耳部全息铜砭刮痧治疗轻中度阿尔茨海默病伴睡眠障碍临床研究  

Clinical Study on Ear Holography Copper Bian Scraping for Mild to Moderate Alzheimer's Disease Accompanied by Sleep Disorders

作　　者：钱彩文[1] 杨敏[1] 张焕娟[1] 温万鑫 魏琳[1] 冯梅[1] QIAN Caiwen;YANG Min;ZHANG Huanjuan;WEN Wanxin;WEI Lin;FENG Mei(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Provincial Hospital of Chinese Medicine,Guangzhou Guangdong 510120,China)

机构地区：[1]广州中医药大学第二附属医院/广东省中医院,广东广州510120

出　　处：《新中医》2025年第3期182-185,共4页New Chinese Medicine

基　　金：广东省中医药局中医药科研项目(粤中医函[2021] 425号)。

摘　　要：目的:观察基于“耳部全息”理论应用铜砭刮痧疗法治疗轻中度阿尔茨海默病(AD)伴睡眠障碍患者的临床疗效。方法:选取2023年1月—2024年8月于广东省中医院记忆门诊治疗的60例轻中度AD伴睡眠障碍患者,按随机数字表法分为试验组和对照组各30例。对照组在常规抗AD治疗的基础上予以睡眠健康教育,试验组在对照组基础上采用耳部全息铜砭刮痧治疗,每周1次,连续治疗4周。治疗前后分别应用匹兹堡睡眠质量指数量表(PSQI)评估睡眠质量,简易精神状态评价量表(MMSE)评估认知功能,Zarit照料者负担量表(ZBI)评估照料者负担。比较2组治疗前后PSQI、MMSE、ZBI评分。结果:治疗后,2组PSQI评分、ZBI量表评分较治疗前降低(P<0.05),且试验组PSQI评分、ZBI量表评分低于对照组(P<0.05)。治疗后,试验组MMSE评分较治疗前升高(P<0.05)。结论:基于“耳部全息”理论的铜砭刮痧疗法可有效改善轻中度AD伴睡眠障碍患者的睡眠质量,提高认知功能,减轻照料者负担。Objective:To observe the clinical efficacy of copper bian scraping therapy based on the"ear holography"theory in treating patients with mild to moderate Alzheimer′s disease(AD)accompanied by sleep disorders.Methods:A total of 60 patients with mild to moderate AD accompanied by sleep disorders treated at the Memory Clinic of Guangdong Provincial Hospital of Chinese Medicine from January 2023 to August 2024 were randomly divided into the trial group and the control group,with 30 patients in each group,using a random number table method.The control group received sleep health education on the basis of conventional anti-AD treatment,while the trial group received ear holographic copper bian scraping treatment on the basis of the control group,once a week for four consecutive weeks.Before and after treatment,the Pittsburgh Sleep Quality Index(PSQI)was used to assess sleep quality,the Mini Mental State Examination(MMSE)was used to assess cognitive function,and the Zarit Burden Interview(ZBI)was used to assess caregiver burden.Compared the PSQI,MMSE,and ZBI scores of the two groups before and after treatment.Results:After treatment,the PSQI and ZBI scores in both groups were decreased when compared with those before treatment(P<0.05),and the PSQI and ZBI scores in the trial group were lower than those in the control group(P<0.05).After treatment,the MMSE score in the trial group was increased when compared with that before treatment(P<0.05).Conclusion:The copper bian scraping therapy based on the"ear holography"theory can effectively improve the sleep quality of patients with mild to moderate AD accompanied by sleep disorders,enhance cognitive function,and reduce the burden on caregivers.

关 键 词：阿尔茨海默病 睡眠障碍 耳部全息 铜砭刮痧 睡眠质量 认知功能 照料者负担 

分 类 号：R473.5[医药卫生—护理学]