脐灸联合穴位敷贴在围绝经期失眠患者中的应用效果  

Application effect of umbilical moxibustion combined with acupoint application in perimenopausal insomnia patients

作　　者：潘晨璐 孟萍[1] PAN Chenlu;MENG Ping(Department of Obstetrics and Gynecology,Fuzhou Hospital of Traditional Chinese,Affiliated Hospital of Jiangxi College of Traditional Chinese Medicine,Jiangxi Province,Fuzhou 344000,China)

机构地区：[1]江西省抚州市中医医院、江西中医药高等专科学校附属医院妇产科,江西抚州344000

出　　处：《中国当代医药》2024年第25期79-82,共4页China Modern Medicine

基　　金：江西省教育厅科学技术研究项目(GJJ213307)。

摘　　要：目的探讨脐灸联合穴位敷贴在围绝经期失眠患者中的应用效果。方法选取2021年10月至2023年5月抚州市中医医院收治的98例围绝经期失眠患者作为研究对象,采用随机数字表法分为对照组(49例)和观察组(49例)。对照组采用常规护理,观察组加用脐灸联合穴位敷贴,两组均连续干预4周。比较两组患者的睡眠质量、中医证候积分、睡眠进程、心理状态和生活质量。结果干预后,观察组匹兹堡睡眠质量指数(PSQI)评分、汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分、围绝经期生存质量量表(MENQOL)评分、中医证候积分低于对照组,觉醒时间、睡眠潜伏期短于对照组,觉醒次数少于对照组,睡眠效率高于对照组,差异有统计学意义(P<0.05)。结论在围绝经期失眠患者中应用效脐灸联合穴位敷贴可有效改善睡眠质量、心理状况,优化睡眠进程,提高患者生活质量,值得临床推广。Objective To explore the application effect of navel moxibustion combined with acupoint application in perimenopausal insomnia patients.Methods A total of 98 perimenopausal insomnia patients admitted to Fuzhou Hospital of Traditional Chinese from October 2021 to May 2023 were selected as research objects.They were divided into control group(n=49)and observation group(n=49)according to random number table method.The control group received routine care,while the observation group received navel moxibustion combined with acupoint application.Both groups received continuous intervention for 4 weeks.The sleep quality,traditional Chinese medicine syndrome score,sleep progress,psychological state,and quality of life between two groups.Results After intervention,the Pittsburgh sleep quality index(PSQI),Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA),menopause-specific quality of life questionnaire(MENQOL)scores,and Traditional Chinese Medicine syndrome scores of the observation group were lower than those of the control group,and the awakening time and sleep latency were shorter than those of the control group,the number of awakenings was less than that of the control group,and the sleep efficiency was higher than that of the control group,with statistical significances(P<0.05).Conclusion The application of effective navel moxibustion combined with acupoint application in perimenopausal insomnia patients can effectively improve sleep quality and psychological status,optimize sleep progress,and improve patient quality of life,which is worthy of clinical promotion.

关 键 词：围绝经期失眠 脐灸 穴位敷贴 睡眠质量 心理状态 生活质量 

分 类 号：R473[医药卫生—护理学]