[1]杨秋玉,侯杰军.中医芳香疗法联合心理干预对大学生失眠症的影响[J].西部中医药,2020,33(02):116-119.[doi:10.12174/j.issn.1004-6852.2020.02.33]
　YANG Qiuyu,HOU Jiejun.The Influence of TCM Aromatherapy and Psychological Intervention on Insomnia in Undergraduates[J].Western Journal of Traditional Chinese Medicine,2020,33(02):116-119.[doi:10.12174/j.issn.1004-6852.2020.02.33]
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中医芳香疗法联合心理干预对大学生失眠症的影响
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年02期
页码:
116-119
栏目:
出版日期:
2020-02-15

文章信息/Info

Title:
The Influence of TCM Aromatherapy and Psychological Intervention on Insomnia in Undergraduates
文章编号:
1004-6852(2020)02-0116-04
作者:
杨秋玉，侯杰军
1 陕西中医药大学，陕西 咸阳 712000； 2 陕西中医药大学附属医院
Author(s):
YANG Qiuyu1, HOU Jiejun2△
1Shaanxi University of Chinese Medicine, Xianyang 712000, China;2Affiliated Hospital of Shaanxi University of Chinese Medicine
关键词:
失眠症; 心理干预; 中医芳香疗法; 自主神经功能; 睡眠质量; 大学生
Keywords:
insomnia;  psychological intervention;  TCM aromatherapy;  automic nerve function;  sleep quality;  undergraduate
分类号:
R256.23
DOI:
10.12174/j.issn.1004-6852.2020.02.33
摘要:
目的：观察中医芳香疗法联合心理干预对失眠症大学生自主神经功能、心理健康和睡眠质量的影响。方法：将180例患者随机分为观察组和对照组，每组90例。对照组给予心理干预，观察组在此基础上给予中医芳香疗法治疗，疗程为4周。比较两组的临床疗效，观察两组治疗前后自主神经功能、SCL-90症状自评量表评分与匹兹堡睡眠质量指数量表(PSQI)评分的变化。结果：总有效率观察组为92.22%（83/90），对照组为77.78%（70/90），两组比较差异有统计学意义(P＜0.05)。两组治疗后相邻NN间期差值的均方差（RMSSD）、NN间期平均值的标准差（SDANN）、NN间期标准差（SDNN）、相邻NN之差>50ms的个数占总窦性心搏个数的百分比（PNN50%）、低频(LF)、高频(HF)、低频/高频比值(LF/HF)均较治疗前显著降低，差异有统计学意义(P＜0.05)；观察组治疗后以上指标均优于对照组，差异有统计学意义(P＜0.05)。两组治疗后PSQI量表较治疗前均有所改善，差异有统计学意义(P＜0.05)；观察组睡眠时间、睡眠质量、睡眠效率、PSQI总分均低于对照组，差异有统计学意义(P＜0.05)。两组治疗后SCL-90症状自评量表中躯体化、人际关系敏感、抑郁、焦虑、偏执、精神病性、附加因子分值较治疗前均显著降低，差异有统计学意义(P＜0.05)；观察组治疗后躯体化、人际关系敏感、抑郁、焦虑、附加因子分值低于对照组，差异有统计学意义(P＜0.05)。两组治疗后复查血、尿、便常规、心电图、肝肾功能、血压或心率均未出现异常。结论：在心理干预大学生失眠症基础上，采用中医芳香疗法可提高临床疗效，不仅改善患者自主神经功能，还能缓解患者心理不良情绪，改善睡眠质量。
Abstract:
Objective: To observe the effects of TCM aromatherapy and psychological intervention on automic nerve function, psychological health and sleep quality of the undergraduate suffering insomnia. Methods: All 180 patients were randomly allocated to the observation group and the control group, 90 cases each group, the control group accepted psychological intervention, and the observation group were given TCM aromatherapy, the course was four weeks. To compare clinical effects between both groups, observe automic nerve function, the scores of SCL-90 symptom self - rating scale and PSQI before and after treating. Results: Total effective rate of the observation group was 92.22% (83/90), higher than 77.78% (70/90) of the control group, and the difference showed statistical meaning between both groups (P＜0.05). RMSSD, SDANN, SDNN, PNN50%, LF, HF and LF/HF of both groups after treating reduced notably compared with before treating, and the difference showed statistical meaning (P＜0.05); the indexes above in the observation group were superior to these of the control group, and the difference had statistical meaning (P＜0.05). After treating, PSQI scale in both groups improved compared with before treating, and the difference demonstrated statistical meaning (P＜0.05); the observation group was lower than the control group in sleep time, sleep quality, sleep efficiency and total scores of PSQI, and the difference had statistical meaning (P＜0.05). After treating, the scores of somatization, being sensitive to interpersonal relationship, depression, anxiety, bigoted, psychiatric and additional factors reduced significantly compared with before treating, and the difference had statistical meaning (P＜0.05); the observation group was lower than the control group in the scores of somatization, being sensitive to interpersonal relationship, depression, anxiety and additional factors, the difference showed statistical meaning (P＜0.05). No abnormality was found in the check of blood, urine and stool, ECG, liver and renal function, blood pressure and heart rate in both groups after treating. Conclusion: On the foundation of psychological intervention, TCM aromatherapy could raise clinical effects, it could not only regulate automic nerve function, but also relieve bad moods and improve sleep quality.

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备注/Memo

备注/Memo:
收稿日期：2019-06-27*基金项目：2018年高等学校中西部青年骨干教师国内访问学者研修工作阶段性研究成果；陕西省首批辅导员工作室建设项目“杏林花开”育心工作室开放课题支持项目。作者简介：杨秋玉（1982—），女，讲师。研究方向：大学生心理健康教育。通讯作者：侯杰军（1979—），男，主治医师。研究方向：老年疾病的中西结合诊治。
更新日期/Last Update: 2020-02-15