耳穴压豆法治疗艾滋病失眠患者的PSQI量表分析

PSQI Scale Analysis for Treatment of AIDS Patients with Insomnia by the Ear Bean Therapy

目的:探讨耳穴压豆疗法治疗艾滋病失眠患者的临床效果。方法:根据诊断标准选取艾滋病失眠患者272例,耳穴压豆疗法治疗4个疗程,每个疗程7 d,采用匹兹堡睡眠质量指数量表(PSQI)作为疗效评定标准。结果:272例患者治疗7 d后,其中有69例患者睡眠质量改善,有效率达25. 37%。随着治疗时间延长,治疗有效率逐渐增加,至28 d有效率达94. 12%。PSQI各因子及总分逐渐减少,第1个疗程(治疗7 d)后PSQI各因子及总得分较治疗前降低,差异有统计学意义,其中睡眠质量、睡眠时间、睡眠障碍、催眠药应用及总分在治疗14 d后差异有统计学意义,入睡时间、睡眠效率及日间功能障碍治疗21 d后差异有统计学意义。治疗28 d后除催眠药应用外,PSQI各因子及总分与常模比较差异有统计学意义,但睡眠效率较正常人高。结论:耳穴压豆疗法治疗艾滋病患者失眠有一定的临床疗效,值得进一步观察探讨。

Objective: To observe the clinical effect on AIDS patients with insomnia by the Non-drug therapy.Methods: Select 272 patients with AIDS insomnia who were in line with insomnia diagnosis standard. They were treated by the Ear bean therapy with 7 days,14 days,21 days and 28 days course. The Pittsburgh sleep quality index scale( PSQI) is the curative effect evaluation. Results: After 7 days of treatment,69 patients had improved the sleep quality and the effective rate were 25. 37%;With the development of Ear bean therapy,the effective rate gradually increased. The effective rate was up to 94. 12% after the 28 days treatment. The factors and total scores of PSQI decreased gradually. After the first course of treatment( 7 days of treatment),the PSQI factors and the total score were lower than before treatment,and the difference was statistically significant. Whereas,After 14 days of treatment,there were extremely remarkable differences in sleep quality,sleep time,sleep disorder,hypnotic application and total score. Meanwhile,the difference in sleep duration,sleep efficiency and daytime dysfunction was significant 21 days after treatment. At last,Compared with the norm,all factors and total scores of PSQI after 28 days of treatment were statistically significant in 272 patients,except for hypnotic application,while the sleep efficiency was higher than that normal people. Conclusions: Ear bean had certain effective in the AIDS patients with insomnia,which are worth for further clinic observation.