摘要
目的分析耳穴贴压联合耳部铜砭刮痧在慢性肝病合并失眠患者中的应用效果。方法选择2022年9月—2023年9月于医院接受治疗的120例慢性肝病合并失眠患者作为研究对象,按照组间基线资料具有可比性的原则将其分为对照组和观察组,每组60例。对照组采用常规护理干预,观察组在对照组基础上采用耳穴贴压联合耳部铜砭刮痧的护理干预措施,比较两组患者干预前、干预1个月后的肝功能指标、睡眠质量、中医证候积分、生活质量评分并进行评估。结果干预前,两组患者肝功能指标、睡眠质量(PSQI)、中医证候积分、生活质量(CLDQ)评分比较差异均无统计学意义(P>0.05);干预1个月后,观察组患者的总胆红素(TBil)、丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)的水平均低于对照组,差异有统计学意义(P<0.05);干预1个月后,观察组患者的匹兹堡睡眠质量指数(PSQI)中各维度评分均低于对照组,差异有统计学意义(P<0.05);干预1个月后,观察组患者的中医证候积分中主症和次症评分均低于对照组,差异有统计学意义(P<0.05);干预1个月后,观察组患者慢性肝病问卷(CLDQ)中各项评分均高于对照组,差异有统计学意义(P<0.05)。结论耳穴贴压联合耳部铜砭刮痧可有效改善慢性肝病合并失眠患者的肝功能、睡眠质量及临床症状,进而提升其生活质量。
Objective To analyse the application effect of auricular acupressure combined with copper acupuncture and gua sha in patients with chronic liver disease combined with insomnia.Methods To select 120 patients with chronic liver disease combined with insomnia who were treated in the hospital from September 2022 to September 2023 as the study subjects,they were divided into the a control group and an observation group according to the principle that the baseline data between the groups were comparable,with 60 cases in each group.The control group given the conventional nursing intervention,and the observation group used the nursing intervention of auricular acupoint pressure combined with copper acupuncture scraping on the ear on the basis of the control group,and compared the liver function indexes,sleep quality,Chinese medicine symptom scores,and quality of life scores of the patients in the two groups before the intervention and one month after the intervention,and carried out assessment.Results Before the intervention,there was no statistically significant difference between the liver function indexes,Pittsburg Sleep Quanlity Index(PSQI),Chinese medicine symptom scores,and quality of life(CLDQ)scores of the two groups of patients(P>0.05);one month after the intervention,the levels of total bilirubin(TBil),alanine aminotransferase(ALT),and aspartate aminotransferase(AST)in the patients of the observation group were lower than those of the Control Group,and the difference was statistically significant(P<0.05).1 month later,all scores in the Chronic Liver Disease Questionnaire(CLDQ)of patients in the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Auricular acupressure combined with copper acupuncture and gua sha can effectively improve the liver function,sleep quality and clinical symptoms of patients with chronic liver disease combined with insomnia,and then improve their quality of life.
作者
赵艳艳
张海梅
张贝
朱晓凤
李洪艳
ZHAO Yanyan;ZHANG Haimei;ZHANG Bei;ZHU Xiaofeng;LI Hongyan(Xuzhou Infectious Diseases Hospital,Xuzhou 221000,China)
出处
《护理实践与研究》
2025年第1期127-133,共7页
Nursing Practice and Research
基金
徐州市科学技术局重点研发计划(社会发展)项目(编号:KC22216)。
关键词
耳穴贴压
耳部铜砭刮痧
慢性肝病合并失眠
肝功能
睡眠质量
Auricular acupressure
Copper acupuncture and gua sha
Chronic liver disease combined with insomnia
Liver function
Sleep quality
