中医五音疗法联合针灸干预在眩晕气虚血瘀症患者护理中的临床应用效果研究  

Research on the clinical application effect of five tone therapy of traditional Chinese medicine combined with acupuncture and moxibustion intervention in the nursing of vertigo patients with qi deficiency and blood stasis

作　　者：张桂荣 张敏 徐丽萍 赵瑞斌 方嘉阳 余小妹 林荣 郑雪景 ZHANG Guirong;ZHANG Min;XU Liping;ZHAO Ruibin;FANG Jiayang;YU Xiaomei;LIN Rong;ZHENG Xuejing(Department of Medicine,the Third Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine,Fujian,Fuzhou 350008,China;Department of Neurology,the Third Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine,Fujian,Fuzhou 350008,China;Hospital Infection Management Department,the Third Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine,Fujian,Fuzhou 350008,China;Department of Rehabilitation,the Third Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine,Fujian,Fuzhou 350008,China;Department of Nursing,the Third Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine,Fujian,Fuzhou 350008,China)

机构地区：[1]福建中医药大学附属第三人民医院内科,福建福州350008 [2]福建中医药大学附属第三人民医院神经内科,福建福州350008 [3]福建中医药大学附属第三人民医院院感科,福建福州350008 [4]福建中医药大学附属第三人民医院康复科,福建福州350008 [5]福建中医药大学附属第三人民医院护理部,福建福州350008

出　　处：《中国医药科学》2025年第7期161-165,共5页China Medicine And Pharmacy

基　　金：福建中医药大学校管临床专项课题(XB2022041)。

摘　　要：目的观察眩晕气虚血瘀症患者应用中医五音疗法联合针灸护理中的效果。方法选取2022年7月至2024年1月于福建中医药大学附属第三人民医院神经内科收治的80例眩晕气虚血瘀症患者,根据随机数表法分为观察组(n=40,实施中医五音疗法联合针灸干预)和对照组(n=40,实施针灸干预),比较两组不良反应发生率及中医证候评分,并使用眩晕残障量表(DHI)、前庭症状指数(VSI)及生命质量测定量表(QLQ-C30),分别测评两组患者入院当日、出院前1 d的眩晕情况满意度及生命质量。结果入院当日,两组QLQ-C30、DHI及VSI评分比较,差异无统计学意义(P>0.05);出院前1 d,观察组不良反应发生率、眩晕情况及DHI评分均低于对照组,差异有统计学意义(P<0.05)。且对照组VSI评分及QLQ-C30评分低于观察组,差异有统计学意义(P<0.05)。结论中医五音疗法联合针灸可显著改善眩晕气虚血瘀症患者眩晕情况,降低不良反应的发生,值得临床推广。Objective To observe the effect of five tone therapy combined with acupuncture and moxibustion in the nursing of vertigo with qi deficiency and blood stasis.Methods A total of 80 patients with vertigo due to qi deficiency and blood stasis admitted to and treated in the Depa rtment of Neurology of the Third Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine(TCM)from July 2022 to January 2024 were selected and divided into the observation group(n=40,treated with five tone therapy in TCM combined with acupuncture and moxibustion intervention)and the control group(n=40,treated with acupuncture and moxibustion intervention).The incidence of adverse reactions(ADRs)and TCM symptom scores of the two groups were compared,and the dizziness handicap inventory(DHI),vestibular symptom index(VSI),and quality of life questionnare-core 30(QLQ-C30)were used to assess the satisfaction and quality of life of vertigo on the day of admission and 1 day before discharge of the two groups of patients.Results On the day of admission,there were no statistically significant differences in QLQ-C30,DHI,and VSI scores between the two groups(P>0.05);1 day before discharge,the incidence of ADRs,dizziness,and DHI scores in the observation group were all lower than those in the control group,with statistically significant differences(P<0.05).Meanwhile,the VSI and QLQ-C30 scores of the control group were lower than those of the observation group,with statistically significant differences(P<0.05).Conclusion Five tone therapy combined with acupuncture and moxibustion can significantly improve the vertigo of patients with vertigo due to qi deficiency and blood stasis,and reduce the occurrence of overall ADRs,which is worthy of clinical promotion.

关 键 词：中医五音疗法 眩晕气虚血瘀症 针灸 不良反应 前庭症状 

分 类 号：R473.5[医药卫生—护理学]