点压法耳穴压豆联合五行音乐干预对脑梗死后心脾两虚型失眠患者中医症状评分及睡眠质量的影响

The Effect of Point Pressing Ear Acupoint Pressing Bean Combined with Five Elements Music Intervention on Traditional Chinese Medicine Symptom Score and Sleep Quality in Insomnia Patients with Heart and Spleen Deficiency after Cerebral Infarction

目的探讨点压法耳穴压豆联合五行音乐干预在脑梗死后心脾两虚型失眠患者中的应用价值.方法选取2021年6月—2023年6月我院收治的82例脑梗死后心脾两虚型失眠患者为研究对象,按随机数字表法将其分为对照组和观察组,每组41例.对照组行五行音乐干预,观察组在对照组基础上加用点压法耳穴压豆干预,两组均持续干预4周.比较两组的睡眠质量、中医症状评分、心理状态、生活质量.结果干预后,观察组睡眠潜伏期、觉醒时间分别为(40.23±4.35)min、(63.42±5.21)min,均短于对照组的(45.48±4.77)min、(70.16±6.15)min,睡眠总时间为(7.98±1.24)h,长于对照组的(6.57±1.18)h,匹兹堡睡眠质量指数评分为(5.58±1.02)分,低于对照组的(7.19±1.24)分,组间差异有统计学意义(P<0.05);干预后,观察组多梦易醒、心悸、头晕目眩、神疲乏力积分分别为(0.65±0.12)分、(0.57±0.11)分、(0.68±0.13)分、(0.62±0.11)分,均低于对照组的(0.87±0.14)分、(0.74±0.13)分、(0.82±0.15)分、(0.78±0.14)分,组间差异有统计学意义(P<0.05);观察组焦虑自评量表评分、抑郁自评量表评分分别为(38.52±4.18)分、(39.75±4.21)分,均低于对照组的(43.69±4.25)分、(45.63±4.45)分,组间差异有统计学意义(P<0.05);观察组生理领域、心理领域、社会关系领域、环境领域评分分别为(89.63±5.37)分、(87.74±5.25)分、(89.85±5.48)分、(91.58±4.14)分,均高于对照组的(82.15±5.25)分、(80.43±5.19)分、(82.55±5.23)分、(83.51±5.35)分,组间差异有统计学意义(P<0.05).结论点压法耳穴压豆联合五行音乐干预可改善脑梗死后心脾两虚型失眠患者的睡眠质量,降低中医症状评分,减轻心理负担,改善生活质量.

Objective To explore the application value of point pressure method combined with five element music intervention on insomnia caused by heart and spleen deficiency after cerebral infarction.Methods 82 patients with heart and spleen deficiency and insomnia after cerebral infarction admitted to our hospital from June 2021 to June 2023 were selected as the research subjects,divided into a control group and an observation group using a random number table method,with 41 cases in each group.The control group received five element music intervention,on the basis of the control group,the observation group added the ear point pressing bean therapyt,both groups received continuous intervention for 4 weeks.Compare the sleep quality,traditional Chinese medicine symptom scores,psychological status,and quality of life between two groups.Results After intervention,the sleep latency and awakening time of the observation group were(40.23±4.35)min and(63.42±5.21)min,respectively,which were shorter than the control group's(45.48±4.77)min and(70.16±6.15)min,the total sleep time was(7.98±1.24)h,which was longer than the control group's(6.57±1.18)h,the Pittsburgh Sleep Quality Index score was(5.58±1.02)points,which was lower than the control group's(7.19±1.24)points,the difference between groups were statistically significant(P<0.05);the observation group had scores of(0.65±0.12)points,(0.57±0.11)points,(0.68±0.13)points,and(0.62±0.11)points for frequent dreaming,palpitations,dizziness,and fatigue,respectively,which were lower than the control group's(0.87±0.14)points,(0.74±0.13)points,(0.82±0.15)points,and(0.78±0.14)points,respectively,the differences between groups were statistically significant(P<0.05);the Self-rating Anxiety Scale score and Self-rating Depression Scale score of the observation group were(38.52±4.18)points and(39.75±4.21)points,respectively,lower than the control group's(43.69±4.25)points and(45.63±4.45)points,the differences between groups were statistically significant(P<0.05);the observation group scored(89.63±5.37)points,(87.74±5.25)points,(89.85±5.48)points,and(91.58±4.14)points in the fields of physiology,psychology,social relations,and environment,respectively,which were higher than the control group's(82.15±5.25)points,(80.43±5.19)points,(82.55±5.23)points,and(83.51±5.35)points,the differences between groups were statistically significant(P<0.05).Conclusion The combination of acupoint pressing and bean pressing with Five Elements Music intervention can improve the sleep quality of insomnia patients with heart and spleen deficiency after cerebral infarction,reduce traditional Chinese medicine symptom scores,alleviate psychological burden,and improve quality of life.