胸椎微调与胸夹脊理筋手法在推拿调治心理性亚健康状态中的疗效观察
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摘要
目的:观察胸椎微调与胸夹脊理筋手法在推拿调治心理性亚健康状态中的临床疗效。方法:采用多中心、随机对照的临床试验研究方法,将120例心理性亚健康状态门诊就诊者随机分为观察组与对照组,每组60例。对照组采用常规的背部循经推拿手法,观察组在对照组推拿治疗基础上联合胸椎微调与胸夹脊理筋手法治疗。两组治疗均为隔天1次,5次为1个疗程,共调治2个疗程。观察两组治疗前后心理性亚健康主要症状量表计分、汉密尔顿抑郁量表24项(HAMA-24)计分及临床疗效。结果:两组治疗后心理性亚健康状态主要症状计分及HAMA-24评分均较治疗前显著降低(P<0.05),且治疗后观察组在心理性亚健康主要症状中的抑郁寡欢、急躁易怒、焦虑不安、睡眠障碍、疲乏无力方面评分及HAMA-24均评分显著低于对照组(P<0.05)。观察组临床疗效显著优于对照组(P<0.05)。结论:背部循经推拿手法结合胸椎微调与胸夹脊理筋手法对心理性亚健康状态疗效显著,值得临床推广。
Objective: To observe the clinical effect of the micro adjustment of thoracic vertebra and the manipulation of chest clamp ridge in the treatment of mental sub-health state by massage. Methods: A multi-center, randomized controlled clinical trial study method was used. One hundred and twenty cases of mental sub-health in outpatient were randomly divided into observation group and controlgroup, with 60 cases in each group. The control group was given the conventional massage methods of instep meridian manipulation. The observation group was given combined the thoracic vertebra micro adjustment with the chest clamp ridge manipulation therapy on the basis of the control group massage therapy. Two groups were treated once every other day, five times for acourse of treatment, two courses in a total. The score of the main symptom scale of mental sub-health state and the Hamilton Anxiety Scale(HAMA-24) were observed before and after treatment. Results: After treament, the score of main symptom of mental sub-health state and HAMA-24 of both two groups were significantly lower(P<0.05). The score of main symptoms of mental sub-health in depression, irritability, anxiety, sleep disorders, fatigue and HAMA-24 were significantly lower in observation group than control group(P<0.05). The clinical efficacy of the observation group was better than the control group(P<0.05). Conclusion: The effect of back meridian massage combined with thoracic vertebra micro adjustment and chest clamp ridge manipulation therapy on mental sub-health state is significant, it's worth to be spread.
Objective: To observe the clinical effect of the micro adjustment of thoracic vertebra and the manipulation of chest clamp ridge in the treatment of mental sub-health state by massage. Methods: A multi-center, randomized controlled clinical trial study method was used. One hundred and twenty cases of mental sub-health in outpatient were randomly divided into observation group and controlgroup, with 60 cases in each group. The control group was given the conventional massage methods of instep meridian manipulation. The observation group was given combined the thoracic vertebra micro adjustment with the chest clamp ridge manipulation therapy on the basis of the control group massage therapy. Two groups were treated once every other day, five times for acourse of treatment, two courses in a total. The score of the main symptom scale of mental sub-health state and the Hamilton Anxiety Scale(HAMA-24) were observed before and after treatment. Results: After treament, the score of main symptom of mental sub-health state and HAMA-24 of both two groups were significantly lower(P<0.05). The score of main symptoms of mental sub-health in depression, irritability, anxiety, sleep disorders, fatigue and HAMA-24 were significantly lower in observation group than control group(P<0.05). The clinical efficacy of the observation group was better than the control group(P<0.05). Conclusion: The effect of back meridian massage combined with thoracic vertebra micro adjustment and chest clamp ridge manipulation therapy on mental sub-health state is significant, it's worth to be spread.
引文
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[14]顾燕频,卫洪昌.推拿配合中药治疗胸椎错位致心绞痛样发作1例.中国临床医生,2011,39(9):76-77
[2]中华中医药学会.亚健康中医临床指南.北京:中国中医药出版社,2006:1-5
[3]中华医学会精神科分会.中国精神障碍分类与诊断标准(第3版)(CCMD-3).济南:山东科学技术出版社,2001:31-164
[4]雷龙鸣,曾湘玲,伦轼芳,等.背部循经推拿对39例心理性亚健康患者的调治作用.中医杂志,2010,51(2):142-144
[5]雷龙鸣,伦轼芳,黄锦军,等.薄荷精油循经推拿调治社会应激性亚健康抑郁状态93例.中华中医药杂志,2011,26(2):411-413
[6]张冀东,何清湖,孙贵香.湖南地区大学生亚健康状态危险因素分析及健康管理初探.中医药导报,2014,20(10):48-49,53
[7]黄建波,张光霁.论“治未病”理论体系建设.中华中医药杂志,2017,32(3):911-914
[8]杨华伟,何清湖.疏肝解郁法在心理性亚健康中的运用初探.湖南中医杂志,2009,25(6):88-89
[9]夏青,赵军.调神解郁针法治疗郁证疗效观察.上海针灸杂志,2013,32(5):352-353
[10]李博超.浅谈针刺五脏俞配合“五志穴”治疗郁证.河南中医,2014,34(5):943-944
[11]高山.中医按摩对心理性亚健康状态的改善.中华中医药杂志,2011,26(8):891-892
[12]伦轼芳,庞军,雷龙鸣,等.推拿疗法对亚健康状态人群心身症状的调理作用.中国临床康复,2005,9(40):100-101
[13]王永泉.整脊推拿法改善亚健康状态的临床研究.济南:山东中医药大学,2008
[14]顾燕频,卫洪昌.推拿配合中药治疗胸椎错位致心绞痛样发作1例.中国临床医生,2011,39(9):76-77