中药穴位贴敷联合缩唇-腹式呼吸训练干预慢性顽固性心力衰竭伴睡眠障碍的临床观察  

Clinical Observation of Acupoint Application of Traditional Chinese Medicine Combined with Lip Contraction-abdominal Breathing Training for Intervening Chronic Refractory Heart Failure with Sleep Disorder

作　　者：吴晖[1] 李希玲 WU Hui;LI Xiling(Ankang Hospital of Traditionl Chinese Medicine,Ankang Shaanxi 725000,China;The Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine,Xianyang 112000,China)

机构地区：[1]安康市中医院,陕西安康725000 [2]陕西中医药大学附属医院,陕西咸阳712000

出　　处：《四川中医》2021年第6期206-210,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：安康市科技局科研项目(项目编号:AK2019-SFZC-08)。

摘　　要：目的:观察中药穴位贴敷联合缩唇-腹式呼吸训练对慢性顽固性心力衰竭伴睡眠障碍患者心功能、匹兹堡睡眠质量指数、生存质量及护理满意度的影响。方法:将86例慢性顽固性心力衰竭伴睡眠障碍患者随机分为观察组44例和对照组42例,对照组患者给予慢性心力衰竭规范治疗与护理方案,观察组在对照组基础上给予自制中药穴位贴敷联合缩唇-腹式呼吸训练的综合干预方案,2组患者均连续干预4周,比较2组干预前后美国纽约心脏协会(NYHA)心功能分级、匹兹堡睡眠质量指数量表(PSQI)、明尼苏达心力衰竭生活质量调查量表(MLHFQ)评分,干预后评价2组患者临床护理满意度。结果:经综合方案干预后2组患者NYHA心功能分级较干预前均显著改善,差异均有统计学意义(P<0.05);观察组患者干预后的NYHA心功能分级显著优于对照组,差异均有统计学意义(P<0.05)。2组患者睡眠潜伏期、睡眠持续性、主观睡眠质量、睡眠效率、睡眠紊乱、日间功能紊乱、使用睡眠药物评分及PSQI总分均显著低于干预前,差异有统计学意义(P<0.05);观察组以上项目评分均显著低于对照组,差异有统计学意义(P<0.05)。2组患者经干预后MLHFQ量表各维度评分及总分均较干预前显著降低,差异有统计学意义(P<0.05);观察组各维度评分及总分均显著低于对照组,差异有统计学意义(P<0.05)。2组患者干预后进行护理满意度调查,观察组非常满意率及总满意率显著高于对照组,差异有统计学意义(P<0.05)。结论:中药穴位贴敷联合缩唇-腹式呼吸训练的综合干预方案可显著改善慢性顽固性心力衰竭伴睡眠障碍患者心功能、睡眠质量,提高患者生存质量和护理满意度。Obective: To observe the effects of acupoint application of traditional Chinese medicine combined with lab-contraction abdominal breathing training on heart function, Pittsburgh sleep quality index, life quality and nursing satisfaction for patients with chronic refractory heart failure with sleep disorder. Methods: The 86 cases of chronic refractory heart failure with sleep disorder were randomly divided into an observation group(44 cases) and a controlled group(42 cases),patients in the controlled group were given standard treatment and nursing programs for chronic heart failure, and the observation group was given a comprehensive intervention program of self-made Chinese medicine acupoint application combined with lip contraction-abdominal breathing training on the basis of the controlled group. The two groups of patients were continuously intervened for 4 weeks, the scores of NYHA heart function scale, Pittsburgh sleep quality index(PSQI) and Minnesota heart failure quality of life scale(MLHFQ) before and after intervention were compared, the clinical nursing satisfaction of patients in 2 groups after intervention were evaluated. Results: NYHA cardiac function grading in the two groups was significantly improved after the comprehensive program intervention compared with that before intervention, and the differences were statistically significant(P<0.05). The NYHA cardiac function grading in the observation group after intervention was significantly better than that in the controlled group, with statistically significant differences(P<0.05). The sleep latency, sleep duration, subjective sleep quality, sleep efficiency, sleep disorder, daytime dysfunction, sleep drug score and total score of PSQI in the two groups were significantly lower than those before intervention, with statistically significant differences(P<0.05). The scores of the above items in the observation group were significantly lower than that in the controlled group, with statistically significant differences(P<0.05). After intervention, scores

关 键 词：穴位贴敷 缩唇-腹式呼吸训练 慢性心力衰竭 睡眠障碍 临床观察 

分 类 号：R248.1[医药卫生—中医临床基础]