不同养生功法对2型糖尿病伴失眠患者睡眠质量的影响

目的 研究不同养生功法对2型糖尿病伴失眠患者睡眠质量的影响.方法 将90例广安门医院内分泌门诊和睡眠门诊就诊的2型糖尿病伴失眠患者随机分为八段锦组、六字诀组和对照组,每组30人.3组在常规治疗基础上,八段锦组采用八段锦和放松功进行干预,六字诀组采用六字诀和放松功进行干预,对照组不加养生功法干预.所有入组患者在治疗前、治疗2个月、治疗4个月测量匹兹堡睡眠质量指数(PSQI)量表,并让患者记录实际入睡时间、实际睡眠时间.所得数据采用SPSS专业统计软件进行统计分析.结果 进入结果分析的78人,脱落率为13.3%.4个月后组间比较,PSQI总分、主观睡眠质量因子、睡眠障碍因子八段锦组显著优于对照组(P<0.05).差值组间对比,主观睡眠质量因子八段锦组、六字诀组均优于对照组(P<0.05);PSQI总分、睡眠障碍因子八段锦组优于对照组(P<0.05).组内对比,八段锦组除睡眠时间因子外,PSQI总分及其余5个因子均有显著改善(P<0.05);六字诀组除睡眠时间和睡眠障碍因子外,PSQI总分及其余4个因子均有显著改善(P<0.05);2组实际入睡时间和实际睡眠时间均有显著改善(P<0.05).结论 中医养生功法对2型糖尿病伴失眠患者睡眠质量有一定的改善作用.八段锦、六字诀功法不同,结合放松功作用效果有一定差异.

Influences of different qigong practices on sleep quality in patients with type 2 diabetes accompanied by insomnia

Objective To study the influences of different qigong practices on sleep quality in the patients with type 2 diabetes accompanied by insomnia. Methods The patients with type 2 diabetes accompanied by insomnia (n=90) were randomly divided into the Baduanjin Qigong group (group 1), Liuzijue Qigong group (group 2) and control group (group 3, each n=30). On the base of routine treatment group 1 was interfered by Baduanjin Qigong and Relaxation Qigong, group 2 by Liuzijue Qigong and Relaxation Qigong, and the control group was not interfered by Health Preserving Qigong. The Pittsburgh Sleep Quality Index (PSQI) was used to detect the sleep quality, and the actual time to fall asleep and actual sleep time were recorded in all patients before treatment and 2 months and 4 months after treatment respectively. The data obtained were analyzed statistically by SPSS statistical software. Results There were 78 patients enclosed in the analysis and the expulsion rate was 13.3%. After 4 months the comparison among groups showed that the total score of PSQI, factor of subjective sleep quality and factor of dyssomnia were higher significantly in group 1 than those in group 3 (P<0.05). The comparison in difference among groups showed that the factor of subjective sleep quality was higher in group 1 and 2 than that in group 3 (P<0.05), while the total score of PSQI and factor of dyssomnia were higher in group 1 than those in group 3 (P<0.05). The comparison within a group showed that the total score of PSQI and other five factors, except the factor of sleep time, were promoted significantly in group 1 (P<0.05). The total score of PSQI and other four factors, except the factor of sleep time and dyssomnia, were promoted significantly in group 2 (P<0.05). The actual time to fall asleep and actual sleep time were improved significantly in group 1 and 2 (P<0.05). Conclusion The Health Preserving Qigong of TCM can improve the sleep quality in the patients with type 2 diabetes accompanied by insomnia. Baduanjin Qigong is different from Liuzijue Qigong in practice methods, and their effects are different too after combined with Relaxation Qigong.