摘要
目的:探讨耳穴压豆联合五音疗法对肝郁气滞火旺型艾滋病患者的临床疗效。方法:选取2021年3月至2022年3月在长沙市艾滋病定点救治医院感染与免疫科住院的120例肝郁气滞火旺型艾滋病患者作为研究对象。采用双因素两水平的析因设计,将患者随机分为对照组、耳穴压豆组、五音疗法组和联合组各30例。对照组实施常规护理;在对照组基础上,耳穴压豆组给予耳穴压豆干预,五音疗法组给予五音疗法干预,联合组给予耳穴压豆联合五音疗法的综合干预,干预周期均为4周。分别于干预前后比较4组患者中医证候积分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及生存质量量表(WHOQOL-HIV-BREF)评分。结果:对照组1例提前出院,耳穴压豆组1例依从性较差。干预后,除对照组外,3组患者的中医证候积分、SAS评分、SDS评分均较干预前降低,生存质量评分均较干预前升高,差异均有统计学意义(P<0.05);干预后,4组患者的中医证候积分、SAS评分、SDS评分及生存质量评分比较,差异均有统计学意义(P<0.05),且耳穴压豆及五音疗法存在协同的交互作用。结论:耳穴压豆联合五音疗法可有效改善肝郁气滞火旺型艾滋病患者的临床症状,在缓解负性情绪、提高生存质量方面也具有一定效果。
Objective:To observe the effect of ear point pressing beans combined with five tone therapy on AIDS patients with liver stagnation and fire hyperactivity.Methods:From March 2021 to March 2022,120 cases of AIDS patients with liver qi stagnation and fire exuberance who were hospitalized in the Infection and Immunology Department of AIDS designated hospitals in Changsha were selected as the research objects.Using the factorial design of two factors and two levels,the patients were randomly divided into the control group,ear point pressing bean group,five tone therapy group and combined group with 30 cases each.The control group received routine nursing care;On the basis of the control group,the ear point pressing bean group was given ear point pressing bean intervention,the five tone therapy group was given five tone therapy intervention,and the combined group was given ear point pressing bean combined with five tone therapy comprehensive intervention.The intervention period was 4 weeks.The scores of TCM syndromes,SAS,SDS and WHOQOL-HIV-BREF were compared before and after the intervention.Results:One case in the control group was discharged ahead of schedule,and one case in the ear point pressing bean group had poor compliance.After intervention,except for the control group,the TCM syndrome score,SAS score and SDS score of the three groups were lower than those before intervention,and the quality of life score was higher than those before intervention,with significant differences(P<0.05).After the intervention,the scores of TCM syndromes,SAS scores,SDS scores and quality of life scores of the four groups were statistically significant(P<0.05),and there was a synergistic interaction between ear acupoint pressing beans and five tone therapy.Conclusion:Ear point pressing beans combined with five tone therapy can effectively improve the clinical symptoms of AIDS patients with liver qi stagnation and fire hyperactivity,and has certain effects in alleviating negative emotions and improving the quality of life.
作者
向芳
谢冰婵
曹桂英
蒋谷芬
XIANG Fang;XIE Bingchan;CAO Guiying;JIANG Gufen(Hunan University of Chinese Medicine,Changsha Hunan 410208,China;Changsha First Hospital,Changsha Hunan 410005,China;The Second Affiliated Hospital of Hunan University of Chinese Medicine,Changsha Hunan 410005,China)
出处
《中医药导报》
2022年第12期136-139,共4页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
湖南省中医药科研计划重点项目(2020014)。
关键词
艾滋病
肝郁气滞火旺
耳穴压豆
五音疗法
临床研究
析因设计
AIDS
liver depression
qi stagnation and fire exuberance
ear point pressing bean
five tone therapy
clinical research
factorial design
