穴位贴敷在更年期睡眠障碍患者中的应用研究  

Application of Acupoint Application in Menopausal Patients with Sleep Disorders

作　　者：兰巧斯 任志玲 陶品月 冯海丽 何丹[1] 黄婧渝 LAN Qiaosi;REN Zhiling;TAO Pinyue;FENG Haili;HE Dan;HUANG Jingyu(Department of General Medicine,the Second Affiliated Hospital of Guangxi Medical University,Nanning 530001,China;不详)

机构地区：[1]广西医科大学第二附属医院全科医学科,广西南宁530001 [2]广西医科大学第二附属医院心理卫生科,广西南宁530001 [3]广西医科大学第二附属医院麻醉科,广西南宁530001

出　　处：《中国医学创新》2024年第23期87-91,共5页Medical Innovation of China

基　　金：广西壮族自治区中医药管理局自筹经费科研课题(GXZYZ20210214)。

摘　　要：目的:探究穴位贴敷对更年期睡眠障碍患者的影响。方法:选取2022年1月—2023年6月广西医科大学第二附属医院全科医学科收治的60例更年期睡眠障碍患者作为研究对象,采用随机数字表法将患者随机分为对照组、穴位贴敷组,各30例。对照组给予全面护理干预,穴位贴敷组在对照组基础上应用中医科自制穴位贴敷实施护理干预。比较两组睡眠改善情况、睡眠质量评分、性激素指标、中医症状评分、生活质量评分。结果:穴位贴敷组睡眠改善总有效率高于对照组,差异有统计学意义(P<0.05)。干预1、2周后,两组匹兹堡睡眠质量指数(PSQI)评分均低于干预前,且穴位贴敷组均低于对照组,差异均有统计学意义(P<0.05)。干预2周后,两组雌二醇(E_(2))均高于干预前,卵泡刺激素(FSH)、黄体生成激素(LH)均低于干预前,且穴位贴敷组E_(2)高于对照组,FSH、LH水平均低于对照组,差异均有统计学意义(P<0.05)。干预2周后,两组中医症状评分均低于干预前,各项生活质量评分均高于干预前,且穴位贴敷组各项中医症状评分均低于对照组,各项生活质量评分均高于对照组,差异均有统计学意义(P<0.05)。结论:穴位贴敷应用于更年期睡眠障碍患者的治疗过程中,可有效改善患者的睡眠质量,调节机体性激素水平,缓解临床症状,提高生活质量。Objective:To explore the effect of acupoint application on menopausal patients with sleep disorders.Method:A total of 60 menopausal patients with sleep disorders admitted to the Department of General Medicine of the Second Affiliated Hospital of Guangxi Medical University from January 2022 to June 2023 were selected as the research objects.The patients were randomly divided into control group and acupoint application group by random number method,with 30 cases in each group.The control group received comprehensive nursing intervention,and the acupoint application group applied self-made acupoint application on the basis of the control group.Sleep improvement,sleep quality score,sex hormone index,traditional Chinese medicine symptom score and quality of life score between the two groups were compared.Result:The total effective rate of sleep improvement in acupoint application group was higher than that in control group,the difference was statistically significant(P<0.05).After 1 week and 2 weeks of intervention,the Pittsburgh sleep quality index(PSQI)scores of both groups were lower than thoae before intervention,and those in the acupoint application group were lower than those in the control group,the differences were statistically significant(P<0.05).After 2 weeks of intervention,estradiol(E_(2))in two groups were higher than those before intervention,follicle-stimulating hormone(FSH)and luteinizing hormone(LH)were lower than those before intervention,and E_(2)in acupoint application group was higher than that in control group,and FSH and LH levels were lower than those in control group,the differences were statistically significant(P<0.05).After 2 weeks of intervention,the scores of traditional Chinese medicine symptoms in both groups were lower than those before intervention,and the scores of quality of life were higher than those before intervention,and the scores of traditional Chinese medicine symptoms in the acupoint application group were lower than those in the control group,and the scores of quality of

关 键 词：更年期妇女 睡眠障碍 穴位贴敷 匹兹堡睡眠质量指数 

分 类 号：R248.9[医药卫生—中医临床基础]