揿针联合压丸法对老年慢性疼痛患者睡眠障碍及负性情绪的影响研究  

Effect of thumb-tack needle combined with pill pressure method on sleep disorders and negative emotions in elderly patients with chronic pain

作　　者：孙丽君 祝雪莲 张婷婷 王艳春 SUN Li-jun;ZHU Xue-lian;ZHANG Ting-ting;WANG Yan-chun

机构地区：[1]河南省人民医院中医科,郑州大学人民医院,河南郑州450003

出　　处：《中国疗养医学》2025年第3期65-68,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨揿针联合压丸法对老年慢性疼痛患者睡眠障碍及负性情绪的影响。方法选取2020年1月至2023年12月河南省人民医院中医科收治的老年慢性疼痛患者110例,按照简单随机抽样法分为研究组和对照组,各55例。对照组采用西药联合中医压丸法,研究组在对照组基础上加用揿针疗法。观察两组疼痛程度、睡眠质量、不良情绪的改善情况,比较两组总有效率。结果研究组总有效率96.36%,对照组总有效率81.82%,研究组明显高于对照组,差异有统计学意义(P<0.05)。两组患者治疗后匹兹堡睡眠质量指数量表(PSQI)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、视觉模拟评分法(VAS)评分均明显下降,且研究组评分低于对照组,差异有统计学意义(P<0.05)。结论揿针联合压丸法能够明显改善老年慢性疼痛患者疼痛症状、失眠症状及不良情绪,提高整体治疗效果。Objective To investigate the effect of thumb-tack needle combined with pill pressure method on sleep disorders and negative emotions in elderly patients with chronic pain.Methods A total of 110 elderly patients with chronic pain admitted to the Department of Traditional Chinese Medicine of Henan Provincial People's Hospital from January 2020 to December 2023 were selected and divided into study group and control group according to simple random sampling method,with 55 cases in each group.The control group was treated with western medicine combined with TCM pill pressure method,and the study group was treated with thumb-tack needle therapy on the basis of the control group.The improvement of pain degree,sleep quality and bad mood of the two groups was observed,and the total effective rate of the two groups was compared.Results The total effective rate of the study group was 96.36%,and the total effective rate of the control group was 81.82%,which was significantly higher in the study group than in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of Pittsburgh sleep quality index(PSQI),Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)and visual analogue scale(VAS)were significantly decreased in both groups,and the scores in the study group were lower than those in the control group,with difference of statistical significance(P<0.05).Conclusion Thumb-tack needle combined with pill pressure method can significantly improve the pain symptoms,insomnia symptoms and bad mood of elderly patients with chronic pain,and improve the overall treatment effect.

关 键 词：揿针 压丸法 老年慢性疼痛患者 睡眠障碍 负性情绪 

分 类 号：R246[医药卫生—针灸推拿学]