引阳入阴推拿配合五音疗法干预围手术期患者失眠的临床观察

Clinical Observation on Introducing Yang into Yin Massage with Five Tone Therapy in the Intervention of Perioperative Insomnia

目的观察引阳入阴推拿配合五音疗法干预围手术期患者失眠的临床效果。方法收集2015年5月—2016年4月普外二科择期手术失眠患者120例,按随机数字表法分为对照组和观察组,每组60例。对照组采用常规治疗与护理;观察组在常规治疗与护理的基础上,采用"引阳入阴"推拿手法配合五音疗法,疗程为术前2天至术后7天,比较两组匹兹堡睡眠质量指数表(PSQI)总分差值和各项因子差值;两组患者术前使用镇静药物及术后使用镇痛药物的例数。结果干预后观察组匹兹堡睡眠质量总分低于对照组,差异具有统计学意义(P<0.05);干预后观察组术前使用催眠药物及术后使用镇痛药物例数明显少于对照组,差异具有统计学意义(P<0.05)。结论引阳入阴推拿配合五音疗法干预围手术期患者失眠效果显著,安全简便,值得临床推广。

Objective To observe the clinical effect of introducing yang into yin massage with five tone therapy in the intervention of perioperative insomnia. Methods 120 cases of patients in the second department of general surgery with perioperative insomnia were collected from May 2015 to April 2016, and they were divided them into the control group （n=60） and the observation group （n= 60） . The control group was treated with routine treatment and nursing, and the observation group was given introducing yang into yin massage with five tone therapy on the basis of the routine treatment and nursing. Treatment continued 2 days before operation to 7 days after operation. The total score differential and factor differential between two groups by Pittsburgh index sleep quality （PSQI） and the use of hypnotic drugs and postoperative use of analgesic drugs was compared respectively. Results After the intervention, the Pittsburgh sleep quality score of the observation group was lower than that of the control group, and the difference was statistically observation significant （P 〈 0.05） After the intervention, preoperative use of hypnotic drugs and postoperative analgesic use of the group were significantly less than those of the control group, and the difference was statistically significant （P 〈 0.05） . Conclusion The introducing yang into yin massage with five tone therapy can significantly improve sleep quality of the patients with perioperative insomnia, which is safe and convenient, and is worthy of clinical promotion.