自拟安眠茶联合艾灸疗法对老年慢性失眠患者睡眠质量、日间症状及认知功能的影响

Effects of self-prepared sleep-inducing tea combined with moxibustion therapy on sleep quality,daytime symptom,and cogni-tive function in elder patients with chronic insomnia

中文关键词: 老年  慢性失眠  艾灸  自拟安眠茶  日间症状  认知功能

英文关键词: elderly  chronic insomnia  moxibustion  self-prepared sleeping tea  daytime symptom  cognitive function

中文摘要:

      目的 探讨自拟安眠茶和艾灸联合治疗对老年慢性失眠患者睡眠质量、日间失眠症状及认知功能的影响.方法 前瞻性选取2022年7月-2024年1月浦东新区东明社区卫生服务中心诊治的老年慢性失眠患者110例,采用随机数字表法分为联合组和对照组,每组55例.2组均给予常规治疗,对照组给予艾灸治疗,联合组给予自拟安眠茶+艾灸联合治疗,2组均持续治疗4周.观察并比较2组治疗总有效率、中医证候积分、匹兹堡睡眠质量指数(PSQI)、日间失眠症状反应量表(DISS)评分、简易精神状态检查量表(MMSE)评分、不良反应发生情况.结果 治疗4周后,联合组治疗总有效率高于对照组(P＜0.05);联合组中医症状评分低于对照组(P＜0.05);联合组PSQI评分、DISS评分均低于对照组(P＜0.05),而MMSE评分高于对照组(P＜0.05);2组不良反应发生率差异无统计学意义(P＞0.05).结论 自拟安眠茶联合艾灸治疗老年慢性失眠患者,疗效显著,可明显改善患者睡眠障碍、日间症状、认知功能,且安全性较高,具有一定的临床应用价值.

英文摘要:

      Objective To explore the effects of self-prepared sleep-inducing tea combined with moxibustion therapy on sleep quality,daytime symptom,and cognitive function in elder patients with chronic insomnia.Methods 110 elderly patients with chronic insomnia treated in Dongming Community Health Service Center in Pudong New District from July 2022 to January 2024 were prospectively selected and randomly divided into control group and combination group according to random number table method,with 55 cases in each group.Both groups received conventional treatment.In addition,the control group re-ceived moxibustion therapy,and the combination group received a combined treatment of self-prepared sleep-inducing tea and moxibustion therapy.Both groups were treated for 4 weeks.The total effective rate,traditional Chinese medicine(TCM)syn-drome score,Pittsburgh Sleep Quality Index(PSQI),Daytime Insomnia Symptoms Scale(DISS)score,Mini-Mental State Examination(MMSE)score,and incidence of adverse reaction were observed and compared between the two groups.Results After 4 weeks of treatment,the total effective rate of the combination group was higher than that of the control group(P＜0.05);the TCM symptom score of the combination group was lower than that of the control group(P＜0.05;the PSQI score and DISS score of the combination group were lower than those of the control group(P＜0.05),while the MMSE score was higher than that of the control group(P＜0.05).There was no statistically significant difference in the incidence of ad-verse reactions between the two groups(P＞0.05).Conclusion The combination of self-prepared sleep-inducing tea and moxibustion has significant therapeutic effects on elderly patients with chronic insomnia.It can significantly improve patients'sleep disorders,daytime symptom,and cognitive function.It has high safety and certain clinical application value.