八段锦结合中医情志管理在广泛性焦虑伴失眠患者中的应用效果探讨  

Effect of Baduanjin (八段锦) Combined with Emotional Management of Chinese Medicine in Patients with Generalized Anxiety Complicated with Insomnia

作　　者：王芳[1] 苏文理[2] 谢小红 刘美红 陈静怡 温立新[2] WANG Fang;SU Wenli;XIE Xiaohong;LIU Meihong;CHEN Jingyi;WEN Lixin(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Sanming Hospital of Integrated Traditional Chinese and Western Medicine,Sanming Fujian 365001,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]三明市中西医结合医院,福建三明365001

出　　处：《中医药导报》2022年第9期75-79,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：中国中医科学院科技创新工程(CI2021A03114)。

摘　　要：目的:探讨八段锦结合中医情志管理在广泛性焦虑伴失眠患者中应用的效果。方法:采用随机数字表法将72例广泛性焦虑伴失眠患者分为治疗组和对照组各36例,治疗组患者采用八段锦结合中医情志管理,对照组患者采用渐进式放松,两组均持续管理3个月。比较两组患者管理前后焦虑程度、睡眠质量、压力情况。结果:管理后两组患者汉密尔顿抑郁量表(HAMA)评分、匹兹堡睡眠质量指数(PSQI)总分、压力知觉量表(PSS-10)评分均低于管理前(P<0.05),且治疗组患者管理后HAMA评分、PSQI总分及PSS-10评分均低于对照组(P<0.05);管理后两组患者心率变异性(HRV)检测结果中总功率、低频、高频、低频标化、高频标化均高于管理前(P<0.05),低频/高频均低于管理前(P<0.05),且治疗组患者管理后总功率、低频、高频、低频标化、高频标化均高于对照组(P<0.05),低频/高频低于对照组;治疗组抗焦虑与抗失眠总有效率均高于对照组(P<0.05)。结论:八段锦结合中医情志管理可减轻广泛性焦虑伴失眠患者焦虑程度,提高患者睡眠质量,减轻患者精神压力,效果理想。Objective:To explore the effect of Baduanjin combined with emotional management of Chinese medicine in patients with generalized anxiety complicated with insomnia.Methods:Totally 72 patients with generalized anxiety complicated insomnia were divided into treatment and control groups by a random number table,with 36 cases in each group.The treatment group was treated Baduanjin combined with emotional management of Chinese medicine,while the control group was treated with progressive relaxation.The anxiety degrees,sleep quality and stress were compared between two groups before and after management,for three months.Results:The scores of Hamilton Depression Scale(HAMA),total scores of Pittsburgh sleep quality index(PSQI)and stress perception scale(PSS-10)scores in the two groups after management were lower than those before management(P<0.05),and the treatment group showed lower HAMA,PSQI and PSS-10 scores than control group after management(P<0.05).The total power,low frequency,high frequency,low frequency standardization and high frequency standardization in indexes of heart rate variability(HRV)in the two groups after management were higher than those before management(P<0.05),while the frequency/high frequency were lower than before management(P<0.05).The treatment group showed higher total power,low frequency,high frequency,low frequency standardization and high frequency standardization than control group after management(P<0.05),while lower frequency/high frequency than control group(P<0.05).The treatment group showed higher total effective rates of anti-anxiety and anti-insomnia than control group (P<0.05). Conclusion: Baduanjin combined with emotional management of Chinese medicine can reduce the degree of anxiety, improve sleep quality and reduce mental stress in patients with generalized anxiety complicated with insomnia, with ideal effect.

关 键 词：广泛性焦虑 失眠 八段锦 中医情志管理 应用效果 

分 类 号：R247.4[医药卫生—中医临床基础]