中药足浴配合穴位按摩对甲状腺癌术后失眠患者睡眠质量的改善效果观察  

Observation on TCM Foot Bath Combined with Acupoint Massage on the Quality of Sleep in Patients with Insomnia after the Surgery of Thyroid Cancer

作　　者：马贇贇 王煜[1] 傅湘君 MA Yunyun;WANG Yu;FU Xiangjun(Shuguang Hospital Affiliated to Shanghai University of TCM,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院,上海201203

出　　处：《西部中医药》2024年第7期136-139,共4页Western Journal of Traditional Chinese Medicine

基　　金：上海市护理学会青年计划项目(2019QN-B03)。

摘　　要：目的:分析中药足浴配合穴位按摩对甲状腺癌术后失眠患者睡眠质量的改善作用。方法:将135例甲状腺癌术后失眠患者,随机分为常规组、按摩组、联合组各45例。常规组术后常规给予激素、镇静药物干预,按摩组在常规组基础上使用穴位按摩干预,联合组在按摩组基础上配合中药足浴干预,3组均干预2个月。比较3组患者干预前后症状积分(心神不安、心烦失眠、心悸耳鸣)、心理状态[状态-特制焦虑问卷(state-trait anxiety inventory,STAI)]、睡眠质量[匹兹堡睡眠质量指数量表(pittsburgh sleep quality index,PSQI)]。结果:干预2个月后,3组患者心神不安、心烦失眠、心悸耳鸣等症状积分、STAI和PSQI评分低于干预前,且组间比较差异有统计学意义(P<0.05)。结论:中药足浴配合穴位按摩干预甲状腺癌术后失眠患者可有效提高睡眠质量。Objective:To analyze the improvements of TCM foot bath joined with acupoint massage on the quality of sleep in patients with insomnia after the surgery of thyroid cancer.Methods:All 135 patients were randomized into the routine group,the massage group,the combination group with 45 cases in each group.The routine group was intervened with routine postoperative hormonal and sedative drugs,the massage group received acupoint massage on the foundation of the drugs that the routine group accepted,and the combination group was given TCM foot bath based on the therapy the massage group received,three groups were intervened for two months.To compare the symptoms scores including fidgeting,irritating,insomnia,palpitation and tinnitus,psychological state(state-trait anxiety inventory,STAI),the quality of sleep(pittsburgh sleep quality index,PSQI)before and after the intervention between three groups.Results:After two months of the intervention,the scores of the symptoms including fidgeting,irritating,insomnia,palpitation and tinnitus,STAI and PSQI scores of three groups were lower than these before the intervention,and the difference had statistical meaning between three groups(P<0.05).Conclusion:TCM foot bath joined with acupoint massage could effectively improve the quality of sleep in patients with insomnia after the surgery of thyroid cancer.

关 键 词：甲状腺癌 术后失眠 中药足浴 穴位按摩 睡眠质量 

分 类 号：R736.1[医药卫生—肿瘤]