家庭医生制度下的中医适宜技术服务模式在睡眠障碍治疗中的应用  

The Application of the Appropriate Technical Service Model of Traditional Chinese Medicine in the Treatment of Sleep Disorder under the Family Doctor System

作　　者：鄢奉斌 陈虹 祝娅 施寒艳 成雯郁 卞蓉民 YAN Fengbin;CHEN Hong;ZHU Ya;SHI Hanyan;CHENG Wenyu;BIAN Rongmin(Department of General Practice Medicine,Changjiang Road Community Health Care Center,Shangai 200431,China;Department of Traditional Chinese Medicine,hangjiang Road Community Health Care Center,Shangai 200431,China)

机构地区：[1]上海市宝山区长江路社区卫生服务中心全科,上海200431 [2]海市宝山区长江路社区卫生服务中心中医科,上海200431

出　　处：《中国中医药现代远程教育》2020年第15期71-73,共3页Chinese Medicine Modern Distance Education of China

基　　金：上海市卫生健康委员会一般项目【No.Jtyszyfw33】。

摘　　要：目的分析家庭制度下的中医适宜技术服务模式在社区老年人睡眠障碍治疗中的临床疗效。方法选取患有睡眠障碍的老人120例,按每季度分批收集患者,随机分为干预组(60例)与对照组(60例),每批实施期为3个月。干预组:在患者原治疗睡眠障碍的基础上,进行健康生活方式宣教1次,同时采用睡前温水泡脚,自我按压印堂、百会、太阳、内关、神门、三阴交、涌泉为主,依次按压各50次,每日1次,共3个月。对照组:在患者原治疗睡眠障碍的基础上,进行健康生活方式宣教1次,分别对2组匹兹堡睡眠质量指数(Pittsburgh sleep quslity index,PSQI)评分进行对比。结果发现干预组总有效率高于对照组,差异有统计学意义(P<0.05)。结论中医适宜技术服务模式可以改善居民中睡眠障碍患者的睡眠质量,提高患者的生活质量。Objective To analyze the clinical effect of suitable technical service mode of traditional Chinese medicine under family system in the treatment of sleep disorder in the elderly in community.Methods 120 elderly people with sleep disorder were randomly divided into intervention group(n=60)and control group(n=60).The implementation period of each batch was three months.Intervention group:on the basis of the original treatment of sleep disorder,the healthy lifestyle education was carried out once,and the warm blisters before bedtime,self-pressing printing hall,Baihui,temple,Neiguan,Shenmen,Sanyinjiao and Yongquan points were mainly pressed 50 times in turn,once a day for three months.Control group:on the basis of the patient's original treatment of sleep disorders,a healthy lifestyle was conducted for one time,and the scores of the Pittsburgh sleep quality index(Pittsburgh sleep quslity index,PSQI)were compared in two groups,respectively.The results showed that the total effective rate of the intervention group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Appropriate technical service model of traditional Chinese medicine can improve sleep quality and improve the quality of life.

关 键 词：睡眠障碍 社区老年人 家庭医生 中医适宜技术 临床效果 

分 类 号：R277.7[医药卫生—中医学]