摘要
目的探讨疏肝宁心导引功法对心胆气虚型不寐患者失眠症状的作用。方法选取78例心胆气虚型不寐患者,随机分为观察组和对照组,每组39例。对照组使用24式简化太极拳锻炼,观察组使用疏肝宁心导引功法治疗。比较两组临床疗效、改进型SPIEGEL睡眠量表评分及匹兹堡睡眠指数量表(PSQI)评分、中医证候积分。结果观察组治疗总有效率为94.87%,明显高于对照组的74.36%(P<0.05)。观察组治疗4、8周的改进型SPIEGEL睡眠量表评分分别为(12.89±1.52)、(10.74±1.36)分,PSQI评分分别为(8.67±1.35)、(6.92±1.13)分;对照组治疗4、8周的改进型SPIEGEL睡眠量表评分分别为(15.46±1.73)、(13.98±1.62)分,PSQI评分分别为(11.20±1.48)、(10.04±1.32)分;观察组治疗4、8周的改进型SPIEGEL睡眠量表评分、PSQI评分均低于对照组(P<0.05)。观察组治疗后胆怯易惊、入睡困难、多梦纷纭、气短懒言积分分别为(0.92±0.17)、(0.87±0.19)、(0.83±0.16)、(0.82±0.17)分,均低于对照组的(1.64±0.25)、(1.61±0.23)、(1.58±0.24)、(1.59±0.25)分(P<0.05)。结论疏肝宁心导引功法对改善心胆气虚型不寐患者失眠症状有积极作用,能有效提高睡眠质量,缓解中医证候。
Objective To explore the effect of Shugan Ningxin guiding exercise on insomnia symptoms in insomnia patients with Qi deficiency of the heart and gallbladder.Methods 78 patients with insomnia due to Qi deficiency of the heart and gallbladder were randomly divided into observation group and control group,with 39 cases in each group.The control group was treated with 24-style simplified Taijiquan exercise,and the observation group was treated with Shugan Ningxin guiding exercise.The clinical efficacy,modified SPIEGEL score,Pittsburgh Sleep Quality Index(PSQI)score and traditional Chinese medicine syndrome score were compared between the two groups.Results The total effective rate of the observation group was 94.87%,which was significantly higher than 74.36% of the control group(P<0.05).After 4 and 8 weeks of treatment,the modified SPIEGEL scores in the observation group were(12.89±1.52)and(10.74±1.36)points,and PSQI scores were(8.67±1.35)and(6.92±1.13)points;in the control group,the modified SPIEGEL scores were(15.46±1.73)and(13.98±1.62)points,and PSQI scores were(11.20±1.48)and(10.04±1.32)points.After 4 and 8 weeks of treatment,the modified SPIEGEL score and PSQI score of the observation group were lower than those of the control group(P<0.05).After treatment,the scores of timidity and panic,difficulty falling asleep,profuse confused dreaming and shortness of breath and unwillingness to speak in the observation group were(0.92±0.17),(0.87±0.19),(0.83±0.16)and(0.82±0.17)points,which were lower than(1.64±0.25),(1.61±0.23),(1.58±0.24)and(1.59±0.25)points in the control group(P<0.05).Conclusion Shugan Ningxin guiding exercise has a positive effect on improving the insomnia symptoms of patients with insomnia due to Qi deficiency of the heart and gallbladder,and can effectively improve sleep quality and relieve traditional Chinese medicine syndrome.
作者
周珏
吕洁存
钟丽佳
许良
ZHOU Jue;LYU Jie-cun;ZHONG Li-jia(Wujiaochang Community Health Service Center,Yangpu District,Shanghai 200433,China)
出处
《中国实用医药》
2025年第2期160-163,共4页
China Practical Medicine
基金
杨浦区科学技术委员会杨浦区卫生健康委员会中医专项科研课题(项目编号:YPZQ202114)。
关键词
不寐
心胆气虚型
疏肝宁心导引功法
疗效
失眠症状
Insomnia
Qi deficiency of the heart and gallbladder
Shugan Ningxin guiding exercise
Curative effect
Insomnia symptoms
