失眠方联合按摩及耳穴压豆应用于失眠护理研究

Nursing Study on Prescription of Insomnia Combined with Massage and Auricular Point Pressing with Beans for Insomnia

目的:观察中药失眠方、按摩联合耳穴压豆应用于失眠患者中的效果。方法:将120例失眠患者按照治疗方法不同分成2组,各60例。对照组给予佐匹克隆治疗,治疗组于对照组基础上给予中药失眠方口服和穴位按摩及耳穴压豆治疗。评价2组临床疗效,评价2组治疗前后临床症状和体征评分,采用匹兹堡睡眠质量指数(PSQI)评估2组患者治疗前、后睡眠状况,采用失眠严重程度指数(ISI)评价2组患者治疗前后失眠状况。记录2组治疗期间不良反应。结果:治疗组总有效率91.67%,高于对照组75.00%,差异有统计学意义(P<0.05)。2组治疗后临床症状和体征评分明显低于治疗前,治疗组下降程度更显著(P<0.05)。2组治疗后PSQI、ISI评分明显低于治疗前,且治疗组治疗后低于对照组(P<0.05)。治疗期间未见严重性不良反应。结论:中药失眠方、穴位按摩联合耳穴压豆应用于失眠患者可更好地改善患者临床症状和体征,提高疗效,改善失眠症状,提高睡眠质量,且具有较高安全性。

Objective:To observe the effect of Chinese medicine prescription of insomnia,massage combined with auricular point pressing with beans in the treatment of patients with insomnia.Methods:A total of 120 cases of patients with insomnia were divided into two groups according to different treatment methods,60 cases in each group.The control group was treated with zopiclone,and the treatment group was additionally treated with the oral administration of Chinese medicine prescription of insomnia,point massage and auricular point pressing with beans based on the treatment of the control group.The clinical effect was evaluated in the two groups.Before and after treatment,scores of clinical symptoms and signs were evaluated;Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep status,and Insomnia Severity Index(ISI)was used to evaluate the situation of insomnia in the two groups.Adverse reactions during the treatment were recorded in the two groups.Results:The total effective rate was 91.67%in the treatment group,higher than that of 75.00%in the control group,the difference being significant(P<0.05).After treatment,scores of clinical symptoms and signs in the two groups were significantly lower than those before treatment,and the decrease in the treatment group was more significant than that in the control group(P<0.05).After treatment,scores of PSQI and ISI in the two groups were significantly lower than those before treatment,and the scores in the treatment group were lower than those in the control group(P<0.05).There was no severe adverse reaction during the treatment.Conclusion:In the treatment of patients with insomnia,the therapy of Chinese medicine prescription of insomnia,point massage combined with auricular point pressing with beans can better improve their clinical symptoms,signs and insomnia,as well as enhance curative effect and sleep quality,with high safety.