八段锦联合五行音乐对稳定性心绞痛伴心肾不交型失眠患者的效果观察  

Observation on the Effect of Baduanjin(八段锦)combined with Five Elements of Music on Patients with Stable Angina Pectoris and Insomnia of Heart Kidney Disjunction Type

作　　者：高娟[1] 蒋谷芬[1] 陈芳[1] GAO Juan;JIANG Gu-fen;CHEN Fang(The Second Affiliated Hospital of Hunan University of Chinese Medicine,Changsha Hunan 410005,China)

机构地区：[1]湖南中医药大学第二附属医院,湖南长沙410005

出　　处：《中医药导报》2020年第14期71-75,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局资助项目(国中医药人教函[2019]72号),项目名称:2019年全国中医护理骨干人才培养计划。

摘　　要：目的:探讨八段锦联合五行音乐对稳定性心绞痛伴心肾不交型失眠患者睡眠质量的改善作用,为临床护理工作提供新思路、新方法。方法:选取我院住院的稳定性心绞痛伴心肾不交型失眠患者100例为研究对象,随机分为观察组和对照组各50例。两组患者在治疗上医嘱均给予常规护心药物硝酸异山梨酯片、美托洛尔、阿司匹林、阿托伐他汀钙等口服,中药汤剂以黄连阿胶汤加减改善失眠,并予常规护理,观察组在此基础上给予八段锦运动结合五行音乐。观察两组患者干预前、干预后第1周、干预后第4周匹兹堡睡眠质量指数评分变化、中医证候积分变化及临床疗效。结果:干预后观察组匹兹堡睡眠质量指数评分降低程度优于对照组,差异有统计学意义(P<0.05)。两组的不寐中医证候积分在不同时间点上的变化值均有所不同,而观察组不寐中医证候积分的下降趋势明显高于对照组(P<0.05)。干预4周后,观察组总有效率(84.0%,42/50)优于对照组(62.0%,31/50),差异有统计学意义(P<0.05)。两组均无明显不良反应。结论:八段锦联合五行音乐可以降低稳定性心绞痛伴心肾不交型失眠患者的匹兹堡睡眠质量指数评分及中医证候积分,改善患者的睡眠状况。Objective:To explore the effect of Baduanjin combined with five elements of music on sleep quality of patients with stable angina pectoris and insomnia of heart kidney disjunction type,so as to provide new ideas and methods for clinical nursing.Methods:A total of 100 patients with stable angina pectoris and insomnia of heart kidney disjunction type in our hospital were selected as the research objects.According to the random number table,the patients were divided into the observation group and the control group,with 50 cases in each.The patients in the two groups were treated with isosorbide nitrate tablets,metoprolol,aspirin,atorvastatin calcium and other conventional heart care drugs.Huanglian Ejiao Decoction(黄连阿胶汤)modified was given to improve insomnia,and routine nursing was given.On this basis,the observation group was given Baduanjin combined with five elements of music.The changes of Pittsburgh sleep quality index score,TCM syndrome score and clinical comprehensive effect were observed before intervention,the first week after intervention and the fourth week after intervention.Results:After intervention,the Pittsburgh sleep quality index score in the observation group was lower than that in the control group(P<0.05).The change value of insomnia syndrome integral in the two groups was different at different time points,while the decline trend of insomnia syndrome integral in the observation group was significantly higher than that in the control group(P<0.05).After 4 weeks of intervention,the total effective rate of the observation group was better than that of the control group(P<0.05).There were no significant adverse reactions in both groups.Conclusion:Baduanjin combined with five elements of music can reduce Pittsburgh sleep quality index score and TCM syndrome score of patients with stable angina pectoris and insomnia of heart kidney disjunction type,and reduce the clinical symptoms of insomnia.

关 键 词：稳定性心绞痛 心肾不交 失眠 八段锦 五行音乐 黄连阿胶汤 

分 类 号：R248.1[医药卫生—中医临床基础]