摘要
目的探讨艾灸百会、涌泉配合健康教育对女性失眠患者的临床疗效及对睡眠质量、氧化应激的影响。方法选取2018年1月—2019年1月就诊于本院门诊部诊断为失眠的女性患者60例,通过随机数字表法分为对照组和治疗组,每组30例。对照组患者予以常规西药治疗,治疗组患者在对照组治疗基础上予以艾灸百会、涌泉结合健康教育治疗。比较2组患者临床疗效及治疗前后睡眠质量、情绪状况及氧化应激水平。结果治疗后,治疗组临床治疗总有效率为86.67%,显著高于对照组的60.00%(P<0.05);治疗组总睡眠时间、睡眠效率、血清SOD及GSH-Px水平较治疗前明显升高(P<0.05),睡眠潜伏期、觉醒次数、PSQI各项得分及总分、HAMA及HAMD评分、血清MDA水平较治疗前明显降低(P<0.05),且治疗组改善情况显著优于对照组(P<0.05)。结论艾灸百会、涌泉结合健康教育可改善女性失眠患者睡眠质量及情绪状况,其治疗机制可能与抗氧化应激作用有关。
Objective To explore the clinical effect of moxibustion the point Baihui,Yongquan and health education on women with insomnia and the effect on sleep quality and oxidative stress.Methods From January 2018 to January 2019,sixty female patients diagnosed with insomnia in our outpatient department were randomly divided into control group and treatment group,with 30 cases in each group.The patients in the control group were treated with conventional western medicine,and the patients in the treatment group were treated with moxibustion the point Baihui and Yongquan combined with health education on the basis of the treatment of the control group.The clinical efficacy,sleep quality,emotional status and oxidative stress level were compared between the two groups.Results After treatment,the total effective rate of clinical treatment in the treatment group was 86.67%,which was significantly higher than that in the control group(60.00%)(P<0.05).The total sleep time,sleep efficiency,serum SOD and GSH-Px levels in the treatment group were significantly higher than those before treatment(P<0.05).The sleep latency,arousal times,PSQI scores and total scores,HAMA and HAMD scores,serum MDA levels were significantly lower than those before treatment(P<0.05).The improvement of the treatment group were significantly better than those of the control group(P<0.05).Conclusion Moxibustion the point Baihui,Yongquan combined with health education could improve the sleep quality and emotional status of women with insomnia,and its treatment mechanism might be related to antioxidant stress.
作者
田甜
雷杰
TIAN Tian;LEI Jie(The First Hospital of Wuhan,Wuhan 430022,China)
出处
《中西医结合研究》
2020年第3期145-148,153,共5页
Research of Integrated Traditional Chinese and Western Medicine
关键词
女性失眠
艾灸
健康教育
氧化应激
female insomnia
moxibustion
health education
oxidative stress