中文摘要：

目的：研究为多中心临床试验,观察艾灸联合太极拳及Jacobson渐进式肌肉放松训练干预运动性失眠的临床疗效及安全性。方法：3个研究中心共27名被确诊为运动性失眠的国家级运动员被随机分为单纯艾灸组（对照组）13例和艾灸联合运动疗法组（治疗组）14例,施灸作为基础治疗。治疗组在基础治疗的同时要求患者练习太极拳及肌肉放松训练,每日各1次。治疗持续4周,治疗前后及停止治疗4周后（随访）通过匹兹堡睡眠量表（PSQI）、汉密尔顿焦虑量表（HAMA）及汉密尔顿抑郁量表（HAMD）进行评分,同时观察不良反应。结果：（a）经4周治疗,对照组与治疗组在PSQI、HAMA、HAMD评分方面均有明显下降,治疗前后评分经统计分析存在显著性差异（P〈0.05）;（b）经治疗,治疗组在PSQI和HAMA评分上均明显低于对照组,且差异具有统计学意义（P〈0.05）,在HAMD评分上与对照组差异不显著（P〉0.05）;（c）随访时（治疗停止4周后）与治疗前相比,对照组与治疗组在PSQI、HAMA、HAMD评分上均存在显著性差异（P〈0.05）,与治疗刚结束时相比,差异无统计意义（P〉0.05）。结论：艾灸联合太极拳及肌肉放松训练是治疗运动性失眠有效、安全的方式,近期、远期疗效佳,对改善睡眠及伴随的焦虑情绪疗效优于单纯艾灸疗法。

英文摘要：

Objective：This study is a Multi-center Clinical Trial, and the purpose is to observe the efficacy and safety of Moxibustion combined with Tai Chi and Jacobson＇ s Progressive Relaxation Training on exercise-induced insomnia. Meth- ods：Totally 27 national level athletes with exercise-induced insomnia from three clinical centers participated in this study and they were randomized into the moxibustion group（ control group） 13 cases and moxibustion combined with Tai Chi and Jacobson＇ s Progressive Relaxation Training group （treatment group） 14 cases. Both groups were given moxibusfion treat- ment as the basic treatment. The treatment group was added with Tai Chi and Jacobson＇ s Progressive Relaxation Training once daily respectively. Both groups were treated for 4 weeks. The scores of Pittsburgh sleep quality index（ PSQI）, Hamil- ton Anxiety Scale（HAMA） and Hamilton Depression Scale （HAMD） were recorded before and after treatment and 4 weeks after the end of the treatment（ the eighth week） as well. Results： （a） after 4 weeks of treatment, the scores of PSQ!, HAMA and HAMD in the treatment group and control group were both significantly decreased （ P 〈 0. 05 ） ; （ b ） after treatment, the scores of PSQI and HAMA in treatment group were significantly lower than those of the control group （ P 〈 0. 05 ）, though there was no significant difference of scores of HAMD between the treatment group and control group （ P 〉 0. 05） ; （c） the scores of PSQI,HAMA and HAMD of two groups at the follow-up visits（fourth week after the end of the treat- ment） were significantly different from those recorded before treatment（ P 〈0.05 ） ,though there were no significant differ-ences between them and scores recorded at the end of the treatment （ P 〉 0. 05 ）. Conclusion： The combo therapy of moxi- bustion, Tai Chi and Jacobson＇ s Progressive Relaxation Training is effective and safe for exercise-induced insomnia, and its short-term effects and long-term effe