复方精油穴位按摩改善围绝经期综合征患者睡眠质量的应用研究

摘要

目的：评价复方精油穴位按摩改善围绝经期综合征患者睡眠质量的效果。方法将60例围绝经期综合征患者随机分为实验组和对照组，每组30例，实验组采用复方精油穴位按摩，对照组实施穴位按摩。两组在干预前、干预后4周、8周采用匹兹堡睡眠质量指数量表( PSQI )评价睡眠质量；干预前、干预后2周、4周、8周采用失眠严重程度指数量表( ISI )及Flinders疲劳量表( FFS )评价失眠严重程度及日间疲劳程度。结果 PSQI总分及睡眠质量、入睡时间、睡眠时间、睡眠障碍、日间功能障碍5个成分得分、ISI及FFS在干预后各时间点的得分均低于同期对照组，组间得分比较差异均具有统计学意义(P＜0.05)；PSQI睡眠效率成分得分比较，差异无统计学意义(P＞0.05)。重复测量方差分析结果显示，ISI、FFS、PSQI总分及睡眠质量、入睡时间、睡眠时间、睡眠障碍、日间功能障碍5个成分的组间效应、时间效应、两者交互作用均有统计学意义(P＜0.05)。对实验组干预前后各时间点的PSQI、ISI及FFS得分进一步两两比较，后一时间点得分均低于前一时间点，差异有统计学意义(P＜0.05)。结论复方精油穴位按摩可有效改善围绝经期综合征患者睡眠质量，缓解日间疲劳程度，效果优于穴位按摩，且随时间增加疗效增强。%Objective T o evaluate the results of acupoint m assage w ith com pound essential oil to im prove sleep quality of peri-m enopausal syndrom e sufferers.Methods 60 perim enopausal syndrom e sufferers w ere random ly divided into the experim ental group and the control group w ith 30 cases in each group .T he experim ental group w ere given acupoint m assage w ith com pound essential oil,w hile the con-trol group w ere given only acupoint m assage.The Pittsburgh sleep quality index scale(PSQ I)w as adopted to evaluate sleep quality in both groups before intervention,4 w eeks and 8 w eeks after intervention.The insom nia severity index scale (ISI)and Flinders fatigue scale(FFS) w ere adopted to evaluate insom nia severity and daytim e fatigue in both groups before intervention,2 and 4 and 8 w eeks after intervention. Results A fter intervention,the total score of PSQ I,and the five elem ent point-in-tim e scores of sleep quality,sleep latency,sleep tim e, sleep disorders,and daytim e dysfunction,and ISI and FFS scores in the experim ental group w ere low er than those in the control group dur-ing the corresponding period ,and the score differences betw een the tw o groups w ere of statistical significance (P<0 .05 ).T he score differ-ences of PSQ I sleep efficiency betw een the tw o groups w ere not of statistical significance(P>0.05).R epeated ANOVA indicated that the to-tal scores of PSQ I,ISI and FFS ,and the group effect,tim e effect and interaction am ong sleep quality,sleep latency,sleep tim e,sleep disor-ders,and daytim e dysfunction w ere of statistical significance(P<0.05).C om parison w as further m ade in the experim ental group before and after the intervention in term s of PSQ I,ISI and FFS com parison,w hich show ed the latter score w as low er than the form er score w ith differ-ences of statistical significance (P<0 .05 ).C onclusion A cupoint m assage w ith com pound essential oil can effectively im prove sleep quality of perim enopausal syndrom e sufferers and relieve daytim e fatigue w ith superior effects to m ere acupoint m assage,and the curative effects in-increases w ith tim e going.