穴位按摩联合理疗在社区老年失眠患者治疗中的应用

Application of point massage combined with physiotherapy in the treatment of insomnia for the community elderly

目的：观察穴位按摩联合理疗在社区老年失眠患者治疗中的应用效果。方法选取在社区接受穴位按摩联合理疗治疗的老年失眠患者30例作为观察组，同一时期在三级医院接受口服阿普唑仑片治疗的老年失眠患者30例作为对照组，对比两组治疗前后失眠自评量表（SRSS）评分及治疗有效率。结果观察组有效率优于对照组（Z ＝2．45，P ＜0．05）。观察组治疗前 SRSS 评分为（30．76±7．19）分，治疗后评分为（15.43±3．95）分；对照组治疗前 SRSS 评分（32．33±6．98）分，治疗后 SRSS 评分（21．93±6．73）分。两组治疗后 SRSS 评分均较治疗前降低（t ＝10．23、5．87，均 P ＜0．05），治疗后观察组 SRSS 分值降低更明显，显著低于对照组（t ＝4．56，P ＜0．05）。结论穴位按摩联合理疗能更有效地改善老年患者失眠症状，且具有操作简单、无明显副作用、患者治疗配合度高等优点，适合在社区推广运用。

Objective To observe the application effect of point massage combined with physiotherapy in the treatment of insomnia for community elderly.Methods 30 elderly patients with insomnia who accepted point massage combined with physiotherapy were selected as observation group,and 30 elderly patients treated in tertiary hospital with insomnia who took alprazolamum for treatment were selected as control group.The SRSS score of the two groups before and after treatment,as well as treatment efficacy were compared.Results The insomnia treatment efficacy of the observation group was higher than that of the control group（Z =2.45,P 〈0.05）.The SRSS rating of the observation group before treatment was （30.76 ±7.1 9）points and after treatment was （1 5.43 ±3.95）points.The SRSS rating of the control group before treatment was （32.33 ±6.98）points,which after treatment was （21 .93 ±6.73）points.The SRSS scores of both two groups after treatment were decreased （t =1 0.23,5.87,all P 〈0.05）,with obvious differ-ences.The SRSS scores of the observation group decreased more obviously and was lower than that of the control group （t =4.56,P 〈0.05）.Conclusion The point massage combined with physiotherapy can effectively improve insomnia of the elderly,which is also with advantages of easy operation and no obvious side effects and high cooperation degree etc,and it is suitable to be promoted in community.