摘要
目的:研究不同养生功法对心脾两虚型抑郁症睡眠障碍患者睡眠质量的影响。方法:将90例辽宁中医药大学附属医院、中国医科大学盛京医院及辽宁中医药大学睡眠门诊就诊的患者随机分为养心组,太极组和西药组,每组30例。3组在基础治疗辅助下,养心组采用养心治神功法干预,太极组采用太极拳干预,对照组不加养生功法干预,各组每日治疗1次,治疗40 d,观察各组患者治疗前、治疗10 d、治疗20 d、治疗30 d、治疗40 d汉密尔顿抑郁量表(HAMD)、匹兹堡睡眠质量指数量表(PSQI)评分,并记录实际入睡时间、实际睡眠时间。所得数据采用SPSS 17专业统计软件进行统计分析。结果:81人进入结果分析,脱落率为10%。养心组总有效率92.31%,太极组总有效率88.89%,西药组总有效率92.86%,各组总有效率比较无统计学意义(P>0.05)。太极组HAMD和PSQI评分、养心组PSQI评分治疗前后差值比较有统计学意义(P<0.01),养心组HAMD评分治疗前后差值比较无统计学意义(P>0.05)。养心组、太极组PSQI总分、各因子得分除睡眠时间因子均有显著差异,明显优于西药组(P<0.05)。3组中养心组的睡眠质量改善早于太极组和西药组。差值组间比较,主观睡眠质量因子、入睡时间因子、睡眠效率因子、日间功能障碍因子养心组、太极拳组均优于西药组(P<0.05)。组内对比,养心组PSQI总分及6个因子均有显著改善(P<0.05),太极组除日间功能障碍因子外,PSQI总分及其余5个因子均有改善(P<0.05);对照组除睡眠时间和日间功能障碍因子外,PSQI总分及其他4个因子均有改善(P<0.05)。养心组PSQI总分及因子改善较全面。3组实际入睡时间和实际睡眠时间均有改善(P<0.05),养心组改善较为显著。结论:中医养心治神功法、太极拳及西药均对心脾两虚型抑郁症睡眠障碍患者睡眠质量有一定的改善作用,其中养心治神功法与太极拳在改善PSQI评分方面较为理想,养心治神功法在改善心脾两虚型抑郁症睡眠障碍患者睡眠质量方面优于太极拳,但在改善抑郁症方面不如太极拳。
Objective： To study the influences of different health maintenance practices on the quality of sleep in pa- tients with depression, sleep disorders in deficiency of both heart and spleen. Methods：The patients with sleep disorders from Chinese medicine hospital of liaoning province, Shengjing hospital of China medical university, and Liaoning univer- sity of traditional Chinese medicine clinic sleep （ n = 90） were randomly divided into the Yangxin group （ group 1 ）, Tai- jiquan group（ group 2） and control group（ group 3 ,each n = 30）. On the base of routine treatment group 1 was interfered by Yangxinzhishen Qigong and medicine, group 2 by Taijiquan and medicine, and the control group was not interfered by Yangxinzhishen Qigong and Taijiquan but medicine , each treatment 1 times a day, 40 days treatment, observation group patients before treatment, treatment for 10 days, 20 days of treatment, and treatment for 30 days, 40 days. To use the Hamilton depression scale （HAMD） AND The Pittsburgh Sleep Quality Index （PSQI）was used to score, and record the actual time to fall~ asleep and actual sleep time in all patients. The data obtained were analyzed statistically by SPSS sta- tistical software. Result： There were 81 patients enclosed to the analysis and the expulsion rate was 10% ,Yangxin group total effective rate 92.31%, the Taiji group total effectiveness 88.89%, western medicine group total effective rate 92.86%. Each group total effective rate is no statistical significance（ P 〉 0.05 ）. the score of HAMD and PSQI in Taiji group and the score of PSQI in Yangxin group of difference comparison before and after treatment was statistically signifi- cant（P 〈 0.01 ）, Yangxin group of HAMD scores has no statistically significant difference compared before and after the treatment. PSQI score and each factor score were significantly difference in addition to sleep time factor. Groupl and group2 was superior to medicine group3 （P 〈 0.05 ）. the improvement of the quality of sleep in groupl was before the group2 and group3. Difference between group comparison, subjective sleep quality factor, time factor, sleep efficiency factor, sleeping tbr daytime dysfunction in groupl and group2 were higher significantly than group3 （ P 〈 0.05 ）. Contrast in groups, group of PSQI scores were enrolled and six factors were improved siguificantly in groupl （ P 〈 0.05 ）. The group2 in addition to the factor of daytime dysfunction, PSQI scores and five factors also had an improved （ P 〈 0.05 ）. The control group （group3）in addition to sleep and daytime dysfunction factor, PSQI scores and other four factors were improved （P 〈 0.05）. The groupl of PSQI score and factor improve comprehensively. Three groups of actual sleep time and actual sleep time were improved （P 〈 0.05 ） , group1 improved more significantly. Conclusion： Yangxinzhishen Qigong , Taijiquan and medicine have an improvement on the quality of sleep in patients with depression, sleep disorders in deficiency of both heart and spleen ; the improvement of the scores of PSQI in Yangxinzhishen Qigong and Taijiquan is the most ideal; the improvement of the quality of sleep in patients with sleep disorders in deficiency of both heart and spleen in Yangxizhisheng qigong is better than Taijiquan, but not in the patients with depression .
出处
《中华中医药学刊》
CAS
北大核心
2015年第5期1148-1152,共5页
Chinese Archives of Traditional Chinese Medicine
基金
辽宁省社会发展攻关项目(2012225018)
辽宁省第六批百千万人才工程项目(2011921024)
沈阳市社会发展科技攻关专项(F11-262-9-47)
关键词
养心治神功法
太极拳
睡眠障碍
抑郁症
Yangxizhisheng qigong
Taijiquan
sleep disorders
depression
