五行音乐结合择时穴位贴敷对糖尿病周围神经病变患者知觉压力、PSG参数和预后的影响  

Effects of five elements music combined with timing acupoint application on perceived pressure,PSG parameters,and prognosis of patients with diabetic peripheral neuropathy

作　　者：吕洁 张珍丽 蔺虹丽 LV Jie;ZHANG Zhen-li;LIN Hong-li(Department of Endocrinology,Henan Integrated Traditional Chinese and Western Medicine Hospital,Zhengzhou 450003,Henan,CHINA)

机构地区：[1]河南省中西医结合医院内分泌科,河南郑州450003

出　　处：《海南医学》2024年第9期1337-1341,共5页Hainan Medical Journal

基　　金：河南省中医药科学研究专项课题(编号:20-21Z Y2092)。

摘　　要：目的探讨五行音乐结合择时穴位贴敷在糖尿病周围神经病变患者中的应用价值。方法选取2021年6月至2023年6月于河南省中西医结合医院就诊的60例糖尿病周围神经病变(DPN)患者作为研究对象,按随机数表法分为研究组和常规组各30例。常规组患者给予常规护理干预,研究组患者在常规组护理基础上给予五行音乐结合择时穴位贴敷,两组均干预1个月。比较两组患者干预前、干预1个月后(干预后)的多伦多临床症状评分(TCSS)、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、知觉压力[知觉压力量表(PSS)]、多导睡眠图(PSG)参数[总睡眠时间(TST)、睡眠效率(SE)、睡眠潜伏期(SL)、觉醒时间(WT)及其占总睡眠时间的百分比(WT%)]和预后[糖尿病生存质量特异性量表(DSQL)]的差异。结果干预后,研究组患者TCSS评分中症状、反射、感觉检测评分及TCSS总分分别为(1.78±0.54)分、(2.37±0.31)分、(2.31±0.35)分、(6.46±1.03)分,明显低于常规组的(2.39±0.67)分、(2.58±0.33)分、(2.74±0.38)分、(7.71±1.25)分,差异均有统计学意义(P<0.05);干预后,研究组患者的SAS、PSS、SDS评分分别为(41.33±3.06)分、(12.26±3.10)分、(39.73±4.13)分,明显低于常规组的(47.96±4.15)分、(19.88±3.49)分、(45.88±5.68)分,差异均有统计学意义(P<0.05);干预后,研究组患者的TST、SL分别为(467.25±46.87)min、(93.24±1.34)%,明显高于常规组的(427.63±44.32)min、(82.65±3.05)%,差异均有统计学意义(P<0.05);干预后,研究组患者的SL、WT、WT%分别为(7.15±1.17)min、(27.46±3.59)min、5.88±1.28,明显低于常规组的(13.52±2.58)min、(49.72±5.77)min、11.63±3.55,差异均有统计学意义(P<0.05);干预后,研究组患者DSQL评分中的生理、心理/精神、社会评分及DSQL总分分别为(19.32±2.51)分、(15.23±2.15)分、(7.65±1.02)分、(42.20±3.26)分,明显低于常规组的(25.66±3.68)分、(20.06±2.18)分、(10.36±2.39)分、(56.08±3.5Objective To explore the application value of five elements music combined with timing acupoint application in patients with diabetic peripheral neuropathy.Methods A total of 60 patients with diabetic peripheral neuropathy(DPN)treated in Henan Integrated Traditional Chinese and Western Medicine Hospital from June 2021 to June 2023 were selected as the study objects.According to random number table method,they were divided into the study group and the conventional group,with 30 patients in each group.The patients in the conventional group were given routine nursing intervention,and the patients in the study group were given five elements music combined with timing acupoint application on the basis of routine nursing,both for 1 month.The Toronto Clinical Symptom Score(TCSS),negative emotion[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)],perceived stress[Perceived Stress Scale(PSS)],polysomnography(PSG)parameters[total sleep time(TST),sleep efficiency(SE),and sleep latency(SL),wake time(WT)]and its percentage in total sleep time(WT%),prognosis[Diabetes Specific Quality of Life Scale(DSQL)]were compared between the two groups before intervention and at 1 month after intervention.Results After intervention,the TCSS scores of symptoms,reflexes,sensory tests,and total TCSS scores in the study group were(1.78±0.54)points,(2.37±0.31)points,(2.31±0.35)points,and(6.46±1.03)points,respectively,which were significantly lower than(2.39±0.67)points,(2.58±0.33)points,(2.74±0.38)points,(7.71±1.25)points in the conventional group(P<0.05).After intervention,the scores of SAS,PSS,and SDS in the study group were(41.33±3.06)points,(12.26±3.10)points,and(39.73±4.13)points,respectively,which were significantly lower than(47.96±4.15)points,(19.88±3.49)points,and(45.88±5.68)points in the conventional group(P<0.05).After intervention,the TST and SE in the study group were(467.25±46.87)min and(93.24±1.34)%,respectively,which were significantly higher than(427.63±44.32)min and(82.65±3.05)%in the conventio

关 键 词：五行音乐 择时穴位贴敷 糖尿病周围神经病 知觉压力 多导睡眠图参数 

分 类 号：R587.2[医药卫生—内分泌]