中药药枕联合耳穴埋籽对改善骨科患者术前睡眠质量的效果

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摘要目的观察中药药枕联合耳穴埋籽对改善骨科患者术前睡眠质量的效果。方法通过随机数字表法将2016年1~12月南京中医药大学附属医院82例符合纳入标准的患者分为观察组和对照组，每组各41例。观察组给予中药药枕+耳穴埋籽，对照组予耳穴埋籽。两组耳穴埋籽均在患者术前1 d实施，观察组中药药枕为入院后常规使用至出院。研究结束后，观察组和对照组的合格病例分别为41例和40例，评价两组满意度、不满意原因调查、匹兹堡睡眠质量指数量表（PSQI）评分以及安全性评估结果。结果 ①观察组满意度优于对照组（P < 0.05）；在不满意原因调查中，观察组患者因不适应气味、药枕高度欠舒适不满意的各有1例，对照组因埋籽时疼痛不满意1例，认为效果不明显2例；②干预前两组患者PSQI各项目评分及总分比较，差异无统计学意义（P > 0.05）；干预后观察组患者的主观睡眠质量、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍评分以及总分均显著低于对照组（P < 0.05），而两组干预后入睡时间和催眠药物评分比较，差异无统计学意义（P > 0.05）；观察组干预后除催眠药物项以外的各项评分及PSQI总分较干预前降低（P < 0.05）；对照组干预后主观睡眠质量、睡眠效率、睡眠障碍及PSQI总分较干预前明显下降（P < 0.05）；③在整个试验过程中，两组均未发生任何不良反应。结论中药药枕联合耳穴埋籽对改善骨科患者睡眠质量的效果显著，患者满意度较高，安全性较好，有利于骨伤科手术的开展，值得临床推广。

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关键词 ：中药药枕, 耳穴埋籽, 骨折, 睡眠质量

Abstract：Objective To observe the effects of Chinese medicine pillow combining auricular point seed pressing on preoperative sleeping quality improvement in orthopaedics patients. Methods From January to December in 2016, 82 cases met with inclusion criteria in the affiliated hospital of Nanjing University of TCM were recruited in this study and divided into observation group and control group by random number table. Chinese medicine pillow with auricular point seed pressing were provided for observation group, and only the latter was applied in control group. Auricular point seed pressing for two groups was conducted 1 day before the operation, while Chinese medicine pillow was conventionally utilized from admission to discharge. After the research, eligible cases for observation group and control group was 41 cases and 40 cases respectively. Final comparison was made on the satisfaction degree, unsatisfactory cause′s investigation, PSQI and safety evaluation in two groups. Results ①The satisfaction degree of the observation group was better than that of the control group (P < 0.05); within the unsatisfactory cause′s investigation, there was 1 case of inadaptation smell and 1 case of uncomfortable pillow height in observation group, and 1 case of seeding painfulness and 2 cases of not obvious effect in control group. ②There were no statistical significance differences of all PSQI items and total scores between two groups before intervention (P > 0.05); after intervention, subjective sleeping quality, sleeping time, sleeping efficacy, sleeping disorder, daytime dysfunction scaling and total score in observation group were significantly lower than those in the control group (P < 0.05), while no significant difference was found in sleeping latency and hypnotic agents scaling after intervention (P > 0.05); excluding hypnotic agents, scores of all items and PSQI total score in observation after intervention were lower than those before intervention (P < 0.05); the subjective sleeping quality, sleeping efficacy, sleeping disorder and PSQI total score in control group after intervention were lower than those before intervention (P < 0.05).③No adverse effects were noticed in two groups during the entire experiment. Conclusion Chinese medicine pillow with auricular point seed pressing significantly improved the sleeping quality in fracture patients with high satisfaction degree and favorable safety, which facilitated surgeries of orthopedics and traumatology and deserved promotion in clinical practice.

Key words： Chinese medicine pillow Auricular point seed pressing Fracture Sleeping quality

引用本文:

任燕. 中药药枕联合耳穴埋籽对改善骨科患者术前睡眠质量的效果[J]. 中国医药导报, 2017, 14(20): 156-159.
REN Yan. The effects of Chinese medicine pillow combining auricular point seed pressing on preoperative sleeping quality improvement in orthopaedics patients. 中国医药导报, 2017, 14(20): 156-159.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2017/V14/I20/156

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