首页|益生菌联合耳穴压丸对社区失眠患者睡眠质量的疗效观察

益生菌联合耳穴压丸对社区失眠患者睡眠质量的疗效观察

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目的:探讨益生菌制剂联合耳穴压丸对社区失眠患者睡眠质量的影响.方法:选取 2020年 9月—2021年12 月于上海市浦东新区洋泾社区卫生服务中心全科门诊就诊的失眠患者 200 例,按Excel随机数法分为对照组和观察组,每组各 100 例.对照组在现服药物(若有)、心理咨询、简易认知行为治疗(CBT-I)等常规心理护理基础上给予耳穴压丸疗法,取神门穴单穴,每日按压 3~7 次,每次 1~2 min;观察组在对照组基础上增加益生菌制剂(双歧杆菌三联活菌)口服,630 mg/次,2次/d.两组均持续 8周,且两组患者现服药物均不改变.通过匹兹堡睡眠指数量表(Pittsburgh sleep quality index,PSQI)比较两组睡眠质量差异.结果:治疗后,两组PSQI总评分较治疗前降低(P<0.001),且观察组低于对照组(P<0.05);观察组PSQI各因子评分降幅均大于对照组(P<0.05),尤以"睡眠障碍"差异最为显著(P<0.001).结论:益生菌制剂、耳穴压丸对改善失眠均有效,两者联用更有助于改善社区失眠患者的睡眠质量.
Observation of the therapeutic effect of probiotics combined with auricular-plaster on sleep quality in community insomnia patients
Objective:To explore the effect of probiotic preparations combined with auricular-plaster on the sleep quality of community insomnia patients.Methods:Two hundred insomnia patients who visited the general clinic of Yangjing Community Health Service Center of Pudong New District,Shanghai from September 2020 to December 2021 were selected,and divided into a control group and an observation group with 100 patients in each group with Excel random number method.The control group was treated with auricular-plaster therapy,a single Shenmen acupoint was taken,for 3-7 times a day,1-2 min/one time based on the routine psychological care such as medication(if available),psychological counseling,and simplified cognitive behavioral therapy(CBT-I);while the observation group was given probiotic preparations(Bifidobacterium triple live bacteria)orally 630 mg/each time,twice a day.Both groups continued for 8 weeks,and the medication taken by both groups remained unchanged.The differences in sleep quality between two groups of patients were compared with the Pittsburgh sleep quality index(PSQI).Results:After treatment,the PSQI scores of both groups decreased compared to those before treatment(P<0.001),and the observation group was lower than the control group(P<0.05);the decrease in scores for each factor of PSQI in the observation group was larger than that in the control group(P<0.05),particularly,the most significant difference was in sleep disorders(P<0.001).Conclusion:Probiotic preparations and auricular-plaster are helpful in improving insomnia,and combination of them is more help for improvement of the sleep quality of community insomnia patients.

insomniaprobioticsauricular-plastercommunitysleep qualityPittsburgh sleep quality index

王克、朱佩芳、陈亮

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上海市浦东新区洋泾社区卫生服务中心医疗康复部,上海 200135

失眠 益生菌 耳穴压丸 社区 睡眠质量 匹兹堡睡眠指数

上海市浦东新区科技发展基金民生科研专项医疗卫生项目

PKJ2019-Y47

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(6)
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