【摘要】 目的:采用自拟躯体症状量表和评价心理卫生状况的90项症状自评量表评价推拿疗法对亚健康人群心身的调理作用。方法:纳入2003-8/2004-8广西中医学院第一附属医院特色医疗健康中心就诊的,符合中国亚健康学术研讨会上专家们提出的30项症状诊断法亚健康状态判定标准的亚健康人群500例。对患者采取俯卧位与仰卧位两种操作方法进行推拿调治。俯卧位:施以常规推拿手法及以踩压点按腧穴、滑抹分理肌肉为主的踩背。仰卧位:按头面→颈→胸→腹→上肢→下肢顺序施以常规推拿手法。以上调治50～70min/次,隔日1次,5次为1个疗程,调治1～3个疗程。于推拿前后分别对亚健康的躯体和精神亚健康状况进行评分,躯体亚健康采用自行拟制的症状量表进行评价(观察疲劳感与失眠两项,每项按症状程度分5级,分别为0～10、11～20、21～30、31～40和41～50,总分为100分,积分越高,症状越重);精神亚健康采用90项症状自评量表躯体化、强迫、人际敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性和其他共10项因子积分进行评价。应用配对t检验或非参数检验的配对符号秩和检验(Wilcoxon配对法)。结果:500例参与者中进入结果分析425例,脱落的75例中,调治过程中出现新发疾病者11例,中途主动退出者47例,未能完成评分测定者17例。①推拿治疗后患者主要躯体症状疲劳感、失眠记分差异均显著降低(18.28±7.03,35.72±8.89;17.22±6.91,22.65±7.31;t=59.773,77.791,P<0.001)。②推拿治疗后90项症状自评量表各因子中躯体化症状、抑郁、焦虑、精神病性及其他共5项因子评分均显著降低穴1.72±0.43熏2.52±0.48鸦1.66±0.61熏2.74±0.70鸦1.81±0.53熏2.62±0.70鸦1.81±0.45,2.06±0.48鸦1.82±0.65熏2.23±0.73鸦t=43.785～12.178,P<0.001雪。结论:推拿对亚健康的调理作用主要表现在改善睡眠和消除疲劳感以减轻亚健康人群的躯体症状,同时还可以改善心理亚健康症状。更多还原

【Abstract】 AIM: To assess the role of manipulative therapy in nursing the psychosomatic symptoms of sub-health population by using self-designed body symptom scale and symptom checklist 90(SCL-90). METHODS: A sub-health population of 500 cases hospitalized in the Health Center of the First Affiliated Hospital, Guangxi College of Traditional Chinese Medicine between August 2003 and August 2004 were enrolled, who were in accordance with the 30-item diagnosis criteria put forward in the Sub-health Seminar of China. Subjects received manipulative therapy in prone position and in supine position, respectively. Prone position: Routine massage and stamping manipulation at Yu point and on the back were performed. Supine position: Routine manipulation was performed according to the order: head, neck, chest, abdomen, upper limbs, and lower limbs, for 50-70 minutes every two days, five times as a course and totally for 1-3 courses. Body and mental condition in a sub-health state was scored before and after manipulation by using self-designed body symptom scale (including fatigue and sleeplessness, each symptom classified as five grades, 0-10, 11-20, 21-30, 31-40 and 41-50, 100 as the total score, and the higher the score, the severe the symptom) and SCL-90(somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism and others). Paired t test or Wilcoxon paired test was carried out. RESULTS: 425 of 500 cases were involved in the result analysis, and 75 cases were lost to the study. ①After manipulation, scores on fatigue and sleeplessness were reduced significantly(18.28±7.03,35.72±8.89;17.22±6.91,22.65±7.31;t=59.773,77.791,P < 0.001). ②After manipulation, scores on somatization, depression, anxiety, psychoticism and others were reduced significantly (1.72±0.43, 2.52±0.48; 1.66±0.61, 2.74±0.70; 1.81±0.53, 2.62±0.70; 1.81±0.45, 2.06±0.48; 1.82±0.65, 2.23±0.73;t=43.785-12.178,P < 0.001). CONCLUSION: Manipulation therapy mainly plays a nursing role in improving sleeping and eliminating fatigue so as to alleviate body symptoms and mental symptoms of sub-health.更多还原