引阳入阴穴位推拿法联合五行音乐治疗心肾不交型失眠症临床研究
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R256.23

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河南省中医药学科领军人才项目(豫卫中医函〔2021〕8号)


Clinical Study on Point Massage for Conducting Yang Into Yin Combined with Chinese Medicine Five- Element Music Therapy for Insomnia of Heart- Kidney Noninteraction Type
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    摘要:

    目的:观察引阳入阴穴位推拿法联合五行音乐治疗心肾不交型失眠症的临床疗效。方法:选取 120 例失眠症患者,按随机数字表法分为对照组和研究组各60 例。对照组给予睡眠指导及艾司唑仑片治疗, 研究组在对照组基础上采用引阳入阴穴位推拿法联合五行音乐治疗。评价2 组临床疗效,比较2 组中医证候评 分、匹茨堡睡眠质量指数量表(PSQI) 评分及血清白细胞介素-1β (IL-1β)、5-羟色胺(5-HT) 水平。结 果:研究组总有效率为91.38%,高于对照组68.42%(P<0.05)。治疗后,2 组中医证候评分及PSQI 评分较治 疗前降低(P<0.05),且研究组中医证候评分及PSQI 评分低于对照组(P<0.05)。治疗后,2 组血清 IL-1β、5-HT 水平较治疗前升高(P<0.05),且研究组血清IL-1β、5-HT 水平高于对照组(P<0.05)。结 论:引阳入阴穴位推拿法联合五行音乐在心肾不交型失眠症患者中应用效果较佳,可明显上调血清IL-1β、 5-HT 水平,有效改善临床症状及睡眠状况。

    Abstract:

    Abstract: Objective: To observe the curative effect of point massage for conducting yang into yin combined with Chinese medicine five-element music therapy on insomnia of heart-kidney non-interaction type. Methods:A total of 120 cases of patients with insomnia were selected and divided into the control group and the study group according to the random number table method, with 60 cases in each group. The control group was treated with sleep guidance and Estazolam Tablets, and the study group was additionally treated with point massage for conducting yang into yin combined with Chinese medicine fiveelement music therapy based on the treatment of the control group. Clinical effects were evaluated in the two groups. The total traditional Chinese medicine (TCM) syndrome scores,Pittsburgh Sleep Quality Index (PSQI) scores, and the levels of interleukin- 1β (IL- 1β) and 5- hydroxytryptamine (5- HT) in serum were compared between the two groups. Results: The total effective rate was 91.38% in the study group, higher than that of 68.42% in the control group (P<0.05). After treatment,TCM syndrome scores and PSQI scores in the two groups were decreased when compared with those before treatment (P<0.05),and the TCM syndrome scores and PSQI scores in the study group were lower than those in the control group (P< 0.05). After treatment, the levels of IL- 1β and 5- HT in serum in the two groups were increased when compared with those before treatment (P<0.05),and the two levels in the study group were higher than those in the control group (P<0.05). Conclusion: Point massage for conducting yang into yin combined with Chinese medicine five-element music therapy has a better effect on patients with insomnia of heartkidney non-interaction type,and can significantly up-regulate the levels of IL-1β and 5-HT in serum and effectively improve clinical symptoms and sleep conditions.

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黄双,麻银萍,刘梨花,黄培,王艳丽,刘向哲.引阳入阴穴位推拿法联合五行音乐治疗心肾不交型失眠症临床研究[J].新中医,2023,55(13):180-183

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  • 在线发布日期: 2023-07-14
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