首页|揿针联合五音疗法在肝阳上亢型高血压合并失眠患者中的应用

揿针联合五音疗法在肝阳上亢型高血压合并失眠患者中的应用

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目的 探讨穴位揿针联合五音疗法对于改善肝阳上亢型高血压患者失眠症状及整体健康状况的效果.方法 2019年9月至2020年11月,采用方便抽样方法,选取收治于甘肃中医药大学附属医院高血压睡眠科的肝阳上亢型原发性高血压合并失眠的143例住院患者作为研究对象.按照入院时间先后将其分为对照组(n=36)、穴位揿针组(n=35)、五行音乐组(n=36)以及五行音乐联合穴位揿针组(n=36),分别接受常规护理、穴位揿针干预、五行音乐干预、穴位揿针联合五行音乐干预.连续干预2周后,采用匹兹堡睡眠质量指数量表(PSQI)及健康调查自评量表(SF-36)评价比较4组患者的睡眠和健康状况.结果 干预2周后,4组患者的PSQI总分及各维度(除对照组患者的睡眠质量与睡眠药物维度)得分均低于干预前(P<0.05);且4组患者的SF-36各维度(除对照组躯体疼痛维度)得分也均高于干预前(P<0.05).组间两两比较结果显示,穴位揿针联合五行音乐组患者的PSQI总分及睡眠质量、睡眠时间、睡眠效率、睡眠障碍及入睡时间维度得分,SF-36各维度得分改善情况均优于其他组,差异均有统计学意义(P<0.05).结论 穴位揿针联合五音疗法更有利于改善肝阳上亢型高血压患者的睡眠状况,从整体上提升其健康水平.
Application of Intradermal Needling Combined with Five-Tone Music Therapy in Patients with Hy-pertension of Liver-Yang Ascendant Hyperactivity and Insomnia
Objective To explore the effect of intradermal needling combined with five-tone music therapy on alleviating insomnia and improving the general health of patients with hypertension of liver-yang ascendant hyperactivity.Methods From September 2019 to November 2020,143 inpatients with primary hypertension of liver-yang ascendant hyperactivity and insomnia were selected by convenience sampling who were admitted to the Hypertension and Sleep Department at the Affiliated Hospital of Gansu University of Chinese Medicine.According to the order of admission,they were divided into four groups:control group(n=36),intradermal needling group(n=35),five-tone music therapy group(n=36)and intradermal needling+five-tone music therapy group(n=36).These groups were given routine care,acupoint intrusion needle intervention,five-line music intervention,intradermal needling,five-tone music therapy and intradermal needling+five-tone music therapy,respectively.After 2 weeks of continuous intervention,the Pittsburgh Sleep Quality Index(PSQI)and 36-Item Short Form Survey(SF-36)were used to evaluate and compare the sleep quality and health status among the 4 groups.Results After 2 weeks of intervention,the total PSQI scores and scores in each dimension(except for sleep quality and sleep medication in the control group)were lower than those before intervention in the 4 groups(P<0.05);the scores each SF-36 dimension(except for bodily pain in the control group)were higher than those before intervention in the 4 groups(P<0.05).Based on the results of pairwise comparisons,the combination therapy group exhibited a better improvement in total PSQI scores,scores in PSQI dimensions(sleep quality,sleep duration,sleep efficiency,sleep disturbances and sleep latency)and scores in each SF-36 dimension than other groups,with significant differences(P<0.05).Conclusion Intradermal needling combined with five-tone music therapy is more effective in improving the sleep quality of patients with hypertension of liver-yang ascendant hyperactivity,thereby enhancing their general health.

HypertensionInsomniaLiver-yang ascendant hyperactivityIntradermal needlingFive-tone

张晓娟、丁劲、李子锋

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甘肃卫生职业学院,甘肃 兰州 730000

甘肃中医药大学附属医院,甘肃 兰州 730000

宜昌市中心人民医院,湖北 宜昌 443000

高血压 失眠 肝阳上亢 穴位揿针 五音

2024

上海护理
上海市护理学会

上海护理

影响因子:1.097
ISSN:1009-8399
年,卷(期):2024.24(12)