中药穴位贴敷联合护理指导治疗老年原发性失眠临床研究

Clinical Study on Point Application with Chinese Herbal Medicine Combined with Nursing Guidance for Primary Insomnia in Senile Patients

目的:观察中药穴位贴敷联合护理指导治疗老年原发性失眠的临床疗效。方法:将134例老年原发性失眠患者按随机数字表法分为对照组66例和观察组68例。2组均给予佐匹克隆片口服和行为心理暗示疗法等护理指导措施。对照组采用远红外磁疗贴,观察组采用中药穴位贴敷。比较2组治疗前后匹兹堡睡眠质量指数(PSQI)、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分及疲劳量表-14(FS-14)评分,采用多导睡眠监测仪记录睡眠潜伏期(SL)、觉醒次数(AT)、睡眠效率(SE)及实际睡眠总时间(TST)等参数。结果:经秩和检验,观察组临床疗效优于对照组,差异有统计学意义(Z=2.237,P<0.05)。治疗后,2组PSQI、SDS及SAS评分较治疗前降低,且观察组PSQI、SDS及SAS评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组躯体疲劳、精神疲劳评分及FS-14总分均低于治疗前,且观察组躯体疲劳、精神疲劳评分及FS-14总分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组SL、AT较治疗前降低,SE及TST较治疗前增加;且观察组SL、AT低于对照组,SE、TST高于对照组;差异均有统计学意义(P<0.05)。结论:中药穴位贴敷可明显改善患者睡眠质量,延长睡眠时间,并可减轻睡眠导致的抑郁、焦虑和疲劳程度,有着较好的临床效果。

Objective:To observe the clinical effect of point application with Chinese herbal medicine combined with nursing guidance for primary insomnia in senile patients.Methods:A total of 134 cases of senile patients with primary insomnia were divided into the control group and the observation group according to the random number table method,66 and 68 cases in each group respectively.Both groups were given the oral administration of zopiclone tablets and nursing guidance measures including suggestion therapy of behavior psychology;the control group was additionally treated with farinfrared magnetic therapy patch,and the observation group was additionally treated with point application with Chinese herbal medicine.The scores of Pittsburgh Sleep Quality Index(PSQI),Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS)and Fatigue Scale-14(FS-14)before and after treatment in the two groups were compared.The parameters of sleep latency(SL),arousal times(AT),sleep efficiency(SE)and the total sleep time(TST)were recorded by polysomnography.Results:The clinical effect in the observation group was better than that in the control group,the difference being significant(Z=2.237,P<0.05).After treatment,the scores of PSQI,SDS and SAS in the two groups were decreased when compared with those before treatment,and the above scores in the observation group were all lower than those in the control group,differences being significant(P<0.05).After treatment,the total scores of physical fatigue,mental fatigue and FS-14 in the two groups were lower than those before treatment,and the above scores in the observation group were lower than those in the control group,differences being significant(P<0.05).After treatment,SL and AT in the two groups were decreased when compared with those before treatment,and SE and TST were increased;SL and AT in the observation group were lower than those in the control group,and SE and TST were higher;there was significance in differences(P<0.05).Conclusion:Point application with Chinese herbal medicine can significantly improve the sleep quality of patients,prolong their sleep time,and relieve their depression,anxiety and fatigue caused by sleep,which has good clinical effect.