【摘要】：目的：觀察不同健身功法干預睡眠障礙患者睡眠質(zhì)量的改善情況,從不同的睡眠相關(guān)因子的數(shù)值變化,探討健身功法對睡眠障礙患者的睡眠質(zhì)量影響,探索睡眠障礙治療的新途徑。方法：收集2015年12月至2016年12月在遼寧中醫(yī)藥大學附屬醫(yī)院就診的睡眠障礙患者(49例)、遼寧中醫(yī)藥大學門診就診的睡眠障礙患者(25例)、中國醫(yī)科大學盛京醫(yī)院就診的睡眠障礙患者(46例),共計120例。按照隨機數(shù)字表法分為三組：養(yǎng)心治神功法組、健身組、對照組,每組40人。三組在同時服用低劑量的艾司唑侖為治療的基礎(chǔ)上,養(yǎng)心治神功法組(簡稱功法組)每日早中晚各1次采用養(yǎng)心治神功法進行干預,健身組每日早晚各1次采用太極拳進行干預,對照組不進行任何的健身功法干預,治療時間均為40天。治療前和治療10天、20天、30天、40天分別進行SPIEGEL睡眠量表的測定,來觀察量表中各個睡眠相關(guān)因子的數(shù)值表達。結(jié)果：1.120例患者進組,其中脫落12例,脫落率為10.0%,治療前功法組、健身組、對照組的性別,年齡與病程3組間無明顯差異(P0.05)。2.睡眠障礙臨床療效分析：功法組治愈7例,顯效8例,有效15例,無效7例,總有效率83.33%;健身組治愈5例,顯效7例,有效18例,無效7例,總有效率78.56%;對照組治愈4例,顯效7例,有效13例,無效11例,總有效率68.57%。3.SPIEGEL3組總分比較結(jié)果,功法組、健身組、對照組經(jīng)過40天的治療后,功法組和健身組優(yōu)于對照組(P㩳0.05),功法組組優(yōu)于健身組(P㩳0.05)。4.SPIEGEL3組分項比較結(jié)果,功法組、健身組、對照組經(jīng)過40天的治療后,入睡時間、總睡眠時間、夜醒次數(shù)、睡眠深度、夜間做夢情況、醒后感覺,功法組的各因子數(shù)值均優(yōu)于健身組和對照組(P㩳0.05);入睡時間、總睡眠時間、睡眠深度、夜間做夢情況,健身組優(yōu)于對照組(P㩳0.05);夜醒次數(shù)、醒后感覺,健身組和對照組無顯著差異(P0.05)。結(jié)論：養(yǎng)心治神功法配合基礎(chǔ)量的西藥治療對于睡眠障礙患者具有明顯的臨床療效,優(yōu)于太極拳配合基礎(chǔ)量的西藥治療。養(yǎng)心治神功法對于睡眠障礙有一定的改善效果,在睡眠深度方面與醒后感覺方面有較好的改善。
[Abstract]:Objective: to observe the improvement of sleep quality of patients with sleep disorders by different methods of fitness, and to explore the effect of fitness method on sleep quality of patients with sleep disorders from the numerical changes of different sleep-related factors. To explore a new approach to the treatment of sleep disorders. Methods: from December 2015 to December 2016, 49 patients with sleep disorders and 25 patients with sleep disorders were enrolled in the affiliated Hospital of Liaoning University of traditional Chinese Medicine and out-patient clinics of Liaoning University of traditional Chinese Medicine. A total of 120 patients with sleep disorders (46 cases) were admitted to Shengjing Hospital of China Medical University. They were divided into three groups according to the random number table method: nourishing heart and treating Shen Gong group, fitness group, control group, each group of 40 people. In the three groups, on the basis of taking the low dose of esazolam as the treatment at the same time, the group of nourishing the heart and treating the Shengong (referred to as the functional method group) was intervened with the method of nourishing the heart and treating the Shengong once a day in the morning, in the evening, once a day. The exercise group was treated with Taijiquan once a day in the morning and evening, while the control group was treated for 40 days without any intervention of fitness skill. Before treatment and 10 days, 20 days, 30 days and 40 days after treatment, the SPIEGEL sleep schedule was measured to observe the expression of sleep-related factors in the scale. Results: 1.120 patients were admitted into the group, among which 12 cases fell off, the drop rate was 10.0%. There was no significant difference in sex, age and course of disease among the three groups (P0.05). The clinical curative effect analysis of sleep disorder: 7 cases were cured, 8 cases were marked effect, 15 cases were effective, 7 cases were ineffective, and the total effective rate was 83.33% in the functional group, 5 cases were cured, 7 cases were marked effect, 18 cases were effective, 7 cases were ineffective, the total effective rate was 78.56% in the exercise group. The control group was cured in 4 cases, effective in 7 cases, effective in 13 cases and ineffective in 11 cases. The total effective rate of 68.57%.3.SPIEGEL3 group was compared. The function group and fitness group were better than the control group (P < 0.05), and the function method group was better than the fitness group (P < 0.05). After 40 days of treatment, the fall asleep time of the 4.SPIEGEL3 group was compared with that of the functional method group, the fitness group and the control group after 40 days of treatment. The total sleep time, awakening times, sleep depth, nighttime dream condition, sensation after waking, and the value of each factor in the functional method group were better than those in the fitness group and the control group (P < 0.05). The sleep time, total sleep time, sleep depth and nighttime dreaming were better in the exercise group than in the control group (P < 0.05), and there was no significant difference between the exercise group and the control group in the number of awakening times and the sensation after waking (P0.05). Conclusion: the method of nourishing heart and treating Shengong combined with basic quantity of western medicine has obvious clinical curative effect on patients with sleep disorder, which is better than Taijiquan combined with basic quantity of western medicine. The method of nourishing heart and treating spirit has a certain improvement effect on sleep disorder, and has a better improvement in sleep depth and sensation after waking up.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R247.3

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