【摘要】 目的:探讨运动训练结合揿针治疗对老年冠心病患者认知、心理和睡眠的影响。方法:将60名老年冠心病患者按随机数字表法分为对照组和观察组各30例,在常规药物治疗的基础上观察组进行为期12周的运动康复训练,并结合揿针治疗,对照组仅进行为期12周的运动康复训练。观察治疗前后两组患者的认知(蒙特利尔认知评估量表,MoCA)、心理(7项广泛焦虑障碍量表,GAD-7;患者健康问卷抑郁自查量表-9项(PHQ-9)和睡眠(匹茨堡睡眠质量指数量表,PSQI)得分情况。结果:12周后,两组患者的MoCA、GAD-7、PHQ-9、PSQI评分均较治疗前有显著改善,差异有统计学意义(P<0.05)。且观察组患者GAD-7、PHQ-9、PSQI值的改善较对照组明显,差异有统计学意义(P<0.05)。结论:老年冠心病患者在给予运动训练的同时结合揿针治疗,其认知、心理和睡眠功能得到明显改善,且心理和睡眠方面的改善优于仅接受单纯运动训练的患者。更多还原

【Abstract】 Objective:To explore the effects of exercise training combined with press-needle treatment on cognition,psychology,and sleep in elderly patients with coronary heart disease(CHD). Method:Sixty elderly patients with coronary heart disease were randomly divided into 2 groups,30 patients in each group. Both groups were treated with routine medicine. In the experimental group,patients were given exercise training and press-needle group for 12 weeks while in the control group,patients were only given exercise training for12 weeks. The cognition[Montreal cognitive assessment(MoCA) score],psychology[generalized anxiety disorder(GAD)-7,patient health questionnaire(PHQ)-9 score]and sleep[Pittsburgh sleep quality index(PSQI) score] of the two groups before and after treatment were evaluated. Results:After 12 weeks of treatment,the MoCA,GAD-7,PHQ-9 and PSQI scores of the two groups were significantly improved,with statistical difference(P<0.05). The improvements of GAD-7,PHQ-9 and PSQI scores in group A were significantly better than those in group B,with statistical difference(P<0.05). Conclusions:Exercise training combined with press-needle treatment could obviously improve the cognition,psychology,and sleep in elderly patients with CHD compared with exercise training alone,especially on the improvement of psychology and sleep.更多还原