穴位按摩联合五音疗法治疗双心失眠患者临床效果观察  

Clinical Effect Experience of Five-sound Music Therapy in Combination with Acupressure in the Treatment of Patients with Psycho-cardiology

作　　者：李海艳[1] 辛亚然[1] 刘景璐 李然[1] 王秀兰[1] 魏楠[1] 赵秀君[1] 

机构地区：[1]河北省保定市第一中医院,河北保定071000

出　　处：《辽宁中医药大学学报》2017年第6期180-183,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：保定市科学技术研究与发展指导计划项目(16ZF026)

摘　　要：目的:应用穴位按摩联合五音疗法治疗双心失眠患者的临床效果观察。方法:对80例以"冠心病"诊断入住心血管科的患者进行焦虑自评量表(SAS)和匹兹堡睡眠质量指数问卷(PSQI)评估,且符合失眠诊断。将其按住院尾号随机分为观察组和对照组各40例。对照组给予常规治疗和护理,观察组在对照组的基础上给予穴位按摩联合五音疗法治疗,比较两组患者护理干预前后第10、20、30天的焦虑自评量表(SAS)和匹兹堡睡眠质量指数问卷(PSQI)的评分变化,使用斯匹格失眠量表评定计算两组患者失眠改善的百分率。结果:护理干预后的第10天观察组SAS和PSQI低于对照组,差异无统计学意义(P>0.05);护理干预后的第20、30天观察组SAS和PSQI高于对照组,观察组改善失眠总有效率为97.7%,对照组改善失眠总有效率为72.5%,两组结果比较差异有统计学意义(P<0.01)。结论:穴位按摩联合五音疗法可提高双心失眠患者的睡眠质量。Objective：To explore the clinical effect experience of five-sound music therapy in combination with acupressure in the treatment of patients with psycho-cardiology. Methods ： 80 patients with both coronalT heart disease and insomnia were surveyed by questionnaire. Sleep quality of the subjects were assessed by using the Pittsburgh sleep quality index （ PSQI ） scale and self-rating anxiety scale （ SAS ）. They were randomly divided into observation group and control group by means of the last admission number （ AD ）, the control group conventional treatment group plus five-sound music therapy in combination with acupressure in the treatment on the basis of the control group were treated with conventional western medicine alone and nursing care. Firstly, to choose the 10 days,20 days,30 days of nursing intervention before and after, compare observation group with and control group, observe the score changes of the two groups in SAS and PSQI. Secondly, using PSQI to calculate the percentage of two groups. Results ： After the 10 days of nursing intervention, the SAS and PSQI score of observation group were lower than the control group, but there were no different between two groups （ P〉0.05 ）. After 20 days and 30 days, the SAS and PSQI score of observation group were higher than the control group. The total effective of observation group was 97.7% and control group was 97.7%. There were different between two groups （ P〈0.01 ）. Conclusion ： Five-sound music therapy in combination with acupressure can effectively improve the sleep quality of patients with psycho-cardiology.

关 键 词：穴位按摩 五音疗法 焦虑 失眠 冠心病 睡眠质量 

分 类 号：R244.1[医药卫生—针灸推拿学] R256.23[医药卫生—中医临床基础]