点穴推拿联合中药药枕对老年稳定性心绞痛并发失眠患者睡眠质量及生活质量的影响
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R256.23

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Effect of Point Massage Combined with Chinese Medicine Pillow on Sleep Quality and Quality of Life in Senile Patients with Stable Angina Pectoris Complicated with Insomnia
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    摘要:

    目的:观察点穴推拿联合中药药枕对老年稳定性心绞痛并发失眠患者睡眠质量及生活质量的影响。方法:选取104 例稳定性心绞痛并发失眠患者,按随机数字表法分为对照组和观察组,每组52 例。2 组均给予心绞痛现代医学常规治疗,对照组给予艾司唑仑片,观察组在对照组治疗基础上给予点穴推拿联合中药药枕治疗。2 组疗程均为4 周。治疗前、治疗4 周后评定2 组患者的匹兹堡睡眠质量指数(PSQI) 评分、阴虚火旺证症状评分及健康状况调查简表(SF-36) 评分。比较2 组的临床疗效。结果:治疗后,观察组临床疗效总有效率为98.08%,对照组总有效率为84.62%,2 组比较,差异有统计学意义(P<0.05)。2 组PSQI 8 项评分及总分均较治疗前降低(P<0.01),观察组PSQI 8 项评分及总分均低于对照组(P<0.01)。2 组阴虚火旺证7 项症状评分均较治疗前降低(P<0.01),观察组阴虚火旺证7 项症状评分均低于对照组(P<0.01)。2 组SF-36 量表生理功能、生理职能、躯体疼痛、情感职能、活力、社会功能、心理健康、整体健康评分均较治疗前增加(P<0.01),观察组以上8 项指标评分均高于对照组(P<0.01)。结论:在常规疗法的基础上加用点穴推拿联合中药药枕治疗老年稳定性心绞痛并发失眠的疗效显著,能够有效改善患者的睡眠质量和生活质量。

    Abstract:

    Abstract:Objective:To observe the effect of point massage combined with Chinese medicine pillow on sleep quality and quality of life in senile patients with stable angina pectoris complicated with insomnia. Methods:A total of 104 cases of patients with stable angina pectoris complicated with insomnia were divided into the control group and the observation group according to the random number table method,52 cases in each group. Both groups were given routine western medicine treatment for angina pectoris, the control group was treated with estazolam tablets, and the observation group was additionally treated with point massage combined with Chinese medicine pillow based on the treatment of the control group. Both groups were treated for four weeks. Before treatment and after four- week treatment, the Pittsburgh Sleep Quality Index(PSQI) scores,symptom scores of vigorous fire due to yin deficiency and the 36-Item Short Form Health Survey(SF-36) scores in the two groups were assessed. The clinical effect in the two groups was compared. Results:After treatment,the total effective rate in the observation group was 98.08% in the observation group and 84.62% in the control group, the difference being significant(P<0.05). The PSQI scores and the total scores in the two groups were decreased when compared with those before treatment(P<0.01),and the above scores in the observation group were lower than those in the control group(P<0.01). The symptom scores of vigorous fire due to yin deficiency in the two groups were decreased when compared with those before treatment(P<0.01),and each symptom score of vigorous fire due to yin deficiency in the observation group was lower than that in the control group(P<0.01). The scores of physiological function,physiological function,physical pain, emotional function,vitality,social function,mental health and general health in SF- 36 in the two groups were increased when compared with those before treatment(P<0.01),and the above eight scores in the observation group were higher than those in the control group(P<0.01). Conclusion: Point massage combined with Chinese medicine pillow based on routine therapy has significant curative effect for senile patients with stable angina pectoris complicated with insomnia,which can effectively improve sleep quality and quality of life of patients.

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叶佳希.点穴推拿联合中药药枕对老年稳定性心绞痛并发失眠患者睡眠质量及生活质量的影响[J].新中医,2021,53(13):181-185

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  • 在线发布日期: 2021-07-11
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