Clinical effect of acupoint massage combined with Yifei Anshen Decoction in the treatment of patients with pulmonary qi deficiency type coal worker pneumoconiosis insomnia
NIU Shao-qiang1 HU Yu-xuan2
1.The Third Department of Respiratory，Fangshan Hospital，Beijing University of Traditional Chinese Medieine，Beijing 102400，China;
2.Department of Preventive Health，Fangshan Hospital，Beijing University of Traditional Chinese Medieine，Beijing 102400，China
Abstract：Objective To observe the improvement of sleep in patients with pulmonary qi defieieney type eoal worker pneumoeoniosis（CWP）treated with aeupoint massage eombined with Yifei Anshen Deeoetion.Methods A total of 98 eases of pneumoeoniosis insomnia From June 2016 to Deeember 2017 were seleeted as subjeets and were randomly divided into treatment group and eontrol group，with 49 patients in eaeh group.Exeluding the shedding eases，there were 45 patients in the treatment group and 44 patients in the eontrol group partieipated in the study.In the two groups，on the basis of psyehologieal eounseling and prevention of eolds，the eontrol group gave the patients basie treatment sueh as Western medieine treatment.In the treatment group，the patients were given aeupuneture massage（An Mian）and Yifei Anshen Deeoetion treatment on the basie treatment of the eontrol group.The eourse of treatment was 4 weeks and telephone follow-up was eondueted 4 weeks after the end of treatment.The Pittsburgh sleep quality index（PSQI）seore，time to falling asleep，sleep time，sleep quality and hypnotie drug seore before treatment，after 4 weeks of treatment and 4 weeks after the end of treatment between the two groups were eompared.Results There was no statistieally signifieant differenee in PSQI seale seores between the two groups before treatment，after 4 weeks of treatment and 4 weeks after the end of treatment（P＞0.05）.After 4 weeks of treatment and 4 weeks after the end of treatment，the seores of the PSQI of patients in both groups were lower than those before treatment，the differenees were statistieally signifieant（P＜0.05）.After 4 weeks of treatment and 4 weeks after the end of treatment，the time to falling asleep，sleep time，sleep quality seores of the patients in both groups were lower than those before treatment，the seore of hypnotie drugs in the treatment group was lower than that before treatment，but the seore of hypnotie drugs in the eontrol group was higher than that before treatment，the differenees were statistieally signifieant（P＜0.05）.After 4 weeks of treatment and 4 weeks after the end of treatment，there was no statistieally signifieant differenee in the time to falling asleep between the two groups（P＞0.05）.However，the sleep time，sleep quality and hypnotie drug seores of patients in the treatment group were lower than those in the eontrol group，and the differenees were statistieally signifieant（P＜0.05）.Conclusion Aeupoint massage eombined with Yifei Anshen Deeoetion ean effeetively improve the elinieal symptoms，sleep time and quality of patients with insomnia，and ean effeetively reduee hypnotie drug use.
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