摘要
目的观察微砭耳针联合中医情志干预对肛门湿疹患者睡眠质量及情绪状态的影响。方法选取2020年5月至2022年1月收治的94例肛门湿疹患者为研究对象,采用数字表法分为2组,2组均予半边止痒汤坐浴治疗,对照组47例予常规健康教育干预,研究组47例在对照组的基础上加用微砭耳针联合中医情志干预。2组均干预4周后,比较2组干预前后匹兹堡睡眠质量指数(PSQI)(包括入睡时间、睡眠时间、睡眠效率、睡眠质量、安眠药物、睡眠障碍及日间功能)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、症状(包括瘙痒程度、皮损面积、皮疹形态及皮肤潮湿)评分及肛门功能指标(包括肛管静息压、肛管最大收缩压及直肠静息压)变化情况。结果与本组干预前比较,2组干预后PSQI入睡时间、睡眠时间、睡眠效率、睡眠质量、安眠药物、睡眠障碍、日间功能评分及总分均降低(P<0.05),且研究组干预后PSQI各项评分及总分均低于对照组(P<0.05)。与本组干预前比较,2组干预后SAS评分及SDS评分均降低(P<0.05),且研究组干预后SAS评分及SDS评分均低于对照组(P<0.05)。与本组干预前比较,2组干预后症状瘙痒程度、皮损面积、皮疹形态及皮肤潮湿评分均降低(P<0.05),且研究组干预后中医症状瘙痒程度、皮损面积、皮疹形态及皮肤潮湿评分均低于对照组(P<0.05)。与本组干预前比较,2组干预后肛门功能指标肛管静息压、肛管最大收缩压和直肠静息压水平均升高(P<0.05),且研究组干预后肛管静息压、肛管最大收缩压和直肠静息压水平均高于对照组(P<0.05)。结论微砭耳针联合中医情志干预肛门湿疹疗效确切,可有效改善患者睡眠质量,消除不良情绪状态,改善症状,促进肛门功能恢复。
Objective To observe the effects of auriculotherapy with miniature bian needle combined with traditional Chinese medicine(TCM)emotional intervention on sleep quality and emotional state of patients with anus eczema.Methods From May 2020 to January 2022,a total of 94 patients with anus eczema were randomly assigned into the study group(n=47)and the control group(n=47).All patients were managed by Banbian Zhiyang Decoction and routine health education intervention,and those in the study group additionally received auriculotherapy with miniature bian needle combined with TCM emotional intervention.After 4 weeks of intervention,Pittsburgh Sleep Quality Index(PSQI)(time before falling asleep,sleep time,sleep efficiency,sleep quality,hypnotic drugs,sleep disorders,daytime dysfunction),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),traditional Chinese medicine(TCM)symptom score(itching degree,lesion area,rash morphology,skin wetness),anal function indexes(anal canal rest pressure,anal maximal squeeze pressure,rectal resting pressure)were compared.Results After intervention,PSQI scores and total scores in the both groups were significantly decreased(P<0.05),which in the study group were significantly lower than those in the control group(P<0.05).SAS and SDS scores in the both groups were significantly decreased(P<0.05),which decreased notably in the study group compared with the control group(P<0.05).TCM symptom scores in the both groups were significantly decreased(P<0.05),the decrease in the study group was more common than the control group(P<0.05).The anal function indexes in the both groups were significantly increased(P<0.05),the increase in the treatment group was more prevalent compared with the control group(P<0.05).Conclusion For patients with anus eczema,auriculotherapy with miniature bian needle combined with TCM emotional intervention has a definite curative effect,which can effectively improve sleep quality,eliminate bad emotional state,improve TCM symptoms,and promote the recovery of anal function.
作者
赵颖
张侨
李春耕
赵宇琦
丁俐元
ZHAO Ying;ZHANG Qiao;LI Chungeng;ZHAO Yuqi;DING Liyuan(Department of Proctology,Tangshan Hospital of Traditional Chinese Medicine,Tangshan,Hebei 063000)
出处
《河北中医》
2024年第1期91-94,98,共5页
Hebei Journal of Traditional Chinese Medicine
基金
河北省中医药管理局2021年度中医药类科研课题(编号:2021397)。
关键词
肛门湿疹
耳针
中医情志
睡眠质量
情绪
Anus eczema
Auricular acupuncture
Traditional Chinese medicine emotion
Sleep quality
Emotion
