耳部铜砭刮痧联合耳穴压豆对脾胃虚弱型耳鸣患者的影响  

Effects of ear copper scraping combined with auricular point pressing beans on patients with spleen-stomach weakness-type tinnitus

作　　者：明爱红 罗芬[1] 丁丽云 韦韩萍[1] 王智慧 林思慧 杨云帆 冯甜 龙秀红[1] MING Aihong;LUO Fen;DING Liyun;WEI Hanping;WANG Zhihui;LIN Sihui;YANG Yunfan;FENG Tian;LONG Xiuhong(Ruikang Hospital Affi liated to Guangxi University of Traditional Chinese Medicine,Nanning 530011,China)

机构地区：[1]广西中医药大学附属瑞康医院,广西壮族自治区南宁市530011

出　　处：《护理实践与研究》2024年第5期662-667,共6页Nursing Practice and Research

基　　金：广西壮族自治区中医药管理局科研课题(编号:Gzzc2020117)。

摘　　要：目的观察基于全息论的耳部铜砭刮痧联合耳穴压豆对脾胃虚弱型耳鸣患者睡眠质量和日常生活的影响。方法选取2022年9月—2023年4月南宁市某三级甲等中西医结合医院耳鼻咽喉头颈外科门诊82例符合纳入条件的脾胃虚弱型耳鸣患者为研究对象,按照组间基本特征具有可比性的原则分为观察组和对照组,每组41例。对照组患者实施耳鸣门诊常规护理的同时予两耳交替耳穴压豆,每周1次,连续4周;观察组在对照组措施的基础上行基于全息论的双侧耳部铜砭刮痧,每周1次,连续4周。于干预前、干预结束时和干预结束后4周采用匹兹堡睡眠质量指数(PSQI)评估患者睡眠质量,采用耳鸣致残量表(THI)评估耳鸣对患者日常生活的影响。结果两组各有39例患者完成研究。两组患者干预前、干预结束时、干预结束后4周PSQI的总分有逐渐降低的趋势,时间之间差异有统计学意义(P时间<0.05);干预结束时、干预结束后4周PSQI总分观察组低于对照组,差异有统计学意义(P组间<0.05);随观察时间延长,组间差异逐渐增大,组间随时间变化的差异有统计学意义(P交互<0.05)。两组患者干预前、干预结束时、干预结束后4周THI总分有逐渐降低的趋势,时间之间差异有统计学意义(P时间<0.05),但THI总分组间效应及交互效应无统计学意义(P>0.05)。干预结束后4周,观察组治疗有效率高于对照组,组间比较差异具有统计学意义(P<0.05)。结论基于全息论的耳部铜砭刮痧联合耳穴压豆的方法所需用物简单、绿色安全,可改善脾胃虚弱型耳鸣患者的睡眠质量,并减轻耳鸣对患者日常生活的影响。Objective To observe the effect of ear copper scraping combined with ear point pressing beans based on holography on sleep quality and daily life of patients with spleen-stomach weakness tinnitus.Methods 82 patients with spleen-stomach weakness type tinnitus who met the inclusion conditions in the outpatient clinic of otorhinolaryngology,head and neck surgery of a Class III Grade A combined traditional Chinese and Western medicine hospital in Nanning from September 2022 to April 2023 were selected for the study,they were divided into an observation group and a control group,with 41 cases in each group,according to the principle that the basic characteristics of the groups were comparable.The patients in the control group were given alternating auricular acupoint pressure beans in both ears for 4 weeks at the same time as the routine tinnitus outpatient care,while the observation group was given holographic copper acupuncture scraping in both ears for 4 weeks at the same time as the measures of the control group.The Pittsburgh Sleep Quality Index(PSQI)was used to assess the patients'sleep quality before,at the end of the intervention and 4 weeks after the intervention,and the Tinnitus Handicap Inventory(THI)was used to assess the impact of tinnitus on the patients'daily life.Results 39 patients in each of the two groups completed the study.The total PSQI scores of patients in the two groups before intervention,at the end of intervention,and 4 weeks after the end of intervention had a tendency to gradually decrease,and the diff erence between the times was statistically signifi cant(P<0.05).At the end of intervention,and 4 weeks after the end of intervention,the total PSQI score of the observation group was lower than that of the control group,and the diff erence was statistically signifi cant(P<0.05).With the extension of the observation time,the diff erence between the groups increased gradually,and the difference between the groups with the change of time were statistically significant(P<0.05).There was a trend

关 键 词：全息论 耳部铜砭刮痧 耳穴压豆 耳鸣 脾胃虚弱 睡眠质量 生活质量 

分 类 号：R47[医药卫生—护理学]