耳穴埋籽治疗骨科围术期失眠的临床效果(1)
[摘要]目的 探讨耳穴埋籽治疗骨科围术期失眠的临床效果。方法 选取我院2019年1～3月收治的60例骨科围术期失眠患者作为研究对象，按照随机数字表法分为对照组(30例)与观察组(30例)。对照组采用常规疏导及穴位按摩方式治疗;观察组在对照组基础上给予耳穴埋籽治疗。比较两组的临床疗效、睡眠质量、情绪状态。结果 观察组的治疗总有效率明显高于对照组(P<0.05)。治疗前，两组患者的匹兹堡睡眠质量指数量表(PSQI)量表总评分比较，差异无统计学意义(P>0.05)，两组治疗后的PSQI量表总评分均低于治疗前，且观察组明显低于对照组(P<0.01)。治疗后，两组患者的Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均有所下降，且观察组均低于同期对照组(P<0.01)。结论 中医耳穴埋籽在改善骨科围术期失眠患者睡眠质量、缓解患者的不良情绪方面可发挥积极作用，效果理想，可推广应用。
[关键词]耳穴埋籽;骨科围术期失眠;睡眠质量;情绪状态
[中图分类号] R256.23 [文献标识码] A [文章编号] 1674-4721(2019)9(c)-0140-03
[Abstract] Objective To investigate the clinical effect of ear acupoint seed embedding in the treatment of perioperative insomnia in department of orthopaedics. Methods Sixty patients with perioperative insomnia admitted to our hospital from January to March 2019 were selected as study objects and they were divided into the control group (30 cases) and observation group (30 cases) according to the random number table method. The control group was treated with conventional guidance and acupoint massage. The observation group was given ear acupoint seed embedding on the basis of the control group. The clinical efficacy， sleep quality and emotional state between the two groups were compared. Results The total effective rate of treatment in the observation group was significantly higher than that of the control group (P<0.05). Before treatment， there was no significant difference in the total Pitts burgh sleep quality idex (PSQI) score between the two groups (P>0.05)， after treatment， the total PSQI score of the two groups were lower than those before treatment， and the observation group was significantly lower than that of the control group (P<0.01). After treatment， the SAS and SDS scores of both groups decreased， and the observation group was lower than the control group (P<0.01). Conclusion Ear acupoint seed embedding of traditional Chinese medicine can play an active role in improving sleep quality of patients with perioperative insomnia and alleviating patients′ bad mood. The effect is ideal and can be popularized and applied.
[Key words] Ear acupoint seed embedding; Perioperative insomnia in department of orthopaedics; Sleep quality; Emotional state
手術是临床治疗多种骨科疾病的有效方式，因骨折患者多伴有剧烈疼痛感，且多数患者伴有对手术风险、手术效果、治疗费用等的担忧，围术期前后极易产生明显的不良情绪，如焦虑、抑郁等[1-2];而这些负面情绪的产生极易对患者的睡眠造成影响，甚至可引发失眠症状，这种焦虑性失眠的发生极易对手术的顺利实施及患者术后康复情况造成影响。因此，采取有效措施进行治疗，尽可能缓解骨科围术期患者的失眠症状非常必要[3]。以往，临床上通常将为患者创建舒适、温馨的病房环境、进行患者情绪疏导等作为改善骨科围术期失眠患者睡眠质量的常用措施，但其效果并不理想。近年来，临床上逐渐将中医治疗与干预应用于该病患者中，并取得了一定的效果。中医按摩、中医情志干预等在改善骨科围术期失眠患者情绪方面可发挥一定的积极作用，但效果并不理想。为进一步改善患者的睡眠质量，本研究以中医耳穴埋籽方式对患者进行治疗，详细报道如下。, 百拇医药(冯美英)
[关键词]耳穴埋籽;骨科围术期失眠;睡眠质量;情绪状态
[中图分类号] R256.23 [文献标识码] A [文章编号] 1674-4721(2019)9(c)-0140-03
[Abstract] Objective To investigate the clinical effect of ear acupoint seed embedding in the treatment of perioperative insomnia in department of orthopaedics. Methods Sixty patients with perioperative insomnia admitted to our hospital from January to March 2019 were selected as study objects and they were divided into the control group (30 cases) and observation group (30 cases) according to the random number table method. The control group was treated with conventional guidance and acupoint massage. The observation group was given ear acupoint seed embedding on the basis of the control group. The clinical efficacy， sleep quality and emotional state between the two groups were compared. Results The total effective rate of treatment in the observation group was significantly higher than that of the control group (P<0.05). Before treatment， there was no significant difference in the total Pitts burgh sleep quality idex (PSQI) score between the two groups (P>0.05)， after treatment， the total PSQI score of the two groups were lower than those before treatment， and the observation group was significantly lower than that of the control group (P<0.01). After treatment， the SAS and SDS scores of both groups decreased， and the observation group was lower than the control group (P<0.01). Conclusion Ear acupoint seed embedding of traditional Chinese medicine can play an active role in improving sleep quality of patients with perioperative insomnia and alleviating patients′ bad mood. The effect is ideal and can be popularized and applied.
[Key words] Ear acupoint seed embedding; Perioperative insomnia in department of orthopaedics; Sleep quality; Emotional state
手術是临床治疗多种骨科疾病的有效方式，因骨折患者多伴有剧烈疼痛感，且多数患者伴有对手术风险、手术效果、治疗费用等的担忧，围术期前后极易产生明显的不良情绪，如焦虑、抑郁等[1-2];而这些负面情绪的产生极易对患者的睡眠造成影响，甚至可引发失眠症状，这种焦虑性失眠的发生极易对手术的顺利实施及患者术后康复情况造成影响。因此，采取有效措施进行治疗，尽可能缓解骨科围术期患者的失眠症状非常必要[3]。以往，临床上通常将为患者创建舒适、温馨的病房环境、进行患者情绪疏导等作为改善骨科围术期失眠患者睡眠质量的常用措施，但其效果并不理想。近年来，临床上逐渐将中医治疗与干预应用于该病患者中，并取得了一定的效果。中医按摩、中医情志干预等在改善骨科围术期失眠患者情绪方面可发挥一定的积极作用，但效果并不理想。为进一步改善患者的睡眠质量，本研究以中医耳穴埋籽方式对患者进行治疗，详细报道如下。, 百拇医药(冯美英)