摘要
目的观察气郁质失眠患者接受中医健康管理治疗对睡眠质量产生的影响。方法选取2023年10月至2024年10月遵义市中医院治未病科收治的60例气郁质失眠患者作为研究对象,随机分成对照组和试验组,每组各30例,对照组采用口服右佐匹克隆片治疗,试验组采用口服右佐匹克隆片+中医健康管理,比较两组的匹兹堡睡眠质量指数量表(PSQI)、失眠严重指数表(ISI)、中医体质量表、症状改善评分。结果治疗后试验组的PSQI评分低于对照组,差异有统计学意义(P<0.05);治疗后试验组的ISI评分低于对照组,有改善趋势,但差异无统计学意义(P>0.05);治疗后试验组的中医体质量表评分低于对照组,差异有统计学意义(P<0.05);治疗后症状积分改善情况,精神紧张积分较治疗前明显改善,差异有统计学意义(P<0.05),其他症状(情绪低落、焦虑不安、胁肋疼痛、喜叹气、咽部异物感)积分低于对照组,有改善趋势,但差异无统计学意义(P>0.05)。结论气郁质失眠患者接受中医健康管理可促进其睡眠质量提高、改善体质偏颇状态,还能够改善其情绪紧张状态,提高生活品质。
Objective To observe the impact of traditional Chinese medicine health management on sleep quality in patients with insomnia of qi depression constitution.Methods A total of 60 patients with insomnia and Qi stagnation constitution,admitted to the Department of Preventive Medicine at Zunyi Hospital of Traditional Chinese Medicine from October 2023 to October 2024,were selected as the study subjects.They were randomly divided into a control group and an experimental group,with 30 patients in each group.The control group received conventional Dexzopiclone Tablets,while the experimental group received a combination of Dexzopiclone Tablets and TCM health management.The Pittsburgh sleep quality index(PSQI),insomnia severity index(ISI),TCM constitution questionnaire,and symptom improvement scores were compared between the two groups.Results After treatment,the PSQI score in the experimental group was significantly lower than that in the control group,with a statistically significant difference(P<0.05).The ISI score in the experimental group was also lower than that in the control group,showing a trend of improvement,although the difference did not reach statistical significance(P>0.05).The TCM Constitution Questionnaire score in the experimental group was significantly lower than that in the control group,with a statistically significant difference(P<0.05).Regarding symptom improvement,the score for mental tension significantly improved compared to before treatment,with a statistically significant difference(P<0.05).Other symptoms(such as low mood,anxiety,hypochondriac pain,frequent sighing,and throat obstruction sensation)showed a trend of improvement,but the differences were not statistically significant(P>0.05).Conclusion TCM health management can improve sleep quality,correct constitutional imbalances,alleviate emotional tension,and enhance the quality of life in patients with insomnia and Qi stagnation constitution.
作者
杨兰
杨盛强
YANG Lan;YANG Shengqiang(Department of Preventive Medicine,Zunyi Hospital of Traditional Chinese Medicine,Guizhou,Zunyi 563000,China;Department of Rehabilitation,Zunyi Hospital of Traditional Chinese Medicine,Guizhou,Zunyi 563000,China)
出处
《中国医药科学》
2025年第15期116-120,共5页
China Medicine And Pharmacy
基金
贵州省遵义市科技厅社发科技攻关课题[遵市科合HZ字(2023)379号]。
关键词
治未病
中医健康管理
气郁质
失眠
Abridged the disease
Traditional Chinese medicine health management
Qi stagnation quality
Insomnia
作者简介
通讯作者:杨盛强。
