巳时循经推拿对心脾两虚型失眠患者的疗效观察

目的 探讨巳时循经推拿对心脾两虚型失眠患者的疗效。方法 将2018年4月至2018年11月在山西省人民医院住院的60例心脾两虚型失眠患者随机分为观察组和对照组各30例。观察组在实施头面部推拿并在巳时（9：00-11:00）循脾经经穴推拿；对照组在巳时之外时辰进行头面部推拿。用匹兹堡睡眠质量指数量表评分比较两组患者治疗两周的睡眠改善情况。结果 治疗两周后，观察组患者睡眠质量明显优于对照组，差异有统计学意义(P<0.05)。观察组患者在主观睡眠质量、睡眠时间、睡眠效率和日间功能障碍方面明显改善，与对照组比较差异有统计学意义(P<0.05)。观察组心脾两虚症状改善情况优于对照组(P<0.05)。结论 巳时循经推拿对改善心脾两虚型失眠患者的睡眠效果较好。

Effect of massage through meridian on patients with insomnia caused by heart and spleen deficiency

Objective To explore the effect of massage through meridian on patients with insomnia caused by heart and spleen deficiency.Methods Sixty Outpatient and inpatient with insomnia caused by heart and spleen deficiency were randomly divided into observation group (n=30) and control group (n=30). The patients in the observation group received the head massage and the spleen acupoint massage from 7 to 9 AM. The patients in the control group were treated with the massaged outside of 7 to 9 AM. The Pittsburgh Sleep Quality Rating Scale was used to evaluated sleep improvement on day 15 of intervention in both groups. Result After two weeks of treatment, the sleep effect of the patients in observation group was significantly better than that of the control group significantly (P<0.05). The effect of insomnia care intervention in the observation group was superior to the control group in terms of sleep quality, sleep time, sleep efficiency and daytime function (P<0.05). The improvement of symptoms in heart and spleen deficiency in the observation group was better than that of the control group (P<0.05). Conclusion Massage through meridian has a good effect on improving the sleep quality of patients with insomnia caused by heart and spleen deficiency.