中药超声导入联合穴位压力刺激贴治疗老年失眠伴抑郁临床研究
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R256.23

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温州市科技局课题(Y2020912)


Clinical Study on Ultrasonic Introduction of Chinese Medicine Combined with Acu⁃ point Pressure Stimulation Patch for Senile Patients with Insomnia Complicated with Depression
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    摘要:

    目的:观察中药超声导入联合穴位压力刺激贴治疗老年心胆气虚型失眠伴抑郁的临床疗效。方 法:将 90 例老年心胆气虚型失眠伴抑郁患者按随机数字表法分成观察组和对照组,每组 45 例。对照组给予艾 司唑仑片治疗,观察组在对照组基础上加用中药超声导入联合穴位压力刺激贴治疗,2 组均治疗 4 周。比较 2 组临床疗效,治疗前后失眠严重程度指数(ISI)、睡眠信念与态度量表(DBAS)、抑郁自评量表(SDS)、蒙 哥马利抑郁量表 (MADRS) 及生活质量问卷 (SF-36) 评分。结果:治疗后,观察组临床疗效总有效率 86.67%,高于对照组 66.67%(P<0.05)。2 组 ISI、DBAS、SDS、MADRS 评分均较治疗前降低(P<0.05),观 察组 ISI、DBAS、SDS、MADRS 评分均低于对照组(P<0.05)。2 组生理机能、生理职能、躯体疼痛、一般健 康状况、精力、社会功能、情感职能、精神状态评分均较治疗前升高(P<0.05),观察组 SF-36 各项细则评分 均高于对照组(P<0.05)。结论:在艾司唑仑治疗基础上加用中药超声导入联合穴位压力刺激贴治疗老年心胆 气虚型失眠伴抑郁,能提高临床疗效,改善睡眠质量,缓解抑郁状态,提高生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of ultrasonic introduction of Chinese medicine combined with acupoint pressure stimulation patch for senile patients with insomnia complicated with depression of heart-gallbladder qi deficiency type. Methods:A total of 90 cases of senile patients with insomnia complicated with depression of heart- gallbladder qi deficiency type were divided into the observation group and the control group according to the random number table method,with 45 cases in each group. The control group was treated with Estazolam Tablets, and the observation group was additionally treated with ultrasonic introduction of Chinese medicine combined with acupoint pressure stimulation patch based on the treatment of the control group. Both groups were treated for 4 weeks. The scores of Insomnia Severity Index (ISI),Dysfunctional Beliefs and Attitudes about Sleep (DBAS),Self- rating Depression Scale (SDS),Montgomery-Asberg Depression Rating Scale (MADRS),and 36-Item Short Form Health Survey (SF- 36) before and after treatment,and the clinical effects were compared between the two groups. Results:After treatment,the total effective rate was 86.67% in the observation group,higher than that of 66.67% in the control group (P<0.05). The scores of ISI,DBAS,SDS,and MADRS in the two groups were decreased when compared with those before treatment (P<0.05),and the scores of ISI,DBAS,SDS,and MADRS in the observation group were lower than those in the control group (P<0.05). The scores of physiological functioning,physiological functioning,bodily pain,general health, vitality, social functioning, emotional functioning, and mental health in the two groups were increased when compared with those before treatment (P<0.05),and the scores of various items in SF-36 in the observation group were higher than those in the control group (P<0.05). Conclusion:On the basis of treatment with Estazolam, the ultrasonic introduction of Chinese medicine combined with acupoint pressure stimulation patch for senile patients with insomnia complicated with depression of heart- gallbladder qi deficiency type can enhance clinical effect and quality of life,improve sleep quality,and relieve depression.

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陈怡,蔡子耀,张乐敏,叶芷甸.中药超声导入联合穴位压力刺激贴治疗老年失眠伴抑郁临床研究[J].新中医,2023,55(14):160-164

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  • 在线发布日期: 2023-07-24
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