| Objective: To observe the effect of Yangxin Jianpi manipulation on sleep quality of insomnia patients with deficiency of both heart and spleen,and compare it with traditional massage,so as to explore more effective,simple,practical and safe treatment methods and apply them to clinical practice.Methods: 60 insomniacs with deficiency of both heart and spleen were divided into experimental group and control group according to the principle of random grouping.The control group was treated by traditional massage,while the experimental group was treated by nourishing the heart and strengthening the spleen.To observe the changes of Pittsburgh Sleep Quality Inventory(PSQI)and Chinese Medicine Symptoms and Signs Score before and after treatment,and to make relevant statistical analysis.Results: 1.Sleep quality evaluation(PSQI)of patients with insomnia of deficiency of both heart and spleen before and after treatment with nourishing heart and invigorating spleen manipulation and conventional massage manipulation showed significant difference(P<0.05)after paired sample t test,which indicated that both nourishing heart and invigorating spleen manipulation and conventional massage manipulation could improve the sleep status of insomnia patients with deficiency of both heart and spleen.The results of independent t-test showed that P < 0.05 had significant difference between the two groups,indicating that the method of nourishing the heart and invigorating the spleen was superior to the conventional massage in improving insomnia of deficiency of both heart and spleen.2.Comparison of the components of PSQI before and after treatment between the Yangxin Jianpi Manipulation and the conventional massage Manipulation(PSQI):The components of PSQI before and after treatment in the experimental group and the control group were statistically processed(rank sum test),P < 0.05.The difference was statistically significant,indicating that the experimental group and the control group could improve the sleep quality,sleeping time,sleeping time,sleeping efficiency and sleeping time of patients.Obstacles,hypnotics,daytime functions.After treatment,the scores of sleep efficiency,hypnotic drugs and daytime function decreased significantly(P < 0.05).The difference was statistically significant,indicating that the method of nourishing the heart and strengthening the spleen improved sleep efficiency,hypnotic drugs and daytime function better than the conventional massage method.3.The scores of TCM symptoms and signs before and after the treatment of Yangxin Jianpi manipulation and routine massage manipulation were statistically processed(paired sample t test),P < 0.05.The difference was statistically significant,indicating that both groups could improve the sleep quality of insomnia patients with deficiency of both heart and spleen.And after treatment,the heart-nourishing and spleen-invigorating manipulation was compared with the conventional massage manipulation.Statistical analysis(independent sample t test),P < 0.05,the difference was statistically significant,indicating that the heart-nourishing and spleen-invigorating manipulation improved TCM symptoms and signs better than the conventional massage manipulation.4.Comparisons of TCM symptoms and signs before and after treatment between Yangxin Jianpi manipulation and conventional massage manipulation: The experimental group and the control group were compared before and after treatment.After statistical treatment(rank sum test),sleep disturbance,palpitation disturbance,forgetfulness,mental fatigue,dizziness,dizziness and facial color were significantly different from those before treatment(P<0.05).There was no difference in pulse thinness or weakness before treatment(P > 0.05).It showed that both heart-nourishing and spleen-invigorating manipulation and routine massage could improve sleep disturbance,palpitation disturbance,forgetfulness,mental fatigue,dizziness and poor complexion in insomnia patients.After treatment,there was no statistical difference between the two groups(rank sum test)(P > 0.05).5.Sleep Quality Assessment(PSQI)showed that the total effective rate was 96.67%and 86.67% in the experimental group and 56.67% in the control group,and the total effective rate was 90.00%.Statistical analysis(rank sum test)showed that there was a significant difference between the experimental group and the control group(P <0.05),indicating that the therapeutic effect of the experimental group was better than that of the control group.6.The curative effect of TCM symptoms and signs showed that the total effective rate was 93.33% and 73.33% in the experimental group,while 43.33% and 90.00% in the control group.Statistical analysis(rank sum test)showed that there was a significant difference between the experimental group and the control group(P < 0.05),indicating that the therapeutic effect of the experimental group was better than that of the control group.Conclusion: The results show that both the Yangxin Jianpi manipulation and the conventional massage manipulation can improve the sleep quality and TCM symptoms and signs of insomnia patients with deficiency of both heart and spleen.The total effective rate of the experimental group is significantly higher than that of the control group.It shows that the therapeutic effect of Yangxin Jianpi manipulation on insomnia patients with deficiency of both heart and spleen is obviously better than that of the conventional massage manipulation,and the Yangxin Jianpi manipulation can improve sleep efficiency,hy In terms of energy,it is superior to the conventional massage manipulation.The method of nourishing the heart and invigorating the spleen improves the clinical effect of insomnia of deficiency of both heart and spleen. |
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