效率、睡眠障碍、日间功能障碍、总评分的评分均低于药物组(均P<0.05)。枢经推拿组总有效率为92.1%(35/38),高于药物组的84.2%(32/38,P<0.05)。结论:枢经推拿治疗失眠症效果优于口服艾司唑仑。

Objective To compare the differences in the clinical efficacy on insomnia between shujing massage therapy and medication with estazolam.Methods Eighty patients of insomnia were randomized into a shujing massage therapy group（40cases）and a medication group（40cases）.In the shujing massage therapy group,the spreading massage manipulation was applied along the running course of the gallbladder meridian of foot-shaoyang on the temporal area.The pressing and kneading manipulation was done at Yangbai（GB 14）,Benshen（GB 13）,Toulinqi（GB 15）,Zhengying（GB 17）,Chengling（GB 18）,Shuaigu（GB 8）,and Fengchi（GB 20）,etc,1min at each acupoint.In the medication group,1mg estazolam was taken orally half an hour before sleep.The treatment was given once every day in the two groups.After the continuous treatment for 1month,every dimensional score and the total score in the Pittsburgh sleep quality index scale（PSQI）and the clinical efficacy were evaluated between the two groups.Results After the intervention,the each item score of PSQI was improved as compared with that before treatment in the patients of the two groups（all P〈0.05）.The differences in sleep time and the time for falling into sleep were not significant between the two groups（both P〉0.05）.In the shujing massage therapy group,the scores of sleep quality,sleep efficiency,sleep disturbance and daytime dysfunction,as well as the total score were all lower than those in the medication group（all P〈0.05）.The total effective rate was 92.1%（35/38）in the shujingmassage group and was 84.2%（32/38）in the medication group,indicating the significant difference（P〈0.05）.Conclusion Shujing massage therapy achieves the superior efficacy on insomnia compared with the oral administration of estazolam.