耳穴贴压对子宫肌瘤开腹手术患者术前睡眠质量的改善作用

Improvement of preoperative sleep quality with auricular acupressure on patients with uterine fibroids received open surgery

目的分析子宫肌瘤开腹手术术前存在睡眠障碍患者实施耳穴贴压效果,为临床治疗提高参考。方法选取我院在2015年7月~2016年7月收治子宫肌瘤开腹手术治疗存在睡眠障碍患者92例为研究对象,随机分为观察组和对照组,对照组患者实施常规护理干预,观察组患者实施耳穴贴压法干预,对比分析两组患者干预前后睡眠质量变化。结果治疗前,两组患者睡眠质量、睡眠效率、睡眠时间以及总分等差异不明显（P〉0.05）。经过治疗,两组患者睡眠质量均得到改善,观察组患者睡眠质量（2.34±0.71）、入睡时间（0.96±0.45）、睡眠障碍（1.29±0.62）、总分（10.60±3.54）均显著低于对照组睡眠质量（2.79±0.74）、入睡时间（1.76±1.05）、睡眠障碍（1.65±1.02）、总分（13.76±3.18,P〈0.05）。观察组使用安眠药物比例（34.8%）显著低于对照组（84.8%）（P〈0.05）,并且观察组安眠药物用量（2.10±0.18）mg显著小于（P〈0.05）对照组（2.75±0.42）mg。观察组患者主观评价指标,睡眠质量改善率（60.9%）显著高于对照组（13.0%,P〈0.05）。结论子宫肌瘤手术患者实施耳穴贴压干预能够改善睡眠质量,避免西药治疗,可以作为改善患者睡眠质量的有效方法。

Object To analyze the improvement of preoperative sleep quality with auricular acupressure on patients with uterine fibroids received open surgery,and provide reference for clinical treatment.Methods 92 uterine myoma patients with sleep disorders in hospital from July 2015 to July 2016 were selected.Patients were randomly divided into observation group and control group.Patients in control group were given routine nursing intervention,and patients in observation group were given auricular acupressure intervention.The sleep quality of the two groups before and after intervention were compared and analyzed.Results Before treatment,there were no significant differences in sleep quality,sleep efficiency,sleep time and total score between the two groups（P〈0.05）.After treatment,the sleep qualities of the two groups were all improved.The sleep quality（2.34±0.71）,sleep time（0.96±0.45）,sleep disorders（1.29 ±0.62）and total score（10.60±3.54）of observation group were significantly lower than those of the control group[sleep quality（2.79±0.74）,sleep time（1.76±1.05）,sleep disorders（1.65±1.02）,total score（13.76±3.18）,P〈0.05）].The hypnotics used ratio of observation group（34.8%）was significantly lower than the control group（84.8%,P〈0.05）,and the sleeping drug dosage of observation group（2.10±0.18）mg was significantly less than that of the control group（2.75±0.42）mg（P〈0.05）.The sleep quality improvement rate（60.9%）in the observation group was significantly higher than that of the control group（13%,P〈0.05）.Conclusion Auricular acupressure can improve the quality of sleep and avoid the western medicine,which can be used as an effective method to improve the quality of sleep in patients with uterine leiomyoma.