耳穴贴压联合体外反搏及健康教育对冠心病失眠的影响

Ear external counterpulsation joint health education effect on coronary heart disease (CHD) insomnia

目的观察耳穴贴压联合体外反搏及健康教育治疗冠心病失眠的疗效。方法将符合入选条件的冠心病合并失眠的老年患者65例按随机法分为对照组31例和观察组34例,对照组单纯采用王不留行籽于耳穴按压,观察组采用王不留行籽耳穴按压联合体外反搏并配合健康教育,两组治疗后均采用匹兹堡睡眠质量指数(PSQI)评分表进行疗效评定。结果治疗后,两组患者失眠症状均有好转,PSQI评分与治疗前比较均有降低(均P<0.01),而且观察组患者的PSQI评分及各维度均低于对照组,差异有统计学意义(P<0.05)。结论耳穴贴压联合体外反搏及健康教育能有效减轻老年冠心病患者失眠症状,改善睡眠质量。

Objective With pure auricular application pressure as the control group, auricular application pressurecombined external counterpulsation and health education for the team,compare two groups of clinical curative effectfor the treatment of insomnia. M ethods Will conform to the eligibility of elderly patients with coronary heartdisease （CHD） with insomnia of 65 cases were randomly divided into： 34 cases and control group, 31the researchteam,the control group only with cowherb seed ear seeds ear pressure,the team cowherb seed ear seed points is adoptedat press combined external counterpulsation together with health education. Using the Pittsburgh sleep qualityindex scale to assess the curative effect. R esults Contrast,by the above method after the intervention grouppatients insomnia symptoms were improved. PSQI scores after treatment, two groups of patients before and treatmentcomparison were lower （P 〈0. 01）. After treatment, the team PSQI scores and all dimensions are lower thanthe control group （P〈0. 05）. Conclusion Auricular application pressure combined external counterpulsationand health education team is better than pure auricular application pressure control can effectively alleviate insomniain elderly patients with coronary heart disease, improve sleep quality.