中药热奄包联合足底穴位敷贴治疗高原原发性失眠症疗效及对患者睡眠效率、生活质量的影响  

Effects of hot compress with chinese herbal packets combined with plantar acupoint application therapy in the treatment of primary insomnia at high altitude and the influence on sleep efficiency and quality of life

作　　者：马玲 李玉华[1] 张红智[2] 王骏[2] 王界成[1] MA Ling;LI Yuhua;ZHANG Hongzhi;WANG Jun;WANG Jiecheng(Department of Encephalopathy,Qinghai Hospital of Traditional Chinese Medicine,Xining 810000,China)

机构地区：[1]青海省中医院脑病科,青海西宁810000 [2]上海中医药大学附属曙光医院神经内科,上海200021

出　　处：《陕西中医》2024年第1期59-62,共4页Shaanxi Journal of Traditional Chinese Medicine

基　　金：青海省卫生健康委员会科研项目(2020-WJZDX-101)。

摘　　要：目的:研究中药热奄包联合足底穴位敷贴治疗高原原发性失眠症(PI)的效果及其对患者睡眠效率和生活质量的影响。方法:选取62例高原PI患者,应用随机数字表法分为两组,观察组和对照组各31例。对照组接受艾司唑仑治疗,观察组在此基础上采用中药热奄包联合足底穴位敷贴,两组均治疗2个月。比较两组患者疗效、睡眠效率、睡眠质量及生活质量等。结果:观察组治疗总有效率高于对照组(P<0.05);治疗后,观察组睡眠总时间(TST)、睡眠维持率(SE)、快动眼睡眠相潜伏期(RL)均高于对照组,觉醒时间(AWT)、睡眠潜伏期(SL)、觉醒次数(AT)均小于对照组(P<0.05);治疗后,观察组匹兹堡睡眠质量指数(PSQI)各项评分和PSQI总评分低于对照组(P<0.05);治疗后,观察组世界卫生组织生存质量简表(WHOQOL-BREF)各项评分及总评分均高于对照组(P<0.05)。结论:中药热奄包联合足底穴位敷贴治疗高原原发性失眠症明显提高临床疗效,提升睡眠效率,改善PSQI评分,增加生活质量。Objective:To study the effects of hot compress with Chinese herbal packets combined with plantar acupoint application therapy in the treatment of primary insomnia(PI)at high altitude and the influence on sleep efficiency and quality of life.Methods:A total of 62 patients with primary insomnia at high altitude were selected,and randomly divided into the observation group(31 cases)and the control group(31 cases),receiving estazolam treatment and hot compress with Chinese herbal packets combined with plantar acupoint application therapy,respectively.All patients were treated for 2 months.Curative effect,sleep efficiency,sleep quality and quality of life of the two groups were compared.Results:The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).Compared with the control group after treatment,total sleep time(TST),sleep efficiency(SE)and rapid eye movement latency(RL)in the observation group were longer/higher,and awakening time(AWT),sleep latency(SL)and awakening times(AT)were shorter/lower(P<0.05).The scores for different dimensions of Pittsburgh Sleep Quality Index(PSQI)and total score of the observation group were lower,whereas the scores for different dimensions and the total score of the World Health Organization Quality of Life-BREF(WHO QOL-BREF)and the total score of the observation group were higher(P<0.05).Conclusion:Hot compress with Chinese herbal packets combined with plantar acupoint application therapy can significantly improve clinical effects in the treatment of primary insomnia at high altitude.In addition,it can improve sleep efficiency,PSQI scores and quality of life.

关 键 词：原发性失眠 中药热奄包 足底穴位敷贴 睡眠效率 睡眠质量 生活质量 

分 类 号：R256.23[医药卫生—中医内科学]