睡眠状况对社区冠心病老年人认知功能的影响及中药熏洗配合穴位按摩效果分析

Effect of sleep status on cognitive function of elderly patients with coronary heart disease in community and effect analysis of traditional Chinese medicine fumigation and acupoint massage

目的探究睡眠状况对社区冠心病老年患者认知功能的影响及中药熏洗配合穴位按摩的效果。方法随机抽取2016年1月-2018年4月我院110例社区冠心病老年患者为观察对象,对其临床资料进行分析,结合睡眠状况分为睡眠状况较好组(68例,睡眠质量评分<10分)和睡眠状况较差组(42例,睡眠质量评分≥10分),对比两组的认知功能评分。同时,对睡眠状况较差组实施中药熏洗配合穴位按摩干预,对比患者治疗前后的认知功能评分、生活质量评分、睡眠质量评分。结果(1)睡眠状况较好组患者认知功能评分[(26.52±0.52)分]高于睡眠状况较差组[(24.19±0.47)分],P<0.05;(2)睡眠状况较差组患者治疗后认知功能评分[(26.48±0.16)分]高于治疗前,且治疗后睡眠质量评分[(10.02±1.37)分]低于治疗前,P<0.05;(3)睡眠状况较差组患者治疗后生活质量评分高于治疗前,P<0.05。结论不良的睡眠状况对社区冠心病老年患者认知功能具有一定负面影响,可在一定程度上降低患者认知功能,而对睡眠状况较差的患者实施中药熏洗配合穴位按摩干预具有较好的效果,对改善患者睡眠质量、认知功能及生活质量具有较积极的影响,值得推广。

Objective To explore the effect of sleep status on cognitive function of elderly patients with coronary heart disease(CHD)and the effect of traditional Chinese medicine fumigation and acupoint massage.Methods From January 2016 to April 2018,110 elderly patients with coronary heart disease in our hospital were randomly selected and their clinical data were analyzed.The better sleep status group(68 cases,sleep quality score<10)was divided into two groups.Poor sleep status group(42 cases,sleep quality score≥10),compared with the two groups of cognitive function score.At the same time,the patients with poor sleep status were treated with traditional Chinese medicine fumigation combined with acupoint massage intervention.The scores of cognitive function,quality of life and sleep quality were compared before and after treatment.Results(1)The score of cognitive function in the patients with better sleep condition[(26.52±0.52)]was higher than that in the poor group[(24.19±0.47)](P<0.05);(2)The scores of cognitive function after treatment[(26.48±0.16)]in the patients with poor sleep condition were higher than those before treatment,and the score of sleep quality after treatment[(10.02±1.37)]was lower than that before treatment(P<0.05);(3)The scores of quality of life of the patients with poor sleep status after treatment were higher than those before treatment(P<0.05).Conclusion The poor sleep condition has a certain negative effect on the cognitive function of the elderly patients with coronary heart disease in community,and it can reduce the cognitive function of the patients to some extent.The intervention of traditional Chinese medicine fumigation and acupoint massage for patients with poor sleep status has a better effect,and has a more positive effect on improving patients’sleep quality,cognitive function and quality of life,which is worth popularizing.