循经刮痧对围绝经期睡眠障碍患者睡眠和生存质量的影响研究  

Effect observation of scraping therapy along the meridian system for perimenopausal patients with sleep disorder

作　　者：孟方[1] 段培蓓[1] 安红丽[1] 侯玉娇[1] 朱燕[1] 

机构地区：[1]南京中医药大学附属医院,江苏南京210029

出　　处：《护士进修杂志》2016年第14期1258-1261,共4页Journal of Nurses Training

基　　金：江苏省中医院科技项目(编号:Y14010)

摘　　要：目的观察循经刮痧对围绝经期睡眠障碍患者睡眠和生存质量的影响。方法将60例患者随机分为观察组和对照组,各30例,对照组给予常规中药治疗,观察组在对照组基础上给予循经刮痧干预,比较两组干预前后匹兹堡睡眠质量指数(PSQI)、围绝经期生存质量(MENQOL)及临床疗效。结果两组干预后PSQI指数均较干预前明显下降(P<0.01),且观察组睡眠质量、入睡时间、睡眠效率、睡眠障碍和日间功能障碍评分及PSQI总分下降幅度显著大于对照组(P<0.01,P<0.05);两组干预后围绝经期生存质量均显著改善(P<0.01),且观察组MENQOL总分及血管舒缩症状、心理状态和生理状态维度评分下降幅度显著大于对照组(P<0.01);观察组总有效率为96.67%,明显高于对照组的86.67%(P<0.01)。结论循经刮痧可有效改善围绝经期睡眠障碍及其它症状,提高患者的生存质量。Objective To evaluate the therapeutic effect of scraping therapy along the meridian system on sleep and quality of life in perimenopausal patients with sleep disorder. Methods 60 patients were randomized into observa- tion group and control group,30 cases in each group. Patients in the control group received Chinese medicine, while the other patients in the observation group were given scraping therapy based on the treatment in the control group. The scores of Pinsburgh sleep quality index（PSQI）, Menopausal quality of life （MENQOI.） and the clinical efficacy were compared before and after intervention in the patients of the two groups. Results After intervention, the total score of PSQI was reduced apparently for the two groups （P 〈- 0.01）, in which, the improvement of sleep quality, onset time, sleep efficiency, sleep disorder, day function in the observation group were superior to those in control group （P 〈 0.01 ,P 〈 0.05）. The total score and each dimension score of MENQOL were obviously decreased in both of the two groups （P 〈 0.01 ）, and there were significant differences in the domains of vasomotor, psychosocial and physical between the two groups （P〈0.01）. The total effective rate was 96.67% in the observation group, it ＇s higher apparently than 86. 67% in the control group （P〈 0.01）. Conclusion Scraping therapy along the meridian system can effectively relieve perimenopausal sleep disorder and other perimenopausal symptoms, and improve the patient＇s quality of life.

关 键 词：围绝经期 睡眠障碍 循经刮痧 生存质量 

分 类 号：R472[医药卫生—护理学] R473.71[医药卫生—临床医学]