穴位贴敷疗法联合佐匹克隆治疗失眠症伴高血压病临床研究  

Clinical Study on Point Application Combined with Zopiclone for Insomnia Complicated with Hypertension

作　　者：茹英[1] 沈仲夏[2] 董丽萍 RU Ying;SHEN Zhongxia;DONG Liping(Department of Psychosomatic Disorders,Huzhou Third People's Hospital,Huzhou Zhejiang 313000,China;Sleep Medicine Center,Huzhou Third People's Hospital Huzhou Zhejiang 313000,China;Department of Traditional Chinese Medicine,Huzhou Third People's Hospital,Huzhou Zhejiang 313000,China)

机构地区：[1]湖州市第三人民医院心身障碍科,浙江湖州313000 [2]湖州市第三人民医院睡眠医学中心,浙江湖州313000 [3]湖州市第三人民医院中医科,浙江湖州313000

出　　处：《新中医》2023年第22期180-183,共4页New Chinese Medicine

摘　　要：目的:观察穴位贴敷疗法联合佐匹克隆治疗失眠症伴高血压病的临床疗效及对睡眠质量的影响。方法:将68例失眠症伴高血压病患者随机分为对照组和观察组各34例。对照组给予常规降压及佐匹克隆治疗,观察组在对照组基础上给予穴位贴敷治疗。2组均治疗1个月。观察比较2组临床疗效,以及治疗前后中医证候评分、匹兹堡睡眠指数(PSQI)评分、收缩压(SBP)及舒张压(DBP)水平。结果:观察组总有效率为94.12%,对照组为76.47%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组夜寐不安、久不能眠、头晕胀痛、急躁易怒等中医证候评分均较治疗前降低(P<0.05),且观察组各项评分均低于对照组(P<0.05)。治疗后,2组PSQI量表中睡眠质量、入睡时间、睡眠时间、睡眠效率、失眠症状、日间功能障碍、助眠药物使用等评分均较治疗前降低(P<0.05),且观察组上述各项评分均低于对照组(P<0.05)。治疗后,2组SBP、DBP水平均较治疗前降低(P<0.05),且观察组SBP、DBP水平均低于对照组(P<0.05)。结论:穴位贴敷疗法联合佐匹克隆治疗失眠症伴高血压病可提高临床疗效,能进一步改善患者的血压水平、睡眠质量及中医证候。Objective:To observe the clinical effect of point application combined with Zopiclone for insomnia complicated with hypertension and its effect on sleep quality.Methods:A total of 68 patients with insomnia and hypertension were randomly divided into the control group and the observation group,with 34 cases in each group.The control group received routine antihypertensive and Zopiclone therapy,and the observation group additionally received point application therapy based on the treatment of the control group.Both groups were treated for 1 month.Traditional Chinese medicine(TCM)syndrome scores,Pittsburgh Sleep Quality Index(PSQI)scores,systolic blood pressure(SBP),and diastolic blood pressure(DBP)levels before and after treatment,as well as the clinical effects were observed and compared between the two groups.Results:The total effective rate was 94.12%in the observation group,and 76.47%in the control group,the difference being significant(P<0.05).After treatment,the scores of TCM syndromes such as restlessness at night,prolonged inability to sleep,dizziness and distending pain,bloating and irritability in the two groups were decreased when compared with those before treatment(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).After treatment,the scores of sleep quality,time to fall asleep,sleep time,sleep efficiency,insomnia symptoms,daytime dysfunction,and use of sleep aids of PSQI in the two groups were decreased when compared with those before treatment(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).After treatment,the levels of SBP and DBP in the two groups were decreased when compared with those before treatment(P<0.05),and the levels of SBP and DBP in the observation group were lower than those in the control group(P<0.05).Conclusion:The combination of point application therapy and Zopiclone for insomnia complicated with hypertension can improve clinical effects,and further improve blood pressure levels,sleep

关 键 词：失眠症 高血压病 穴位贴敷 佐匹克隆 匹兹堡睡眠指数 中医证候 

分 类 号：R256.23[医药卫生—中医内科学]