针刺推拿结合治疗原发性不安腿综合征疗效观察

目的:观察针刺推拿结合疗法治疗原发性不安腿综合征的临床疗效。方法:将100例原发性不安腿综合征患者随机分为针推组(51例)和针刺组(49例),针推组采用针刺推拿结合疗法,针刺组采用单纯针刺疗法,以不安腿综合征的严重程度评定量表IRLS及生活质量评定量表RLSQOL、MOS睡眠量表评分为观察指标。结果:两种疗法均能显著降低IRLS评分(8.34±4.16)VS(11.25±4.35)],明显提高RLSQOL评分(83.10±7.76)VS(68.26±7.82)],且两组相比均有显著性差异(P<0.001);两组MOS-SS评分的变化则是睡眠障碍(29.35±12.65)VS(40.27±12.43),P<0.001]、日间嗜睡(24.74±11.65)VS(30.16±11.21),P<0.01]及睡眠指数Ⅱ(27.36±12.67)VS(38.22±12.45),P<0.01]评分降低,睡眠数量(6.36±1.32)VS(5.53±1.34),P<0.01]及睡眠充足(53.72±13.25)VS(41.83±13.46),P<0.001]评分增加。结论:针刺推拿结合疗法、针刺疗法治疗原发性不安腿综合征疗效肯定,既能有效减轻或控制不安腿本身症状,又能明显改善与其相关联的睡眠障碍,从而有效提高患者的生活质量,且针刺推拿结合的疗效明显优于单纯针刺法,尤其在改善患者睡眠方面具有明显的优势,值得推广应用。

Effective Observation of Acupuncture Combined with Chinese Massage in Treatment of Primary Restless Legs Syndrome

Objective ： To observe the efficacy of acupuncture combined with Chinese massage in the treatment of primary rest- less legs syndrome （RLS）. Methods：In total, 100 outpatients with moderate- to- severe primary RLS were randomly assigned to be treated by acupuncture and Chinese massage or only by acupuncture, twice a week, for 10 weeks. The co - primary outcome measures were the changes in International Restless Legs Scale （IRLS） score and in Restless Legs Syndrome Quality of Life （RLSQOL） questionnaire and the Medical Outcomes Study Sleep Scale （MOS -SS） Scores at week 10. Results：51 patients by acupuncture with Chinese massage and 49 patients by acupuncture completed the study. The endpoint from baseline was signifi- cantly decreased in IRLS score, while increased in RLSQOL score for both therapies, and improvements were significantly greater for acupuncture with Chinese massage than acupuncture for change in IRLS score （ 8.34±4. 16 ） VS （ 11.25±4. 35 ） P 〈 0. 001 ], and in RLSQOL score （83. 10±7. 76）vs （68.26±7.82 ） P 〈 0. 001 ]. The endpoints were significantly decreased for acupuncture with Chinese massage compared with acupuncture in MOS- SS sleep disturbance （29.35±12. 65） VS （40. 27±12.43 ） P 〈 0. 001] and somnolence （24. 74±11.65 ） VS （30. 16±11.21 ） P 〈 0. 01 ] and sleep problems index II （27.36±12.67） VS （38.22 ±12.45 ） P 〈 0. 01 ] as well, while the score increased in MOS - SS sleep quantity （ 6. 36 -＋ 1.32 ） VS （5.53 ＋ 1.34） P 〈 0. 01 I and sleep adequacy （53.72±13.25 ） VS （41.83±13.46 ） P 〈 0. 001]. Conclusion：Acupuncture combined with Chinese massage or acupuncture is effective in the treatment of primary RLS, both relieving or controlling symptoms of RLS significantly and improving sleep disturbance related to RLS, and so as to improve the quality of life for patient, and effect of acupuncture combined with Chinese massage is superior to that of acupuncture obviously, particularly with more advantage in improving sleep of patients, especially worthy of promoting and putting into use.