中医穴位按摩与正念减压结合运动训练在老年COPD合并睡眠障碍患者中的应用  

Application of acupoint massage and mindfulness decompression combined with exercise training in elderly COPD patients with sleep disorders

作　　者：何美林[1] 金亦芬 黄苏枝 胡金英 杨芬 HE Meilin;JIN Yifen;HUANG Suzhi;HU Jinying;YANG Fen(Department of Respiratory and Critical Care Medicine,Taizhou Traditional Chinese Medicine Hospital,Taizhou,Zhejiang,318000,China)

机构地区：[1]台州市中医院呼吸与危重症医学科,浙江台州318000

出　　处：《中西医结合护理（中英文）》2022年第11期58-61,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨中医穴位按摩与正念减压结合运动训练在老年慢性阻塞性肺疾病(COPD)合并睡眠障碍患者中的应用效果。方法回顾性分析2019年5月至2022年2月于台州市中医院呼吸与危重症医学科就诊的124例老年COPD合并睡眠障碍患者的临床资料。依据入院时间的不同将患者分为对照组(2019年5月至2020年11月,60例)和观察组(2020年12月至2022年2月,64例)。对照组患者采用常规护理,观察组患者给予中医穴位按摩与正念减压结合运动训练。对比2组患者的睡眠监测指标、睡眠质量、认知功能和睡眠疗效。结果随访3个月后,观察组的睡眠总时间明显长于对照组,快速动眼睡眠比例明显低于对照组(P均<0.05);2组间觉醒次数比较无统计学差异(P>0.05)。随访3个月后,观察组的蒙特利尔认知评估量表评分高于对照组,匹兹堡睡眠质量指数评分低于对照组(P均<0.05)。观察组的睡眠治疗总有效率高于对照组(P<0.05)。结论应用中医穴位按摩与正念减压结合运动训练干预老年COPD合并睡眠障碍患者,可以改善其睡眠监测指标、睡眠质量和认知功能,提高睡眠治疗总有效率。Objective To explore the application effect of traditional Chinese medicine acupoint massage and mindfulness decompression combined with exercise training in elderly patients with chronic obstructive pulmonary disease(COPD)and sleep disorders.Methods A retrospective analysis was made on the clinical data of 124 elderly COPD patients with sleep disorders in the Department of Respiratory and Critical Care Medicine at Taizhou Traditional Chinese Medicine Hospital between May 2019 and February 2022.The patients were divided into the control group(60 cases between May 2019 and November 2020)and the observation group(64 cases between December 2020 and February 2022)according to the admission time.The patients in the control group received routine nursing,while the patients in the observation group received traditional Chinese medicine acupoint massage and mindfulness decompression combined with exercise training.The sleep monitoring parameters,sleep quality,cognitive function,and sleep efficacy of the two groups were compared.Results After 3 months of follow-up,the total sleep time of the observation group was significantly longer than that of the control group,and the proportion of rapid eye movement sleep was significantly lower than that of the control group(both P<0.05).There was no significant difference in the frequency of waking up between the two groups(P>0.05).After 3 months of follow-up,the score of the Montreal Cognitive Assessment in the observation group was higher than that in the control group,and the score of the Pittsburgh Sleep Quality Index was lower than that in the control group(both P<0.05).The total effective rate of sleep therapy in the observation group was higher than that in the control group(P<0.05).Conclusion The application of traditional Chinese medicine acupoint massage and mindfulness decompression combined with exercise training can improve the sleep monitoring parameters,sleep quality,and cognitive function of elderly COPD patients with sleep disorders,and improve the total effective

关 键 词：慢性阻塞性肺疾病 睡眠障碍 中医穴位按摩 正念减压结合运动训练 睡眠质量 

分 类 号：R563[医药卫生—呼吸系统]