CAJ | 학술논문

目的：观察中医传统减压放松操对精神分裂症患者睡眠及阴性症状的影响。方法收集精神分裂症患者61例，由康复治疗师带领患者每日做中医传统减压放松操，每次时间30 min，锻炼周期为3个月，采用匹兹堡睡眠质量指数（Pittsburgh Sleep Quality Index，PSQI）及以阴性症状量表（Scale for Assessment of Negative Symptoms，SANS）作为评估工具。结果受试者锻炼后 PSQI 总分与参加锻炼前差异有高度统计学意义（P ＜0.01），7个构成成分中睡眠质量、入睡时间、睡眠效率、安眠药物4个成分与参加锻炼前比较差异都有高度统计学意义（P ＜0.01）。睡眠障碍得分与参加锻炼前相比差异有统计学意义（P ＜0.05）。实验前后患者的 SANS 评分的5个因子分均比锻炼前降低，差异有统计学意义（P ＜0.01）。结论中医传统减压放松操对精神分裂症患者的睡眠及阴性症状有一定改善作用，操作简单而安全，值得进一步研究推广。
목적：관찰중의전통감압방송조대정신분렬증환자수면급음성증상적영향。방법수집정신분렬증환자61례，유강복치료사대령환자매일주중의전통감압방송조，매차시간30 min，단련주기위3개월，채용필자보수면질량지수（Pittsburgh Sleep Quality Index，PSQI）급이음성증상량표（Scale for Assessment of Negative Symptoms，SANS）작위평고공구。결과수시자단련후 PSQI 총분여삼가단련전차이유고도통계학의의（P ＜0.01），7개구성성분중수면질량、입수시간、수면효솔、안면약물4개성분여삼가단련전비교차이도유고도통계학의의（P ＜0.01）。수면장애득분여삼가단련전상비차이유통계학의의（P ＜0.05）。실험전후환자적 SANS 평분적5개인자분균비단련전강저，차이유통계학의의（P ＜0.01）。결론중의전통감압방송조대정신분렬증환자적수면급음성증상유일정개선작용，조작간단이안전，치득진일보연구추엄。
Objective To observe the Traditional Chinese Medcine Relaxation Exercises Pressure(TREP)on sleep and negative symptoms of schizophrenia patients.Methods 61 cases of schizophrenia patients led by rehabilitation therapists do TREP daily,each time for about 30 minutes,the exercise period isabout three months,using the Pittsburgh sleep quality index, (PSQI)and Scale for Assessment of Negative Symptoms,(SANS)as an assessment tool.Results PSQI total score is a signif-icant decrease (P <0.01)before participating in the exercise,seven constituents in sleep quality,sleep latency,sleep efficiency and hypnotics compare before there was a significant difference (P <0.01).The score of sleep disorders after the exercise com-pared with the previous score was a significant difference (P <0.05).Patients before and after the experimental SANS score five factor scores lower than before the exercise,the difference was statistically significant (P <0.01).Conclusion The TREP may improve the sleep and negative symptoms of schizophrenia,and it is simple and safe operation,worthy of further research and pro-motion.