Tuina intervention and sleep and emotional disorders due to chronic fatigue syndrome

摘要

目的

探讨慢性疲劳综合征患者的睡眠障碍和情绪特征及推拿的调节作用。

方法

将30 例慢性疲劳综合征患者作为治疗组, 给予推拿治疗, 手法以一指禅推法、 滚法和按揉法为主; 部位以督脉、 膀胱经、 阳明经为主, 主穴取风府、 腰阳关、 心俞、 脾俞、 肝俞、 合谷、 太溪; 隔日治疗1 次, 共治疗10 次。 30 例正常人为对照组, 不予任何处理。 借助匹兹堡睡眠质量指数(PSQI)、 Hamilton焦虑量表(HAMA)、 Hamilton 抑郁量表(17 项)(HAMD)测量工具评估两组患者的睡眠质量和精神状态, 并观察推拿治疗前、 后治 疗组患者相应量表的积分变化。

结果

治疗组治疗前PSQI总分、 睡眠质量、 入睡时间、 睡眠效率、睡眠障碍和日间功能障碍以及HAMD和HAMA积分均显著高于对照组, 差异有统计学显著性意义(P<0.01); 10 次推拿治疗后, 治疗组PSQI总分、 入睡时间、 睡眠障碍和日间功能障碍4 项评分及HAMD、 HAMA积分有显著变化, 与治疗前比较, 差异有统计学意义(P<0.05)。

结论

慢性疲劳综合征患者存在睡眠障碍及精神心理异常; 中医推拿可提高慢性疲劳综合征患者睡眠质量, 调整异常精神心理状态。

Abstract

Objective

To study the tuina effect on sleep disorder and emotional problems of chronic fatigue syndrome (CFS) cases.

Method

Thirty CFS cases were treated in the treatment group, by applying one-thumb pushing, rolling and pressing-kneading manipulations along the Governor Vessel, Bladder and Yangming Meridians. The intended major points include Fengfu (GV 16), Yaoyangguan (GV 3), Xinshu (BL 15), Pishu (BL 20), Ganshu (BL 18), Hegu (LI 4) and Taixi (KI 3). The treatment was done once every other day; 10 times constitute a course of treatment. Another 30 healthy cases were selected in the control group, without any intervention. The sleep quality and mental state in the two groups were evaluated by PSQI, HAMA and HAMD. In addition, the pre-treatment and post-treatment score changes were observed.

Results

Before treatment, the total score of PSQI, sleep quality, time of falling asleep, sleep efficiency, sleep disorder, daytime functional impairment, and scores of HAMD and HAMA in treatment group were all substantially higher than the control group (P<0.01). After 10 tuina treatments, the total score of PSQI, time of falling asleep, sleep disorder and daytime functional impairment as well as scores of HAMD and HAMA in treatment group were significantly changed, compared with before treatment, P<0.05.

Conclusion

Those with CFS may present with sleep disorder and mental or psychological abnormality, tuina can improve their sleep quality and adjust their mental conditions.