气息引导结合五音疗法对强直性脊柱炎 伴睡眠障碍患者的影响

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Effect of Breath Guidance Combined with Five-tone Therapy on Patients withAnkylosing Spondylitis Complicated with Sleep Disorders

GUO Juan， WEI Xiangkui，LIANG Li'na， WEI Lanjing （Department of Rheumatology and Immunology，Hechi People's Hospital，Hechi 5470oo，China）

AbstractObjective：Toexploretheefectof the"guiding yangintoyin"reath gudance methodcombined withfive-tonetherapy inimprovingsleepdisordersinpatientswithankylosingspondylitis（AS）.Methods：Atotalof10OpatientswithAScomplicated withsleepdisordersadmitedtotheDepartmentofRheumatologyandImmunologyof HechiPeople'sHospitalfromDecember 2024 to September 2O25 wereselectedas the studysubjects.Acording tothenumbering order，patients numbered1to 50 were assignedtothecontrol group，andthose numbered51to0Owereasigned totheobservation group.Allpatientsreceived symptomatictreatmentafteradmission.Thecontrolgroupwastreatedwithfive-tone therapy，whiletheobservationgroupreceivedthe “guiding yang intoyin”breath guidance methodcombined with five-tone therapy.Both groupswere treated forone month.The clinical effcacyofthetwogroupsafterone monthof treatment wasevaluated.ThetraditionalChinese medicine（TCM）syndrome scores，sleepqualityasessedbythePitsburgh SleepQuality Idex（PSQI），andsleepmonitoring indicators includingtotal sleep time（TST），sleep latency（SL），and sleepefciency（SE）werecomparedbetweenthetwogroupsbefore treatmentandafterone monthoftreatment.ResultsAfteronemonthof treatment，therewasastatisticallysignfcantdiferenceinclinicaleffcacybetween the two groups（ P<0.05 ），and the total effective rate of the observation group（98. 00% ）was higher than that of the control group（ 86.00% ）（ P<0.05， ）. The TCM syndrome scores in both groups decreased compared with those before treatment，and the scores of the observation group were lower than those of the control group（ P<0.05 ）. The PSQI scores in both groups were significantlyreducedcomparedwiththosebeforetreatment，andthescoreoftheobservationgroupwaslower thanthatof hecontrol group（ P<0.05 ）.The TST and SE in both groups increased compared with those before treatment，while the SL decreased.Thechanges in these indicators intheobservationgroup weremore significantthan thoseinthecontrolgroup（ P< 0.05）.Conclusion;The"guding yang intoyin"breath guidance methodcombined with five-tonetherapyshows definite eficacyin improving sleepqualityinpatientswithAScomplicated with sleepdisordersandcanefectively increase sleepdurationand improve sleep quality.

强直性脊柱炎（AnkylosingSpondylitis，AS）是由慢性病变引发脊柱强直和纤维化的疾病[1]，罹患该疾病不仅影响患者骶髂关节正常生理功能，还可导致不同程度的肌肉、骨骼病变，影响患者日常生活[2]。（剩余5292字）