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脐灸联合穴位敷贴在围绝经期失眠患者中的应用效果

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目的 探讨脐灸联合穴位敷贴在围绝经期失眠患者中的应用效果。方法 选取 2021 年 10 月至 2023 年 5 月抚州市中医医院收治的 98 例围绝经期失眠患者作为研究对象,采用随机数字表法分为对照组(49 例)和观察组(49 例)。对照组采用常规护理,观察组加用脐灸联合穴位敷贴,两组均连续干预 4 周。比较两组患者的睡眠质量、中医证候积分、睡眠进程、心理状态和生活质量。结果 干预后,观察组匹兹堡睡眠质量指数(PSQI)评分、汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分、围绝经期生存质量量表(MENQOL)评分、中医证候积分低于对照组,觉醒时间、睡眠潜伏期短于对照组,觉醒次数少于对照组,睡眠效率高于对照组,差异有统计学意义(P<0。05)。结论 在围绝经期失眠患者中应用效脐灸联合穴位敷贴可有效改善睡眠质量、心理状况,优化睡眠进程,提高患者生活质量,值得临床推广。
Application effect of umbilical moxibustion combined with acupoint appli-cation in perimenopausal insomnia patients
Objective To explore the application effect of navel moxibustion combined with acupoint application in peri-menopausal insomnia patients.Methods A total of 98 perimenopausal insomnia patients admitted to Fuzhou Hospital of Traditional Chinese from October 2021 to May 2023 were selected as research objects.They were divided into control group(n=49)and observation group(n=49)according to random number table method.The control group received routine care,while the observation group received navel moxibustion combined with acupoint application.Both groups received continu-ous intervention for 4 weeks.The sleep quality,traditional Chinese medicine syndrome score,sleep progress,psychological state,and quality of life between two groups.Results After intervention,the Pittsburgh sleep quality index(PSQI),Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA),menopause-specific quality of life questionnaire(MENQOL)scores,and Traditional Chinese Medicine syndrome scores of the observation group were lower than those of the control group,and the awakening time and sleep latency were shorter than those of the control group,the number of awakenings was less than that of the control group,and the sleep efficiency was higher than that of the control group,with statistical signifi-cances(P<0.05).Conclusion The application of effective navel moxibustion combined with acupoint application in peri-menopausal insomnia patients can effectively improve sleep quality and psychological status,optimize sleep progress,and improve patient quality of life,which is worthy of clinical promotion.

Perimenopausal insomniaUmbilical moxibustionAcupoint applicationSleep qualityPsychological stateQuality of life

潘晨璐、孟萍

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江西省抚州市中医医院 江西中医药高等专科学校附属医院妇产科,江西抚州 344000

围绝经期失眠 脐灸 穴位敷贴 睡眠质量 心理状态 生活质量

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(25)