艾灸联合中药足浴治疗飞行员心脾两虚型不寐的疗效观察

Observation on the curative effect of moxibustion combined with Chinese herbal foot bath on pilots with sleeplessness of heart and spleen deficiency type

目的 观察艾灸联合中药足浴疗法对心脾两虚型不寐飞行员睡眠质量的影响。方法 选取2022年2月至2023年1月来某中心疗养,自述睡眠欠佳且匹兹堡睡眠质量指数(PSQI)评分>7分的60例飞行员纳为研究对象,按照随机数字表分为观察组和对照组,各30例,对照组为常规疗养,观察组给予艾灸联合中药足浴疗法,两组治疗疗程均为4周,对比结果采用PSQI评定和中医证候积分评定。结果 治疗前,两组中医证候积分、PSQI分值差异无统计学意义(P>0.05),治疗4周后,观察组PSQI睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠紊乱、睡眠药物、日间功能障碍各项指标评分均低于对照组(P<0.05),总评分观察组(8.30±2.34)分低于对照组(9.63±1.83)分,差异有统计学意义(P<0.05);观察组中医证候积分主症(5.33±1.40)分、次症(3.27±1.28)分、舌脉(1.73±0.45)分均低于对照组中医证候积分主症(7.83±1.26)分、次症(4.17±0.79)分、舌脉(2.77±0.73)分,差异具有统计学意义(P<0.05)。结论 艾灸联合中药足浴疗法可有效改善飞行员的睡眠质量。

Objective To observe the effect of moxibustion combined with Chinese herbal foot bath on sleep quality of pilots with sleeplessness of heart and spleen deficiency type.Methods 60 pilots who came to a center for recuperation from February 2022 to January 2023 and reported poor sleep with Pittsburgh Sleep Quality Index(PSQI)score>7 were selected as the research objects.According to the random number table,they were divided into an observation group and a control group,with 30 cases in each group.The control group was a conventional recuperation group.The observation group was given moxibustion combined with Chinese herbal foot bath therapy.The treatment course of both groups was 4 weeks.The comparison results were evaluated by PSQI and TCM syndrome scores.Results Before treatment,there was no statistically significant difference in the scores of traditional Chinese medicine syndromes and PSQI between the two groups(P>0.05).After 4 weeks of treatment,the PSQI scores of the observation group were lower than those of the control group(P<0.05)in terms of sleep quality,sleep time,sleep efficiency,sleep disorders,sleep medication,and daytime dysfunction.The total score of the observation group(8.30±2.34)was lower than that of the control group(9.63±1.83),and the difference was statistically significant(P<0.05);The main symptom(5.33±1.40)score,secondary symptom(3.27±1.28)score,and tongue pulse(1.73±0.45)score of TCM syndrome scores of the observation group were all lower than the control group of the main symptom(7.83±1.26)score,secondary symptom(4.17±0.79)score,and tongue pulse(2.77±0.73)score,with statistical significance(P<0.05).Conclusion Moxibustion combined with Chinese herbal foot bath therapy can effectively improve the sleep quality of pilots.