3种不同中医外治法改善高血压失眠患者疗效观察

目的 比较3种不同中医外治疗法对高血压失眠患者睡眠的改善作用。 方法 将纳入研究的90例高血压失眠患者按随机数字表法分为足浴组、穴位贴敷组、足浴联合穴位贴敷组。患者每晚接受相应治疗1次，7 d为1个疗程，4个疗程后根据匹茨堡睡眠质量指数量表来评定治疗效果。 结果 经4个疗程治疗，足浴组同穴位贴敷组相比并未出现疗效上（入睡预备时间、实际睡眠时间）的差异(P>0.05)；经前2个疗程干预后，3组患者入睡预备时间、实际睡眠时间均得到改善，但组间尚无统计学差异（P>0.05）。而在21、28 d时足浴联合穴位贴敷组较其它两组明显改善了睡眠质量。入睡预备时间、实际睡眠时间的组间差异有统计学意义（P<0.05）。 结论 3种中医外治法对改善高血压失眠患者的睡眠质量均有一定疗效，其中足浴联合穴位贴敷较单独应用足浴或穴位贴敷，更能有效改善高血压失眠患者的睡眠质量。  

Clinical efficacy of contrast on three different traditional Chinese medicine external treatment to improve hypertension patients with insomnia

Objective To compare the effects of three kinds of traditional Chinese medicine external treatment on hypertension patients with insomnia. Methods Ninety patients with hypertension and insomnia were randomly divided into lavipeditum group, acupoint application of chinese herb group, lavipeditum combined with acupoint application of chinese herb group, 30 patients in each group. Three groups of patients were treated every night for 1 time, 7 days for 1 course in a total of 4 courses. According to the Pittsburgh sleep quality index to evaluate the treatment effect. Results After 4 courses of treatment,compared to the acupoint application of chinese herb group, lavipeditum group did not show Significant?differences on curative effect (include sleep preparation time and the actual sleep time) (P>0.05); After 2 treatment intervention, the sleep quality (include sleep time of preparation, the actual sleep time) of 3 groups of patients showed improvement trend, but there was no Significant?differences (P>0.05). After third courses of treatment intervention, on 21 days and 28 days, the curative effect (include sleep time of preparation, the actual sleep time) of lavipeditum combined with acupoint application of chinese herb group was greater than the other 2 groups . The difference was significant between the groups (P<0.05). Conclusion Three kinds of traditional Chinese medicine external treatment can improve sleep quality of hypertension patients with insomnia.Lavipeditum combined with acupoint application of chinese herb can improve hypertension patients with insomnia sleep quality more effectively.