穴位贴敷联合中药足浴治疗老年原发性高血压睡眠障碍临床疗效

Effect of acupoint patching combined with traditional Chinese medicine foot bath in treating sleep disorders of elderly essential hypertension

目的观察穴位贴敷联合中药浴足治疗老年原发性高血压睡眠障碍患者的临床疗效。方法选择2022年1月至2023年1月收治的82例老年原发性高血压睡眠障碍患者为研究对象,对照组41例予西医常规干预措施,治疗组41例在对照组的基础上加用穴位贴敷联合中药浴足治疗干预。2组均治疗3周后统计疗效,比较2组治疗前后匹兹堡睡眠质量指数(PSQI)(包括睡眠障碍、日间功能、入睡时间、睡眠效率、睡眠时间、睡眠质量及安眠药物)评分、血压水平(包括收缩压和舒张压)及简易精神状态量表(MMSE)评分变化情况。结果治疗组总有效率97.56%(40/41),对照组总有效率78.05%(32/41),治疗组总有效率高于对照组(P<0.05)。与本组治疗前比较,2组治疗后PSQI睡眠障碍、日间功能、入睡时间、睡眠效率、睡眠时间、睡眠质量及安眠药物评分均降低(P<0.05),且治疗组治疗后PSQI各项评分均低于对照组(P<0.05)。与本组治疗前比较,2组治疗后收缩压及舒张压均降低(P<0.05),且治疗组治疗后收缩压及舒张压均低于对照组(P<0.05)。与本组治疗前比较,2组治疗后MMSE评分均升高(P<0.05),且治疗组治疗后MMSE评分高于对照组(P<0.05)。结论穴位贴敷联合中药浴足治疗老年原发性高血压睡眠障碍临床疗效确切,可有效改善患者睡眠障碍情况,降低血压,提高认知功能。

Objective To explore the effect of acupoint patching combined with traditional Chinese medicine(TCM)foot bath in treating sleep disorders of elderly essential hypertension.Methods A total of 82 cases of elderly essential hypertension with sleep disorders treated in our hospital from January 2022 to January 2023 were randomly assigned into the treatment group(n=41)and the control group(n=41).All patients were managed by routine Western medicine,and those in the treatment group were additionally treated with acupoint patching combined with TCM foot bath.Treated for 3 weeks,the aim was to compare Pittsburgh Sleep Quality Index(PSQI)(dyssomnia,daytime function,time before falling asleep,sleep efficiency,sleep time,sleep quality,hypnotics)scores,blood pressure levels(systolic blood pressure[SBP]and diastolic blood pressure[DBP]),Mini-Mental State Examination(MMSE)scores.The curative effect was assessed.Results The overall effective rate in the treatment group was better than that of the control group(97.56%[40/41]vs 78.05%[32/41],[P<0.05],respectively).After treatment,the patients in the two groups presented significantly lower PSQI(dyssomnia,daytime function,time before falling asleep,sleep efficiency,sleep time,sleep quality,hypnotics)scores,SBP and DBP(all P<0.05),and significantly higher MMSE scores(P<0.05)than those before treatment,and the improvements were more pronounced in the treatment group than those of the control group(all P<0.05).Conclusion Acupoint patching combined with TCM foot bath in treating sleep disorders of elderly essential hypertension has definite clinical efficacy,which can effectively improve dyssomnia,decrease blood pressure and improve cognitive function.