呼吸功能锻炼操配合耳穴埋豆对COPD失眠患者睡眠质量的影响  

The Effects of Respiratory Function Exercise Combined with Auricular Beans on the Sleep Quality of Insomnia Patients with COPD

作　　者：程怡[1] 范良[1] 黄琼莲[1] 陈荣[1] 卢保强 

机构地区：[1]海南省海口市中医医院,海南海口570216

出　　处：《中国中医急症》2015年第12期2198-2200,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：全国名老中医专家传承工作室建设项目(2013-47)

摘　　要：目的评价呼吸功能锻炼操配合耳穴埋豆对慢性阻塞性肺疾病(COPD)失眠患者睡眠质量的临床疗效。方法将90例COPD失眠患者随机分为治疗组和对照组各45例。两组均予西医常规治疗,治疗组在常规治疗的基础上予呼吸功能锻炼操配合耳穴埋豆。10 d为1疗程,共治疗2个疗程。两组均完成2个疗程后,采用匹茨堡睡眠质量指数量表对两组患者治疗前后睡眠状况进行评分并比较临床疗效。结果治疗组总有效率为97.78%,高于对照组的73.33%(P<0.05)。治疗后,患者的睡眠时间、入睡时间、日间功能、睡眠质量、睡眠效率、睡眠障碍、总分等积分均较治疗前降低,差异均有统计学意义(P<0.05),同时改善了患者的肺功能水平。结论呼吸功能锻炼操配合耳穴压豆对改善COPD患者的失眠状况有良好的临床效果,临床疗效确切。Objective： To evaluate the clinical effects of Respiratory function exercise combined with Auricular beans on the sleep quality of insomnia patients with COPD. Methods： 90 cases of insomnia patients with COPD were randomly divided into the treatment group and the control group ,45 cases in each group. The two groups were treated with conventional western medicine, and the treatment group received extra treatment with Respirato- ry function exercise and Auricular beans. A treatment course lasted for 10 days,and there were 2 courses. After both groups finished the two course,the Pittsburgh Sleep quality index scale was used to score the sleep status of two groups before and after treatment and the clinical effects were compared. Results： The total effective rate of the treatment group was 97.78% ,while the total effective rate was 73.33% in the control group,and the difference was statistically significant between the two groups （P〈 0.05）. After treatment,patients＇ sleep time, daytime func- tion,sleep quality,sleep efficiency,sleep disorders,total scores and other scores were significantly lower than those before treatment,and the difference was significant （P 〈 0.05）. At the same time,tbe level of pulmonary function of patients was improved. Conclusion： Respiratory function exercise combined with Auricular beans has a good effects on the insomnia of patients with COPD, and the clinical curative effect is exact.

关 键 词：呼吸功能锻炼操 耳穴埋豆 慢性阻塞性肺疾病 失眠 睡眠质量 

分 类 号：R563.9[医药卫生—呼吸系统]