| Objective:To observe the clinical effect of pressing needle combined with cognitive behavior therapy on insomnia after PCI in patients with acute myocardial infarction.Methods:The 80 patients who met the inclusion criteria were divided into the observation group(on the basis of treatment in the control group,press needle combined with cognitive behavioral therapy was added)and the control group(1 mg of estazolam tablets was taken orally before going to bed every night)according to the random number table method.After 10 days of continuous treatment,the changes in the score of Spiegel sleep Scale and GAD-7 Scale before,after and 3 months after treatment were compared between the two groups.Results:(1)After treatment,the Spiegel scale score in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).After 3 months of treatment,the Spiegel scale score in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).There were statistical differences in the Spiegel sleep scale scores between the two groups in inter group,time,and interaction(P<0.05).The intragroup differences in the Spiegel sleep scale scores of the two groups before,after,and 3 months after treatment were both statistically significant(P<0.05).Pairwise comparison:The Spiegel sleep scale scores after treatment and 3 months after treatment in the observation group were both lower than before(P<0.05),and the Spiegel sleep scale score 3 months after treatment was lower than that after treatment(P<0.05).The Spiegel sleep scale scores in the control group decreased significantly after treatment and 3 months after treatment compared to before treatment(P<0.05),and there was no statistically significant difference in the Spiegel sleep scale scores 3 months after treatment compared to after treatment(P>0.05).(2)There was no statistically significant difference in the GAD-7 scale scores between the two groups after treatment(P>0.05).The GAD-7 scale score of the observation group was lower than that of the control group 3 months after treatment,,and the difference was statistically significant(P<0.05).There was no statistical difference in inter group in GAD-7 scale scores between the two groups(P>0.05),but there were statistical differences in time and interaction(P<0.05).The intragroup differences in GAD-7 scale scores of the two groups before,after,and 3 months after treatment were both statistically significant(P<0.05).Pairwise comparison:After treatment and 3 months after treatment,the GAD-7 scale score in the observation group decreased compared to before treatment,with a statistically significant difference(P<0.05).The GAD-7 scale score 3 months after treatment was lower than that after treatment,with a statistically significant difference(P<0.05).The GAD-7 scale scores in the control group decreased significantly after treatment and 3 months after treatment compared to before treatment(P<0.05),but there was no statistically significant difference in GAD-7 scale scores 3 months after treatment compared to after treatment(P>0.05).(3)The curative effect was evaluated by calculating the score reduction rate of Spiegel sleep scale.The effective rate was 97.14%in the observation group and 85.71%in the control group,and the difference in effective rate between the two groups was statistically significant(P<0.05).(4)During the treatment,1 patient in the observation group had mild dry mouth and 1 patient had mild fatigue.And in the control group,1 patient had mild dry mouth,5 patients had mild nausea,and 3 patients had mild fatigue,during the treatment.The incidence of adverse reactions in the observation group was 5.71%,and that in the control group was 25.71%.The incidence of adverse reactions in the two groups was statistically different(P<0.05).Conclusion:Both oral estazolam and oral estazolam combined with press needle and cognitive behavioral therapy are effective in the treatment of insomnia after PCI in patients with acute myocardial infarction.However,compared with oral estazolam alone,the combination of press needle and cognitive behavioral therapy has more obvious advantages in reducing the score of Spiegel sleep scale and GAD-7 scale,with higher clinical efficiency and lower incidence of adverse reactions.It can be seen from comprehensive analysis that oral estazolam combined with press needle and cognitive behavioral therapy can improve insomnia in patients with acute myocardial infarction after PCI with more significant effect and less adverse reactions,and has better long-term effect in alleviating anxiety of patients with this disease. |
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