中医综合助眠管理方案对慢性阻塞性肺疾病合并睡眠障碍患者睡眠质量和心理应激的影响  

Practice of promoting sleep quality and psychological stress improvement in patients with chronic obstructive pulmonary disease and sleep disorders via a comprehensive Chinese medicine sleep aid management plan

作　　者：白琳 张红霞[1] BAI Lin;ZHANG Hongxia(Department of Pulmonary Diseases,Wujin Hospital of TCM,Changzhou,Jiangsu 213000)

机构地区：[1]江苏省常州市武进中医医院肺病科,江苏常州213000

出　　处：《河北中医》2025年第3期382-385,390,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：常州市武进区科技计划项目(编号:WS201719)。

摘　　要：目的研究综合中医助眠管理方案对慢性阻塞性肺疾病合并睡眠障碍患者睡眠质量和心理应激的影响。方法将2022年1月至2023年12月江苏省常州市武进中医医院的80例慢性阻塞性肺疾病合并睡眠障碍患者按照随机数字表法分为2组。对照组40例予常规干预,研究组40例在对照组基础上应用中医综合助眠管理方案。2组均干预1个月。比较2组干预前后睡眠质量、慢性阻塞性肺疾病病情严重程度、肺功能、心理应激及日间疲劳情况变化。结果2组干预后匹兹堡睡眠质量指数(PSQI)评分、慢性阻塞性肺疾病评估测试问卷(CAT)评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、疲劳量表(FS-14)评分均较本组干预前降低(P<0.05),且研究组低于对照组(P<0.05)。2组干预后第1 s用力呼气容积占预计值百分比(FEV1%pred)及第1 s用力呼气容积/用力肺活量(FEV1/FVC)均较本组干预前升高(P<0.05),且研究组高于对照组(P<0.05)。结论中医综合助眠管理方案可有效改善慢性阻塞性肺疾病合并睡眠障碍患者的病情、睡眠质量、心理应激情况、肺功能及日间疲劳情况。Objective To study the improvement effect of a comprehensive Chinese medicine sleep aid management plan on sleep quality and psychological stress in patients with chronic obstructive pulmonary disease(COPD)and sleep disorders.Methods Eighty patients with COPD and sleep disorders at Wujin Hospital of TCM from January 2022 to December 2023 were randomized 1∶1 to routine intervention(control group)or comprehensive traditional Chinese medicine sleep management and routine intervention(study group).After one-month of intervention,the sleep quality,the severity of disease,lung function,psychological stress,and daytime fatigue were included as comparisons before and after intervention between groups.Results After the intervention,the Pittsburgh Sleep Quality Index(PSQI)score,COPD Assessment Questionnaire(CAT)score,Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)score,and Fatigue Scale 14(FS-14)score of both groups were significantly decreased,but the percentage of predicted values of forced expiratory volume in one second(FEV 1%pred),and FEV 1/the forced vital capacity(FVC)were significantly increased compared to before the intervention(all P<0.05),and the study group was more pronounced than the control group for the above indexes(all P<0.05).Conclusion The Chinese medicine comprehensive sleep aid management plan can effectively improve the condition,sleep quality,psychological stress,lung function,and daytime fatigue of COPD patients with sleep disorders.

关 键 词：肺疾病 慢性阻塞性 睡眠障碍 熏洗疗法 耳穴贴压疗法 艾条灸疗法 情志相胜法 

分 类 号：R563.9[医药卫生—呼吸系统] R256.23[医药卫生—内科学] R244.9[医药卫生—临床医学] R245.81