| 引用本文:马杰1，严骅2，唐靖一3，严世芸4.太极拳联合通督宁神方治疗督脉失和型失眠的临床观察[J].世界中医药,2019,(03):. |
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| 太极拳联合通督宁神方治疗督脉失和型失眠的临床观察 |
| Clinical Observation of Taijiquan Exercise Combined with Tongdu Ningshen Decoction in the Treatment of Insomnia with Syndrome Differentiation of Maladjustment of Du Meridian |
| 投稿时间：2018-11-02 |
| DOI：10.3969/j.issn.1673-7202.2019.03.043 |
| 中文关键词: 失眠 督脉失和 二十四式太极拳 通督宁神方 中医综合治疗 随机对照 临床试验 名中医经验传承 |
| English Keywords:Insomnia Syndrome differentiation of maladjustment of Du meridian 24 style Taijiquan exercise Tongdu Ningshen Decoction Combined treatment of traditional Chinese medicine Randomized controlled Clinical trial Inheriting the clinical experience of famous doctor of traditional Chinese medicine |
| 基金项目:首届全国名中医传承工作室建设项目(MZYGZS-2017001)——严世芸全国名中医传承工作室；2018年上海市体育科技“综合计划”项目（18Z013)——二十四式太极拳对失眠影响的前瞻性队列研究 |
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| 中文摘要: |
| 目的：观察二十四式太极拳联合通督宁神方对督脉失和型失眠的影响。方法：选取2017年9月至2018年6月上海中医药大学附属曙光医院督脉失和型失眠患者80例作为研究对象，随机分为观察组和对照组，每组40例。观察组予通督宁神方联合二十四式太极拳，对照组予通督宁神方联合CBT-I，2组均治疗8周。治疗前后比较2组匹兹堡睡眠指数量表(PSQI)评分与中医症状评分。结果：2组治疗后PSQI及中医各症状评分均较治疗前明显降低（P<0.01）；观察组对头晕头痛、胸闷心悸、神疲乏力、健忘、颈项板直的改善显著优于对照组（P<0.01）。结论：二十四式太极拳联合通督宁神方能改善督脉失和型失眠症状。 |
| English Summary: |
| To study the clinical efficacy of Tongdu Ningshen Decoction combing with 24 Style Taijiquan exercise in the treatment of insomnia with syndrome differentiation of maladjustment of Du meridian. Methods:A total of 80 patients with insomnia with syndrome differentiation of maladjustment of Du meridian from Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from September 2017 to June 2018 were selected and randomized into the observation group and the control group，with 40 cases in each group. The observation group was treated by Tongdu Ningshen Decoction combining with 24 Style Taijiquan exercise，and the control group was treated by Tongdu Ningshen Deciction combined with CBT-I. Two groups were treated for 8 weeks. Pittsburgh sleep quality index(PSQI)and clinical symptoms scale of TCM were used to evaluate the efficacy before and after the treatment. Results:Both groups witnessed a significant decline in scores in PSQI and clinical symptoms scale of TCM(P<0.01); The treatment group performed significantly better in reliving symptoms including dizziness，headache，chest tightness，palpitation，mental exhaustion，forgetfulness，and stiff neck(P<0.01). Conclusion:Tongdu Ningshen Decoction combing with 24 Style Taijiquan exercise can relieve the symptoms of insomnia with syndrome differentiation of maladjustment of Du meridian. |
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