摘要
目的:探讨耳穴埋豆法辅助氨氯地平治疗高血压伴睡眠障碍患者的应用效果。方法:选取2020年4月-2022年3月江门开平市中医院收治的90例高血压伴睡眠障碍患者,随机分为观察组及对照组,各45例。对照组采用常规护理,观察组在此基础上给予耳穴埋豆法。干预后比较两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、血压变化情况以及匹茨堡睡眠质量指数量表(PSQI)评分。结果:干预后观察组的SAS、SDS量表测评得分降幅明显大于对照组,差异有统计学意义,差异有统计学意义(P<0.05);观察组干预后收缩压、舒张压、脉压差较对照组降低更明显,差异有统计学意义(P<0.05)。观察组的各项PSQI评分明显低于对照组,差异有统计学意义(P<0.05)。结论:耳穴埋豆法联合氨氯地平在高血压伴睡眠障碍患者护理中的应用效果显著,能在有效降压的同时改善患者的总体睡眠质量以及焦虑、抑郁情绪。
Objective:To explore the application effect of ear acupoint pressing assisted amlodipine in the treatment of patients with hypertension and sleep disorders.Methods:Ninety patients with hypertension and sleep disorders admitted to Kaiping Hospital of Traditional Chinese Medicine in Jiangmen from April 2020 to March 2022 were selected and randomly divided into the observation group and the control group,with 45 cases in each group.Control group was treated with routine nursing,and on this basis,observation group was given ear acupoint pressing.After intervention,self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,blood pressure changes and Pittsburgh sleep quality index scale(PSQI)score were compared between the two groups.Results:After intervention,the decrease of SAS and SDS scores in the observation group was significantly greater than that in the control group,with statistically significant difference(P<0.05);the decrease of systolic blood pressure,diastolic blood pressure and pulse pressure in the observation group was more obvious than that in the control group,with statistically significant difference(P<0.05).PSQI scores in the observation group were significantly lower than those in control group,with statistically significant difference(P<0.05).Conclusion:The application of ear acupoint pressing combined with amlodipine has significant effect in the nursing of patients with hypertension and sleep disorders,which can effectively reduce blood pressure and improve the overall sleep quality of patients,as well as improve the anxiety and depression of patients.
作者
李小莲
邝开安
梁进女
Li Xiao-lian;Kuang Kai-an;Liang Jin-nv(Kaiping Hospital of Traditional Chinese Medicine,Kaiping 529300,Guangdong Province,China)
出处
《中国社区医师》
2022年第6期115-116,120,共3页
Chinese Community Doctors
基金
江门市卫生计划项目(No.20A170)。
关键词
耳穴埋豆法
氨氯地平
高血压
睡眠障碍
焦虑
抑郁
Ear point pressing method
Amlodipine
Hypertension
Sleep disorder
Anxiety
Depression