温潜法联合适量运动改善癌症相关性乏力患者睡眠障碍的临床观察

Clinical observation on improving somnipathy of cancer-related fatigue patient by warming and settling method combing with exercise

目的:观察温潜法联合适量运动对治疗癌症相关性乏力患者睡眠障碍的疗效。方法:将40例经用匹兹堡睡眠质量指数(PSQI>7)评价确定有睡眠障碍的癌症相关性乏力(乏力评分>4分)患者,分为温潜法组(20例)和温潜法加运动组(20例),一组用中医温潜法治疗,另一组在中医治疗同时,坚持每周三次适量运动,每次运动时间约20-30min,运动后达到约65%的靶心率,主观用力程度(REP)不大于16,8周后再用简明乏力评估量表(BFI)和PSQI评价。结果:治疗后,两组的乏力评分和PSQI总分和睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠紊乱等单项得分自身比较显示均较治疗前有显著降低(P<0.05)。结论:温潜法可改善癌症相关性乏力患者睡眠障碍及乏力情况,而联合适量运动则更能提高其疗效。

Objective： To evaluate the effect of warming and settling method combining with exercise on cancer- related fatigue patient with sleep disorder. Methods： 40 cancer-related fatigue patients which were determined with somnipathy by Pittsburgh sleep quality figure（PSQ1） （PSQI〉7） and Brief Fatigue Inventory（BFI ）（BFI〉4） were divided into warming-settling method group and warming-settling method combining with quantity sufficient exercise group randomly. The wanning-settling group was treated with warming- settling method, the other group were treated with warming-settling method combining with exercise 3 times per week, 20- 30min per time, the physiological load of exercise was requested to reach stabs 65% heart rate and the ratings of perceived exertion（REP）extent did not exceed 16. After 8 weeks treatment, evaluation by Pittsburgh sleep quality figure（PSQl） and Brief Fatigue Inventory （BFI） was carried out. Results： After treatment, the fatigue score and PSQI score decreased distinctly compared to those before treatment（P〈0.05）. Simultaneously, the score of sleep quality, sleep latency, sleep duration, sleep efficiency and sleep disturbance improved obviously（P〈0.05）.Conclusion： Warming-settling method can improve the patient＇s sleep disorder and fatigue condition, and quantity sufficient exercise maybe helpful to improve the effect.