中药足浴调治老年糖尿病患者睡眠障碍的效果观察

Observation on the effect of Chinese medicine foot bath on the sleep disorder of elderly diabetes mellitus patients

目的探讨中药足浴调治老年糖尿病患者睡眠障碍的临床疗效。方法82例老年糖尿病伴睡眠障碍患者为研究对象,根据随机数字表法分为试验组与常规组,各41例。常规组予以艾司唑仑片治疗,试验组予以中药足浴治疗。对比两组临床疗效、睡眠指标及治疗前后睡眠质量评分。结果治疗后,常规组痊愈5例、显效11例、好转16例、无效9例,总有效率为78.05%(32/41);试验组痊愈12例、显效15例、好转12例、无效2例,总有效率为95.12%(39/41)。试验组治疗总有效率高于常规组,差异有统计学意义(P<0.05)。试验组入睡时长(32.39±4.27)min、睡眠总时长(5.82±1.34)h及觉醒次数(2.13±0.51)次/d均优于常规组的(46.42±5.19)min、(5.16±1.08)h、(2.89±0.67)次/d,差异均有统计学意义(P<0.05)。治疗后,两组睡眠质量、睡眠障碍、入睡时间、睡眠效率、睡眠时间及日间功能障碍评分均低于本组治疗前,且试验组低于常规组,差异均有统计学意义(P<0.05)。结论中药足浴开展后,可显著缩短老年糖尿病伴睡眠障碍患者入睡时长、减少其觉醒次数并延长睡眠总时长,有效改善睡眠质量,促使疗效全面提升。

Objective To discuss the clinical efficacy of of Chinese medicine foot bath on the sleep disorder of elderly diabetes mellitus patients.Methods A total of 82 cases of elderly diabetes mellitus patients with sleep disorders were studied and divided into experimental group and conventional group according to the random numerical table,with 41 cases in each group.The conventional group was treated with estazolam tablets,and the experimental group was treated with Chinese medicine foot bath.The clinical efficacy,sleep indexes and sleep quality score before and after treatment were compared between the two groups.Results After treatment,in the conventional group,5 cases were cured,11 cases had obvious effect,16 cases were improved,9 cases were ineffective,and the total effective rate was 78.05%(32/41).In the experimental group,12 cases were cured,15 cases had obvious effect,12 cases were improved,2 cases were ineffective,and the total effective rate was 95.12%(39/41).The total effective rate of the experimental group was higher than that of the conventional group,and the difference was statistically significant(P<0.05).In the experimental group,the sleep latency was(32.39±4.27)min,the total sleep time was(5.82±1.34)h and the awakening frequency was(2.13±0.51)times/d,which were better than those of(46.42±5.19)min,(5.16±1.08)h and(2.89±0.67)times/d in the conventional group,and the differences were statistically significant(P<0.05).After treatment,the sleep quality,sleep disorder,sleep latency,sleep efficiency,sleep time and daytime dysfunction scores in both groups were lower than those before treatment in this group,and the experimental group was lower than the conventional group.The differences were statistically significant(P<0.05).Conclusion Chinese medicine foot bath can significantly shorten the sleep latency of elderly diabetes mellitus patients with sleep disorders,reduce the awakening frequency and extend the total sleep time,effectively improve sleep quality,and promote the overall improvement of curative effect.