摘要
目的探讨中药足浴按摩改善老年患者睡眠障碍的效果。方法选择符合DSM-IV诊断标准的睡眠障碍的住院老年患者70例．随机分为中药足浴按摩组（下称足疗组）10例和口服艾司唑仑组（下称药物组）30例。足疗组每晚睡前采用自制中药药液浸泡双足15～20min并结合足部穴位按摩5～10min；药物组每晚睡前口服艾司唑仑1mg。连续干预7d后评价疗效．开采用匹茨堡睡眠质量指数量表（PSQ1）评估患者睡眠质量。结果足疗组疗效及睡眠质量（除外睡眠期间醒来时间）显著优于药物组（均P〈0．05）。结论中药足浴按摩可显著改善老年患者睡眠质量，其效果优于口服艾司唑仑。
Objective To evaluate the therapeutic effect on somnipathy by herbal podiatric massage （HPM） therapy for elderly patients with insomnia. Methods Seventy elderly patients with insomnia diagnosed according to DSM-IV, were randomly assigned to two groups： 40 patients（HPM group） were bathed podiatrically with Chinese herb for 15-20 rain and massaged podia for 5＇- 10 min once a day, before they slept and 30 patients （control group） were treated with Estazolam （1 mg per day） before they slept. Sleep quality was evaluated by Pittsburgh Sleep Quality Index （PSQ1） after a treatment course of 7 days. Results The effective rate and quality of sleep （except the total wake-up time during sleep） showed significant differences in both groups （P〈0.05 for all）. Conclusion HPM has better efficacy in treating somnipathy of elderly patients than Estazolam.
基金
南昌市科技局立项课题(洪科发计字[2006]129号11)
关键词
老年人
睡眠障碍
中药足浴按摩
艾司唑仑
elderly
sonmipathy
podiatric bath and massage with Chinese herb
Estazolam
