首页|氟哌噻吨美利曲辛联合针刺督脉背段治疗胃食管反流病伴睡眠障碍的效果

氟哌噻吨美利曲辛联合针刺督脉背段治疗胃食管反流病伴睡眠障碍的效果

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目的:观察氟哌噻吨美利曲辛联合针刺督脉背段治疗胃食管反流病伴睡眠障碍的效果。方法:选取 2021 年5 月—2023 年 7 月福建医科大学附属龙岩第一医院收治的 90 例胃食管反流病伴睡眠障碍患者作为研究对象。根据系统随机化法将其分为观察组与对照组,各 45 例。两组均给予常规治疗,对照组给予氟哌噻吨美利曲辛,观察组给予氟哌噻吨美利曲辛联合针刺督脉背段。比较两组治疗前后抑郁情绪、睡眠指标、睡眠质量、疲劳程度、血清指标。结果:治疗后,两组抑郁自评量表(SDS)、汉密尔顿抑郁量表(HAMD)评分较治疗前降低,且观察组SDS评分、HAMD评分低于对照组,差异有统计学意义(P<0。05);治疗后,两组睡眠时间长于治疗前,睡眠潜伏期、觉醒时间短于治疗前,且观察组睡眠时间长于对照组,睡眠潜伏期、觉醒时间短于对照组,差异有统计学意义(P<0。05);治疗后,两组匹兹堡睡眠质量指数(PSQI)、简易疲惫量表(BFI)评分低于治疗前,且观察组PSQI评分、BFI评分低于对照组,差异有统计学意义(P<0。05);治疗后,两组去甲肾上腺素(NE)、5-羟色胺(5-HT)水平高于治疗前,且观察组NE、5-HT水平高于对照组,差异有统计学意义(P<0。05)。结论:氟哌噻吨美利曲辛联合针刺督脉背段治疗可改善抑郁情绪及睡眠质量、疲劳程度。
Effect of Flupentixol and Melitracen Combined with Acupuncture the Dorsal Segment of Du Channel in the Treatment of Gastroesophageal Reflux Disease with Sleep Disorders
Objective:To observe the effect of Flupentixol and Melitracen combined with acupuncture the dorsal segment of the Du channel in the treatment of gastroesophageal reflux disease with sleep disorders.Method:A total of 90 patients with gastroesophageal reflux disease and sleep disorders who admitted to Longyan First Hospital Affiliated to Fujian Medical University from May 2021 to July 2023 were selected as the study objects.They were divided into observation group and control group according to systematic randomization method,45 cases in each group.Both groups were given conventional treatment,the control group was given Flupentixol and Melitracen,and the observation group was given Flupentixol and Melitracen combined with acupuncture the dorsal segment of the Du channel.The depressive mood,sleep index,sleep quality,fatigue degree and serum index of two groups were compared before and after treatment.Result:After treatment,the scores of self-rating depression scale(SDS)and Hamilton depression scale(HAMD)in two groups were lower than those before treatment,and the SDS score and HAMD score in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);after treatment,the sleep times of two groups were longer than those before treatment,the sleep latency and awakening times were shorter than those before treatment,and the sleep time of the observation group was longer than that of the control group,the sleep latency and awakening time were shorter than those of the control group,the differences were statistically significant(P<0.05);after treatment,the Pittsburgh sleep quality index(PSQI)and brief fatigue inventory(BFI)scores of two groups were lower than those before treatment,and the PSQI score and BFI score of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05);after treatment,the levels of norepinephrine(NE)and 5-hydroxytryptamine(5-HT)in two groups were higher than those before treatment,and the levels of NE and 5-HT in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Flupentixol and Melitracen combined with acupuncture on the dorsal segment of the Du channel can improve depression,sleep quality and fatigue degree.

Gastroesophageal reflux diseaseSleep disordersFlupentixol and MelitracenAcupuncture the dorsal section of the Du channelSleep qualitySerum indexPSQI scoreBFI score

孙银平、钟平玉

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福建医科大学附属龙岩第一医院 福建 龙岩 364000

胃食管反流病 睡眠障碍 氟哌噻吨美利曲辛 针刺督脉背段 睡眠质量 血清指标 PSQI评分 BFI评分

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(18)