耳穴压豆法治疗艾滋病失眠患者的PSQI量表分析
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摘要
目的:探讨耳穴压豆疗法治疗艾滋病失眠患者的临床效果。方法:根据诊断标准选取艾滋病失眠患者272例,耳穴压豆疗法治疗4个疗程,每个疗程7 d,采用匹兹堡睡眠质量指数量表(PSQI)作为疗效评定标准。结果:272例患者治疗7 d后,其中有69例患者睡眠质量改善,有效率达25. 37%。随着治疗时间延长,治疗有效率逐渐增加,至28 d有效率达94. 12%。PSQI各因子及总分逐渐减少,第1个疗程(治疗7 d)后PSQI各因子及总得分较治疗前降低,差异有统计学意义,其中睡眠质量、睡眠时间、睡眠障碍、催眠药应用及总分在治疗14 d后差异有统计学意义,入睡时间、睡眠效率及日间功能障碍治疗21 d后差异有统计学意义。治疗28 d后除催眠药应用外,PSQI各因子及总分与常模比较差异有统计学意义,但睡眠效率较正常人高。结论:耳穴压豆疗法治疗艾滋病患者失眠有一定的临床疗效,值得进一步观察探讨。
Objective: To observe the clinical effect on AIDS patients with insomnia by the Non-drug therapy.Methods: Select 272 patients with AIDS insomnia who were in line with insomnia diagnosis standard. They were treated by the Ear bean therapy with 7 days,14 days,21 days and 28 days course. The Pittsburgh sleep quality index scale( PSQI) is the curative effect evaluation. Results: After 7 days of treatment,69 patients had improved the sleep quality and the effective rate were 25. 37%; With the development of Ear bean therapy,the effective rate gradually increased. The effective rate was up to 94. 12% after the 28 days treatment. The factors and total scores of PSQI decreased gradually. After the first course of treatment( 7 days of treatment),the PSQI factors and the total score were lower than before treatment,and the difference was statistically significant. Whereas,After 14 days of treatment,there were extremely remarkable differences in sleep quality,sleep time,sleep disorder,hypnotic application and total score. Meanwhile,the difference in sleep duration,sleep efficiency and daytime dysfunction was significant 21 days after treatment. At last,Compared with the norm,all factors and total scores of PSQI after 28 days of treatment were statistically significant in 272 patients,except for hypnotic application,while the sleep efficiency was higher than that normal people. Conclusions: Ear bean had certain effective in the AIDS patients with insomnia,which are worth for further clinic observation.
Objective: To observe the clinical effect on AIDS patients with insomnia by the Non-drug therapy.Methods: Select 272 patients with AIDS insomnia who were in line with insomnia diagnosis standard. They were treated by the Ear bean therapy with 7 days,14 days,21 days and 28 days course. The Pittsburgh sleep quality index scale( PSQI) is the curative effect evaluation. Results: After 7 days of treatment,69 patients had improved the sleep quality and the effective rate were 25. 37%; With the development of Ear bean therapy,the effective rate gradually increased. The effective rate was up to 94. 12% after the 28 days treatment. The factors and total scores of PSQI decreased gradually. After the first course of treatment( 7 days of treatment),the PSQI factors and the total score were lower than before treatment,and the difference was statistically significant. Whereas,After 14 days of treatment,there were extremely remarkable differences in sleep quality,sleep time,sleep disorder,hypnotic application and total score. Meanwhile,the difference in sleep duration,sleep efficiency and daytime dysfunction was significant 21 days after treatment. At last,Compared with the norm,all factors and total scores of PSQI after 28 days of treatment were statistically significant in 272 patients,except for hypnotic application,while the sleep efficiency was higher than that normal people. Conclusions: Ear bean had certain effective in the AIDS patients with insomnia,which are worth for further clinic observation.
引文
[1]陈秀敏,郭会军,张敏,等.耳穴压豆疗法治疗艾滋病相关失眠的临床观察[J].中国中医基础医学杂志,2017,23(9):1292-1294.
[2] GREZELLSCHAK S,JANSEN A,WESTERMANN S. Emotionregulation in patients with psychosis:A link between insomniaand paranoid ideation?[J]. Journal of Behavior Therapy&Experimental Psychiatry, 2016,doi:10. 1016/j. jbtep,2016,8. 001.
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[4] HUI WEI,LI PING,JIA HAIPENG,et al. Effects of auricularpoint sticking therapy on sleep in the middle-aged patients ofinsomnia[J].World Journal of Acupuncture-Moxibustion,2010,20(4):23-27.
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[6]陈晓谦.耳穴贴压治疗失眠临床观察[J].中医临床研究,2012,4(2):38-40.
[7]中华医学会感染病学分会艾滋病学组.艾滋病诊疗(2011版)[J].中华传染病杂志,2011,29(10):629-640.
