埋针结合头颈部推拿手法对晚期恶性肿瘤合并焦虑性失眠患者睡眠质量及不良情绪的影响

Effects of needle-embedding combined with head and neck massage on sleep quality and bad mood of patients with advanced malignancy and anxiety-related insomnia

目的 探讨埋针结合头颈部推拿手法对晚期恶性肿瘤合并焦虑性失眠患者睡眠质量及不良情绪的影响。方法 134例晚期恶性肿瘤合并焦虑性失眠患者,根据随机信封抽签原则分为研究组与对照组,各67例。对照组患者给予头颈部推拿手法治疗,研究组患者在对照组基础上给予埋针治疗。对比两组临床疗效及治疗前后匹茨堡睡眠质量指数量表(PSQI)评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、血清白细胞介素6(IL-6)与肿瘤坏死因子-α(TNF-α)水平。结果 研究组患者的总有效率为98.5%,高于对照组的88.1%,差异具有统计学意义(P<0.05)。治疗后,两组患者的PSQI入睡时间与睡眠质量评分均低于本组治疗前,且研究组PSQI入睡时间评分(0.76±0.12)分与睡眠质量评分(0.81±0.09)分均低于对照组的(1.32±0.09)、(1.43±0.15)分,差异具有统计学意义(P<0.05)。治疗后,两组患者的HAMA评分与HAMD评分均低于本组治疗前,且研究组患者的HAMA评分(35.68±5.87)分与HAMD评分(38.02±4.44)分均低于对照组的(45.10±6.33)、(46.58±5.16)分,差异具有统计学意义(P<0.05)。治疗后,两组患者的血清IL-6与TNF-α水平均低于本组治疗前,且研究组低于对照组,差异具有统计学意义(P<0.05)。结论 埋针结合头颈部推拿手法应用在晚期恶性肿瘤合并焦虑性失眠患者中能缓解其不良情绪,改善睡眠质量,抑制炎症因子的释放,从而提高总体治疗效果。

Objective To discuss the effects of needle-embedding combined with head and neck massage on sleep quality and bad mood of patients with advanced malignancy with anxiety-related insomnia.Methods A total of 134 patients with advanced malignancy and anxiety-related insomnia were divided into research group and control group according to random envelope method,with 67 cases in each group.Patients in the control group received head and neck massage therapy,and patients in the research group received needleembedding therapy on the basis of the control group.Both groups were compared in terms of clinical efficacy,Pittsburgh sleep quality index(PSQI)score,Hamilton anxiety scale(HAMA)score,Hamilton depression scale(HAMD)score and serum interleukin-6(IL-6)before and after treatment,tumor necrosis factor-α(TNF-α).Results After treatment,the total effective rate in the research group was 98.5%,which was higher than 88.1%in the control group,and the difference was statistically significant(P<0.05).After treatment,PSQI falling asleep time and sleep quality scores of the two groups were lower than those of this group before treatment,and the falling asleep time score(0.76±0.12)points and sleep quality score(0.81±0.09)points of the research group were lower than(1.32±0.09)and(1.43±0.15)points of the control group.All the differences were statistically significant(P<0.05).After treatment,HAMA score and HAMD score of the two groups were lower than those of this group before treatment,and HAMA score(35.68±5.87)points and HAMD scores(38.02±4.44)points of the research group were lower than(45.10±6.33)and(46.58±5.16)points of the control group.All the differences were statistically significant(P<0.05).After treatment,the serum IL-6 and TNF-αlevels of the two groups were lower than those of this group before treatment,and the research group was lower than the control group.All the differences were statistically significant(P<0.05).Conclusion Needle-embedding in combination with head and neck massage for patients with advanced malignancy and anxiety-related insomnia can relieve bad mood,improve sleep quality,and inhibit the release of inflammatory factors of patients,thereby improving the overall therapeutic effect.