穴位按摩联合益肺安神汤治疗肺气虚型煤工尘肺失眠患者的临床效果  

Clinical effect of acupoint massage combined with Yifei Anshen Decoction in the treatment of patients with pulmonary qi deficiency type coal worker pneumoconiosis insomnia

作　　者：牛少强[1] 户玉轩 NIU Shao-qiang;HU Yu-xuan(The Third Department of Respiratory,Fangshan Hospital,Beijing University of Traditional Chinese Medicine,Beijing 102400,China;Department of Preventive Health,Fangshan Hospital,Beijing University of Traditional Chinese Medicine,Beijing 102400,China)

机构地区：[1]北京中医药大学房山医院肺病三科,北京102400 [2]北京中医药大学房山医院治未病科,北京102400

出　　处：《中国当代医药》2019年第1期200-203,共4页China Modern Medicine

摘　　要：目的观察穴位按摩联合益肺安神汤治疗肺气虚型煤工尘肺失眠患者的睡眠改善情况。方法选取2016年6月～2017年12月就诊于我院肺病三科的98例肺气虚型煤工尘肺失眠患者作为研究对象,随机将其分为治疗组和对照组,每组各49例。排除脱落病例,最终参与研究的患者,治疗组45例,对照组44例。两组在心理疏导、预防感冒等的基础上,对照组患者给予患者西药治疗等基础治疗,治疗组患者在给予对照组基础治疗的同时,给与患者穴位按摩(安眠穴)及益肺安神汤治疗。疗程为4周,并在治疗结束后4周电话随访。比较两组患者治疗前、治疗4周后及治疗结束后4周的匹兹堡睡眠质量指数(PSQI)量表评分、入睡时间、睡眠时间、睡眠质量及催眠药物评分。结果两组患者治疗前、治疗4周后及治疗结束后4周的PSQI量表评分比较,差异均无统计学意义(P>0.05)。治疗4周后及治疗结束后4周,两组患者的PSQI量表评分均低于治疗前,差异有统计学意义(P<0.05)。治疗4周后及治疗结束后4周,两组患者的入睡时间、睡眠时间、睡眠质量评分均低于治疗前,治疗组患者的催眠药物评分低于治疗前,但对照组患者的催眠药物评分高于治疗前,差异有统计学意义(P<0.05)。治疗4周后及治疗结束后4周,两组患者的入睡时间比较,差异无统计学意义(P>0.05);但治疗组患者的睡眠时间、睡眠质量、催眠药物评分低于对照组,差异有统计学意义(P<0.05)。结论穴位按摩联合益肺安神汤治疗肺气虚型煤工尘肺失眠患者可以有效地改善失眠患者的临床症状,改善患者的睡眠时间和睡眠质量,且能有效的减少催眠药物的使用。Objective To observe the improvement of sleep in patients with pulmonary qi deficiency type coal worker pneumoconiosis(CWP)treated with acupoint massage combined with Yifei Anshen Decoction.Methods A total of 98 cases of pneumoconiosis insomnia From June 2016 to December 2017 were selected as subjects and were randomly divided into treatment group and control group,with 49 patients in each group.Excluding the shedding cases,there were 45 patients in the treatment group and 44 patients in the control group participated in the study.In the two groups,on the basis of psychological counseling and prevention of colds,the control group gave the patients basic treatment such as Western medicine treatment.In the treatment group,the patients were given acupuncture massage(An Mian)and Yifei Anshen Decoction treatment on the basic treatment of the control group.The course of treatment was 4 weeks and telephone follow-up was conducted 4 weeks after the end of treatment.The Pittsburgh sleep quality index(PSQI)score,time to falling asleep,sleep time,sleep quality and hypnotic drug score before treatment,after 4 weeks of treatment and 4 weeks after the end of treatment between the two groups were compared.Results There was no statistically significant difference in PSQI scale scores between the two groups before treatment,after 4 weeks of treatment and 4 weeks after the end of treatment(P>0.05).After 4 weeks of treatment and 4 weeks after the end of treatment,the scores of the PSQI of patients in both groups were lower than those before treatment,the differences were statistically significant(P<0.05).After 4 weeks of treatment and 4 weeks after the end of treatment,the time to falling asleep,sleep time,sleep quality scores of the patients in both groups were lower than those before treatment,the score of hypnotic drugs in the treatment group was lower than that before treatment,but the score of hypnotic drugs in the control group was higher than that before treatment,the differences were statistically significant(P<0.05).After

关 键 词：失眠 不寐病 煤工尘肺 肺气虚 艾司唑仑 穴位按摩 

分 类 号：R971.2[医药卫生—药品]