穴位埋线结合综合护理对老年慢性失眠症临床效果观察

目的 比较穴位埋线结合综合护理与右佐匹克隆片治疗老年慢性失眠症患者的临床疗效.方法 选取符合诊断标准的患者共计64例,按随机数字表分为观察组(穴位埋线联合综合护理组)和对照组(右佐匹克隆片组),每组各32例,共治疗4周,治疗前后分别对两组采用匹兹堡睡眠指数(PSQI)进行测评,并于治疗前、疗程结束当晚应用睡眠监测腕表对两组患者进行睡眠质量及睡眠生理指标监测,比较两组疗效.结果 治疗后,观察组总有效率为96.9%,对照组总有效率为81.3%,差异有高度统计学意义(P<0.01).观察组护理总满意度为100%,对照组为87.5%,观察组高于对照组,差异有高度统计学意义(P<0.01).观察组与对照组PSQI评分均低于干预前,差异有高度统计学意义(均P<0.01),治疗后观察组PSQI评分低于对照组,差异有高度统计学意义(P<0.01).通过睡眠监测腕表监测值中选取总睡眠时间、睡眠潜伏期、中间觉醒总时间及深睡眠总时间作为监测指标.两组在治疗结束当晚在总睡眠时间、深睡眠时间均长于治疗前,差异有高度统计学意义(均P<0.01),两组比较差异有高度统计学意义(均P<0.01);两组在治疗结束当晚睡眠潜伏期、中间觉醒时间均短于治疗前,差异有高度统计学意义(均P<0.01),组间比较观察组短于对照组,差异有高度统计学意义(均P<0.01).结论 穴位埋线疗法结合综合护理对老年慢性失眠症的临床疗效优于服用右佐匹克隆片,患者依从性及安全性均较好.

Objective To compare the clinical effect of catgut implantation at acupoint combined with comprehensive nursing and Dexzopiclone tablets in the treatment of elderly patients with chronic insomnia.Methods A total of 64 patients meeting the diagnostic criteria were selected and divided into observation group(catgut implantation at acupoint combined with comprehensive nursing group)and control group(Dexzopiclone tablet group)according to the random number table method,with 32 patients in each group who were treated for 4 weeks in total.Pittsburgh Sleep Quality Index(PSQI)was adopted to evaluate the two groups before and after treatment,and sleep monitoring wristwatches were used to monitor the sleep quality and sleep physiological indicators of the two groups before treatment and on the night when treatment was over,and the curative effects of the two groups was compared.Results After treatment,the total effective rate was 96.9%in the observation group and 81.3%in the control group,the difference was highly statistically significant(P<0.01).The total nursing satisfaction in the observation group was 100.0%,and 87.5%in the control group,showing the observation group was higher than the control group,the difference was highly statistically significant(P<0.01).PSQI scores of the observation group and the control group were lower than those before the intervention,and the difference was highly statistically significant(all P<0.01);after the treatment,PSQI scores of the observation group were lower than those of the control group,and the difference was highly statistically significant(P<0.01).The total sleep time,the sleep latency,the total awakening time and the total deep sleep time were selected as the monitoring indicators from the monitoring values of the sleep monitoring wristwatch.On the night after treatment,the total sleep time and deep sleep time of the two groups were both longer than those before treatment,and the difference was highly statistically significant(all P<0.01),and the difference between the two groups was highly statistically significant(all P<0.01).At the end of the treatment night,the sleep latency and the awakening time in the middle night of the two groups were shorter than those before the treatment,and the difference was highly statistically significant(all P<0.01),and the comparison between the observation group was shorter than the control group,and the difference was highly statistically significant(all P<0.01).Conclusion The clinical effect of catgut implantation at acupoint combined with comprehensive nursing for chronic insomnia in the elderly is better than that of Dexzopiclone tablets,with better patient compliance and safety.