开天门联合睡眠指导在功能性鼻窦开放术后患者中的应用

Application of Tianmen acupoint massage combined with sleep guidance in patients after functional sinus surgery

目的探讨开天门联合睡眠指导对改善功能性鼻窦开放术后患者焦虑和睡眠障碍的应用效果。方法采用随机数字表法将2023年1月—9月在广州市某三甲医院进行功能性鼻窦开放术治疗的60例患者随机分为两组,一组采用睡眠指导干预(对照组),一组采用开天门联合睡眠指导干预(联合组)。分析两种干预方式对患者焦虑、抑郁、生活质量和睡眠质量的影响。结果干预后,两组患者的睡眠质量各维度得分较干预前下降,且联合组的睡眠质量各维度得分低于对照组(P<0.05);干预后,两组抑郁、焦虑评分较干预前降低,且联合组干预后上述得分明显低于对照组(P<0.05);干预后,两组患者的生活质量各维度评分均较干预前升高,且联合组干预后上述评分明显高于对照组(P<0.05);干预后联合组术后并发症发生率均明显低于对照组(P<0.05)。结论开天门联合睡眠指导在功能性鼻窦开放术后患者中的应用效果较好,可显著改善患者的睡眠质量。

Objective To explore the effect of Tianmen acupoint massage combined with sleep guidance on improving anxiety and sleep disorders in patients after functional sinus opening surgery.Methods Sixty patients who underwent functional sinus surgery at a tertiary hospital in Guangzhou from January 2023 to September 2023 were randomly divided into two groups using a random number table method.One group received sleep guidance intervention(control group),and the other group received a combination of Tianmen acupoint massage and sleep guidance intervention(combined group).The effects of two intervention methods on patient′s anxiety,depression,quality of life and sleep disorders were analyzed.Results After intervention,the scores of various dimensions of sleep quality in both groups decreased compared to before intervention,and the scores of these dimensions in the combined group were significantly lower than those in the control group after intervention(P<0.05);After intervention,the depression and anxiety scores of both groups were significantly reduced compared to before intervention,and the combined group had significantly lower scores than the control group after intervention(P<0.05);After intervention,the scores of various dimensions of quality of life in both groups increased compared to before intervention,and the combined group had significantly higher scores than the control group after intervention(P<0.05);After intervention,the incidence of postoperative complications in the combined group was significantly lower than that in the control group(P<0.05).Conclusion Tianmen acupoint massage combined with sleep guidance has good application in patients after functional sinus opening surgery,and it can significantly improve the sleep quality of patients.