不同耳穴刺激对维持性血液透析患者睡眠质量的影响

Effects of different auricular acupoints stimulating on sleep quality of maintenance hemodialysis patients

目的探讨不同耳穴组合刺激对维持性血液透析(MHD)患者睡眠质量的影响。方法用匹兹堡睡眠质量指数(PSQI)测评MHD患者睡眠质量,选取90例MHD伴睡眠障碍(PSQI≥10分)患者随机均分为3组,即对照组(采用MHD患者常规护理)、耳穴组合1组(选双耳神门、肝、心、肾穴,耳穴组合刺激)、耳穴组合2组(选双耳肩、肘、腰、踝穴,耳穴组合刺激),比较治疗前及治疗2周后3组PSQI总分、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍。结果对照组治疗前后各项观察指标差异无统计学意义(P>0.05);耳穴组合1组的PSQI总分、睡眠质量、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍与对照组和耳穴组合2组比较,差异均有统计学意义(P<0.05);耳穴组合2组睡眠时间及睡眠效率与对照组比较,差异有统计学意义(P<0.05)。结论耳穴刺激可显著改善MHD患者睡眠障碍,且病症相关耳穴的效果显著优于非相关穴位。

Objective To observe the effects of different auricular acupoints stimulation on sleep quality of maintenance hemodialysis （MHD） patients. Methods A total of 90 MHD cases with sleep disorder（PSQI≥10） were randomly divided into three groups. The control group used routing nursing care, auricular acupoints group one was stimulated by auricular shenmen, liver, heart, kidney points. Auricular acupoints group two was stimulated by auricular shoulder, elbow, wrist and ankle points. PSQI total score, sleep quality, sleep time, sleep efficiency, sleep disorders, daytime dysfunction were compared between tree groups after three weeks of treatment. Results No significant was found in indicators in the control group before and after treatment （ P 〉 0.05 ）. Compared with control group and auricular acupoint group two, PSQI total score, sleep quality, sleep time, sleep efficiency, sleep disorders, daytime dysfunction in auricular acupoint group were significantly improved （P 〈 0.05 ）. Compared with control group, sleep efficiency and sleep time in auricular acupoints group two were significantly improved （P 〈 0.05 ）. Conclusion Auricular acupoints stimulation could significantly improve the sleep disorders of MHD patients. Effects of symptom-related auricular acupoints are significantly better than that of non-symptom-related points.