易筋经功法对新型冠状病毒感染后睡眠障碍患者睡眠与抑郁状态的影响

Effect of the Classics of Tendon Changing on Sleep and Depression in Patients with Sleep Disorder after Novel Coronavirus Infection

目的:探讨易筋经功法对新型冠状病毒感染患者的近期及远期睡眠障碍及抑郁状态的影响。方法:将60例SARS-CoV-2感染后睡眠障碍合并抑郁的患者采用随机数字表法按1:1比例分为易筋经功法组与对照组,各30例,功法训练前、易筋经训练2w(week)及6w后进行随访,依据匹兹堡睡眠质量评分(Pittsburgh sleep quality index, PSQI)和汉密尔顿抑郁量表(Ham ilt on Depres si on Scal e-24,HAM D-24)评估患者的睡眠质量及抑郁情况。结果:训练后2w及6w易筋经功法组与对照组相比PSQI评分差异存在统计学意义;易筋经功法组及对照组,治疗前、治疗后2w比较均存在统计学差异;功法训练后两组评分均有所降低;训练前两组HAM D-24评分差异无统计学差异,训练后2w及6w两组HAM D-24评分差异存在统计学意义,易筋经训练组训练后2w后与训练前相比HAM D-24评分差异存在统计学意义,对照组训练后2w与训练前相比差异无统计学意义,两组训练后2-6w疗效差值相比差异无统计学意义。结论:易筋经功法对COVID-19患者早期的睡眠障碍具有明显改善作用且在远期疗效方面也存在着积极意义,易筋经功法组与对照组相比对抑郁疗效显著,能够帮助患者尽早的改善抑郁状态。

Objective: To explore the clinical effect of The Classics of tendon changing exercise on patients with sleep disorders after novel coronavirus infection. Methods: 60 patients with sleep disorders after new coronavirus infection were randomly divided into The Classics of tendon changing group and control group according to the ratio of 1:1, 30 cases in each group. After a week of follow-up, the Pittsburgh sleep quality index(PSQI) was used to evaluate the sleep quality of the patients. Results: There were significant differences in PSQI scores between the two groups at 2weeks and 6 weeks after training(t=13.35, p<0.001;t=11.73, p<0.001);The Classics of tendon changing group and control group, before treatment and 2 after treatment There were statistical differences in the weekly comparisons;the scores of the two groups decreased after the exercise training. Conclusion: It shows that the The Classics of tendon changing exercise has a therapeutic effect on sleep disorders in patients with COVID-19, and it also has significance in the long-term efficacy.