Intervention Of Guided Music Imagination Training On Patients With Chronic Obstructive Pulmonary Disease

Objective:Based on Professor Zhu Jiangui’s clinical experience in the treatment of insomnia,this paper summarizes the common prescriptions for the treatment of insomnia.evaluates its clinical efficacy and analyzes the relevant factors affecting insomnia,and provides some reference and reference for clinical prevention and treatment.Methods:From January 2020 to December 2020.200 cases of insomnia with Chinese and Western medicine diagnosis were selected as the subjects,In addition,100 healthy people with routine physical examination were selected as normal group.The clinical data of the two groups were compared.including general data such as gender and age;social data such as occupation and income,marital status;personal data such as eating habits,exercise status,interference from electronic devices such as mobile phones,psychological or emotional stress,and environmental factors.Binary Logistic regression was used to analyze the factors affecting insomnia.Among the 200 patients with insomnia,160 were divided into research group A,research group B.research group C,and research group D according to different syndromes.There were 40 cases in each.Jiaotai Pills combined with Suanzaoren Decoction,Huanglian Wendan Decoction,Chaihu Plus Longgumuli Decoction and Guipi Decoction were treated with oral melatonin.The Pittsburgh Sleep Quality Index(PSQI)scores of sleep quality before treatment,14 days and 28 days after treatment were observed in the five groups,and the treatment effect was evaluated by the Athens Insomnia Scale(AIS).Results:(1)There were significant differences in age,marital status,sleep habits,anxiety and depression,and noisy living environment between the two groups(P<0.05).(2)The statistically significant indicators in table 1(age,marital status,bad habits before bedtime,anxiety and depression,noisy living environment)were included in the regression model.variables were assigned.further multivariate Logistic regression analysis showed that age<40 were protective factors for insomnia patients,marital status divorce,bad habits before bedtime,anxiety and depression,and noisy living environment were independent risk factors for insomnia(P<0.05).(3)The scores of insomnia patients before and after treatment PSQI different methods were compared,and the analysis of variance by repeated measurement showed that the PSQI scores of five groups were statistically significant among time point factors,time point interaction factors and group factors(P<0.05).Specifically:①The PSQI scores of the five groups were compared in pairs at different time points.There were significant differences in the PSQI scores of groups A,B,C,D and the control group before treatment,14 days of treatment,and 28 days of treatment(P<0.05).PSQI scores of A,B,C,D and the control group were significantly decreased after 14 and 28 days of treatment compared with before treatment,and the decline of A,B,C,D group was higher than that of the control group(P<0.05).②The PSQI scores of the five groups were compared in pairs at different time points,and the PSQI scores of the five groups were not significantly different before treatment(P>0.05);on the 14th day and 28th day of the treatment the PSQI scores of the four groups of patients were A.B.C and D There was no significant difference(P>0.05);but after 14d and 28d of treatment,the PSQI scores of patients in groups A,B,C and D were significantly lower than those in the control group(P<0.05).(4)In comparison of the clinical efficacy of insomnia patients treated with different methods,the total clinical effective rate of patients in groups A,B,C and D after treatment was significantly higher than that in the control group(P<0.05).Conclusion:In this study,200 patients with insomnia diagnosed by traditional Chinese and western medicine were compared with 100 healthy people with routine physical examination,found that age<40 was the protective factor for insomnia patients.marital status divorce,bad habits before bedtime,anxiety and depression,and noisy living environment were independent risk factors leading to insomnia.In terms of the treatment of insomnia patients,compared with the control group,they were given oral melatonin treatment.According to the different syndromes,Zhu Jiangui’s experience in treating insomnia was given to Jiaotai Pills and Suanzaoren Decoction,Huanglian Wendan Decoction,Chaihu plus Longgumuli Decoction and Guipi Decoction treatment can significantly improve the curative effect,improve symptoms,and improve sleep quality.