摘要
目的探讨头部刮痧联合耳穴埋豆在心脾两虚脑卒中失眠患者中的应用。方法采用便利抽样法,选取2020年9月—2021年9月在湖南中医药大学第一附属医院神经内科门诊收治的60例心脾两虚脑卒中失眠患者为研究对象,随机分为观察组和对照组,各30例。对照组口服药物阿普唑仑片,观察组在对照组的基础上给予头部刮痧联合耳穴埋豆疗法干预方案,两组患者均干预14 d。比较两组干预前后的临床疗效、匹兹堡睡眠质量指数量表(PSQI)评分、焦虑自评量表(SAS)评分。结果干预后,两组患者的SAS评分、PSQI评分均低于干预前,且观察组的SAS评分、PSQI评分均低于对照组,差异有统计学意义(P<0.05)。干预后,观察组患者的临床总有效率为98.7%,高于对照组的66.7%,差异有统计学意义(P<0.05)。结论头部刮痧联合耳穴埋豆能有效地改善心脾两虚脑卒中失眠患者的睡眠质量和焦虑情况。
Objective To explore the effect of head scraping combined with ear acupoint embedding beans in patients with stroke and insomnia due to heart-spleen deficiency.Methods From September 2020 to September 2021,convenience sampling was used to select 60 stroke and insomnia patients treated in the Neurology Department,the First Affiliated Hospital of Hunan University of Chinese Medicine as the research object.The patients were randomly divided into the observation group and the control group,30 cases in each.The control group was given oral alprazolam tablets,and the observation group was given the head scraping combined with ear acupoint embedding beans on the basis of the control group.Both groups were given intervention for 14 days.The clinical efficacy,Pittsburgh Sleep Quality Index(PSQI)score,and Self-Rating Anxiety Scale(SAS)score were compared between the two groups before and after the intervention.Results After the intervention,the SAS and PSQI scores of the two groups were lower than those before the intervention,and the SAS and PSQI scores of the observation group were lower than those of the control group,with statistical differences(P<0.05).After the intervention,the total clinical effective rate of the observation group was 98.7%,which was higher than that of the control group(66.7%),with a statistically significant difference(P<0.05).Conclusions Head scraping combined with ear acupoint embedding beans can effectively improve the sleep quality and anxiety of stroke and insomnia patients with heart-spleen deficiency.
作者
刘才丹
余艳兰
罗焕文
Liu Caidan;Yu Yanlan;Luo Huanwen(Neurology Department,the First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410007,China;Nursing Department,the First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410007,China)
出处
《中华现代护理杂志》
2022年第27期3779-3783,共5页
Chinese Journal of Modern Nursing
基金
2022年度湖南省中医药科研计划项目(E2022006)
2018年度科研计划课题项目(C20180451)。
关键词
脑卒中
头部刮痧
耳穴埋豆
心脾两虚
睡眠质量
Stroke
Head scraping
Ear acupoint embedding beans
Heart-spleen deficiency
Sleep quality
