火龙罐疗法对心肾不交型围绝经期患者睡眠障碍的影响  

Effect of Huo-Long cupping therapy on sleep disturbance in women during the perimenopause with the pattern of disharmony between the heart and kidney

作　　者：施兰来 杨毅华 黄荷贤 郭素云 谢福丽 张小琴 Shi Lanlai;Yang Yihua;Huang Hexian;Guo Suyun;Xie Fuli;Zhang Xiaoqin(Nursing Department of Shenzhen Hospital(Longgang),Beijing University of Chinese Medicine,Shenzhen 518172,China)

机构地区：[1]北京中医药大学深圳医院(龙岗)护理部,广东深圳518172 [2]北京中医药大学深圳医院(龙岗)针推科,广东深圳518172

出　　处：《护理学杂志》2021年第12期56-59,共4页Journal of Nursing Science

基　　金：广东省中医药局科学技术研究项目(20201318)。

摘　　要：目的探讨火龙罐疗法改善心肾不交型围绝经期患者睡眠障碍的效果。方法将69例心肾不交型围绝经期睡眠障碍患者随机分为对照组(34例)和观察组(35例)。对照组给予常规针刺治疗,观察组给予火龙罐疗法,均每3天1次,连续10次。于干预后评价两组患者睡眠障碍改善程度,于干预前后及随访期(干预后1个月)采用匹兹堡睡眠质量指数(PSQI)评价睡眠质量。结果干预后观察组睡眠障碍改善程度显著优于对照组(P<0.05)。干预后、随访期观察组PSQI评分显著低于对照组(均P<0.05);对照组干预后PSQI评分显著下降,但随访期PSQI评分显著升高(均P<0.05);观察组干预后PSQI评分显著下降(P<0.05),之后维持在稳定状况。两组干预期间均未发生不良反应。结论火龙罐疗法可有效地改善心肾不交型围绝经期患者睡眠障碍,安全且效果相对持久。Objective To explore the effect of Huo-Long cupping therapy on alleviating sleep disturbance in women during the perimenopause with the pattern of disharmony between the heart and kidney.Methods A total of 69 perimenopausal women having sleep disturbance with the pattern of disharmony between the heart and kidney were randomly divided into a control group of 34 and anintervention group of 35,receiving either routine acupuncture therapy or Huo-Long cupping therapy once every 3 days,successively for 10 times.The improvement in sleep disturbance was measured post-intervention,and the Pittsburgh Sleep Quality Index(PSQI)was utilized to evaluate sleep quality pre-,immediately and 1 month post-intervention.Results The intervention group had higher improvement in sleep disturbance compared with the control group after the intervention(P<0.05).The intervention group had significantly lower PSQI scores immediately and 1 month post-intervention compared with the control group(P<0.05 for both).The post PSQI score in the control group was significantly decreased but significantly increased during the follow-up period(P<0.05 for both).The post PSQI score in the intervention group was also significantly decreased(P<0.05)and maintained at a stable level during the follow-up period.No adverse events were observed in both groups.Conclusion Huo-Long cupping therapy can effectively and safely improve sleep quality in patients with perimenopausal insomnia of disharmony between the heart and kidney,and the effect is relatively persistent.

关 键 词：围绝经期 心肾不交 睡眠障碍 火龙罐 穴位 经络 心肾失调 月经前期 失眠 辨证施护 

分 类 号：R47[医药卫生—护理学] R248.3[医药卫生—临床医学]