[8]中华医学会神经病学分会睡眠障碍学组.中国成人失眠诊断与治疗指南[J].中华神经科杂志,2012,45(7):534-540.
[9] BUYSSE DJ,REYNOLDS C3,MONK TH,et al. The PittsburghSleep Quality Index:a new instrument for psychiatric practice andresearch[J].Psychiatry Res,1989,28(2):193-213.
[10]刘贤臣,唐茂芹,胡蕾,等.匹兹堡睡眠质量指数的信度和效度研究[J].中华精神科杂志,1996,29(2):103-107.
[11]路桃影,李艳,夏萍,等.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学,2014,43(3):260-263.
[12]内山真,谭新.睡眠障碍诊疗指南[M].西安:第四军医大学出版社,2006:254-259.
[13]王刚,张景行,徐元勇,等.一般人群睡眠质量和自测健康关系的初步研究[J].中国行为医学科学,2003,12(1):80-82.
[14]程梅,王丽娟,王尔娟.耳穴压豆治疗失眠临床观察[J].中医药临床杂志,2011,23(12):1039.
[15]苏玉香,赖有莲.耳穴压豆治疗原发性高血压伴失眠症的观察及护理[J].基层医学论坛,2013,17(36):4848-4850.
[16]邹庆.耳穴埋豆法对失眠患者的护理效果观察[J].实用临床护理学杂志,2016,1(5):146.
[17]李俏梅,段红梅,刘文文.耳穴埋豆治疗失眠的临床观察[J].中医临床研究,2016,8(2):37-38.
[18]李娟娟.耳穴压豆联合常规睡眠干预治疗失眠症护士37例观察[J].浙江中医杂志,2016,51(1):33-34.
[19]石学敏.针灸学[M]. 2版.北京:中国中医药出版社,2014:174.
[2] GREZELLSCHAK S,JANSEN A,WESTERMANN S. Emotionregulation in patients with psychosis:A link between insomniaand paranoid ideation?[J]. Journal of Behavior Therapy&Experimental Psychiatry, 2016,doi:10. 1016/j. jbtep,2016,8. 001.
[3]常明承,张静.中医综合治疗失眠症的疗效观察[J].中国社区医师,2012,14(7):182.
[4] HUI WEI,LI PING,JIA HAIPENG,et al. Effects of auricularpoint sticking therapy on sleep in the middle-aged patients ofinsomnia[J].World Journal of Acupuncture-Moxibustion,2010,20(4):23-27.
[5]卫彦,寇吉友.耳穴贴压法对失眠患者睡眠质量改善的临床观察[J].中国民间疗法,2010,18(4):15-16.
[6]陈晓谦.耳穴贴压治疗失眠临床观察[J].中医临床研究,2012,4(2):38-40.
[7]中华医学会感染病学分会艾滋病学组.艾滋病诊疗(2011版)[J].中华传染病杂志,2011,29(10):629-640.
[8]中华医学会神经病学分会睡眠障碍学组.中国成人失眠诊断与治疗指南[J].中华神经科杂志,2012,45(7):534-540.
[9] BUYSSE DJ,REYNOLDS C3,MONK TH,et al. The PittsburghSleep Quality Index:a new instrument for psychiatric practice andresearch[J].Psychiatry Res,1989,28(2):193-213.
[10]刘贤臣,唐茂芹,胡蕾,等.匹兹堡睡眠质量指数的信度和效度研究[J].中华精神科杂志,1996,29(2):103-107.
[11]路桃影,李艳,夏萍,等.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学,2014,43(3):260-263.
[12]内山真,谭新.睡眠障碍诊疗指南[M].西安:第四军医大学出版社,2006:254-259.
[13]王刚,张景行,徐元勇,等.一般人群睡眠质量和自测健康关系的初步研究[J].中国行为医学科学,2003,12(1):80-82.
[14]程梅,王丽娟,王尔娟.耳穴压豆治疗失眠临床观察[J].中医药临床杂志,2011,23(12):1039.
[15]苏玉香,赖有莲.耳穴压豆治疗原发性高血压伴失眠症的观察及护理[J].基层医学论坛,2013,17(36):4848-4850.
[16]邹庆.耳穴埋豆法对失眠患者的护理效果观察[J].实用临床护理学杂志,2016,1(5):146.
[17]李俏梅,段红梅,刘文文.耳穴埋豆治疗失眠的临床观察[J].中医临床研究,2016,8(2):37-38.
[18]李娟娟.耳穴压豆联合常规睡眠干预治疗失眠症护士37例观察[J].浙江中医杂志,2016,51(1):33-34.
[19]石学敏.针灸学[M]. 2版.北京:中国中医药出版社,2014:174.