平秘脏腑推拿改善男性轮班工作睡眠障碍临床研究

Clinical Study on Constipation-Relieving and Zang-Fu Organs Tuina for Improvement of Shift Work Disorder in Male Patients

目的:观察平秘脏腑推拿治疗男性轮班工作睡眠障碍(SWD)的临床疗效。方法:选取50例男性SWD患者,按随机数字表法分为治疗组和对照组各25例,因岗位调动脱离夜班环境导致脱落13例,最终纳入治疗组20例,对照组17例。对照组采用睡眠行为疗法干预,治疗组在对照组基础上加用平秘脏腑推拿治疗,2组均治疗4周。比较2组治疗前后匹兹堡睡眠质量指数(PSQI)、Flinders疲劳量表(FFS)评分,以及临床疗效。结果:治疗后,2组PSQI、FFS评分均较治疗前降低(P<0.05),治疗组FFS评分低于对照组(P<0.05),2组PSQI评分比较,差异无统计学意义(P>0.05)。治疗组临床疗效总有效率65.00%,与对照组58.82%比较,差异无统计学意义(P>0.05)。结论:平秘脏腑推拿可减轻男性SWD患者的疲劳程度,但在睡眠质量方面的有效性仍待进一步探讨。

Objective:To observe the clinical effect of constipation-relieving and zang-fu organs tuina on the improvement of shift work disorder(SWD)in male patients.Methods:A total of 50 male SWD patients were selected and divided into the treatment group and the control group according to random number table method,with 25 cases in each group.A total of 13 cases fell off due to force majeure factors such as post transfer,and finally,20 cases were included in the treatment group and 17 cases in the control group.The control group was treated with sleep behavior therapy,and the treatment group was additionally treated with constipation-relieving and zang-fu organs tuina based on the treatment of the control group.Both groups were treated for 4 weeks.The scores of Pittsburgh Sleep Quality Index(PSQI)and Flinders Fatigue Scale(FFS)before and after treatment as well as the clinical effects were compared between the two groups.Results:After treatment,the PSQI and FFS scores in the two groups were decreased when compared with those before treatment(P<0.05),the FFS score in the treatment group was lower than that in the control group(P<0.05).There was no significant difference in the comparison of PSQI score between the two groups(P>0.05).The total effective rate of clinical effect was 65.00%in the treatment group and 58.82%in the control group,there being no significance in the difference(P>0.05).Conclusion:Constipation-relieving and zang-fu organs tuina can reduce the fatigue degree of male SWD patients,but its effectiveness in sleep quality remains to be further discussed.