摘要
目的观察耳穴贴压疗法对肝移植患者术后睡眠质量的干预效果。方法采用睡眠量表对肝移植者术后睡眠质量进行测评,随机分为两组,两组均采用耳穴贴压法进行干预,试验组失眠治疗区取穴,对照组非失眠治疗区随机取穴,疗程为4星期。结果术后4星期内两组觉醒不足、入睡困难、恶梦夜惊、服药情况、失眠后反应及SRSS总分等指标比较差异有统计学意义(P<0.05),术后2个月内,两组入睡时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍及PSQI总分等指标比较差异有统计学意义(P<0.05),说明试验组睡眠质量有显著提高。术后3个月两组睡眠指标比较差异无统计学意义(P>0.05)。结论失眠治疗区行耳穴贴压法对肝移植患者术后短期睡眠紊乱有明显改善作用,可减少安眠药物的使用。
Objective To observe the effect of auricular point sticking on the sleep quality of patients undergone liver transplantation.Method The sleep quality was assessed by using sleep quality scale. The patients undergone liver transplantation were randomized into two groups, both receiving auricular point sticking, while the insomnia zone was selected in the observation group and non-insomnia zone was selected in the control group, 4 weeks as a treatment course.Result In 4 weeks after the transplantation, there were significant inter-group differences in comparing the scores of unfreshing sleep, difficulty falling asleep, nightmairs, medications, post-insomnia reactivity, and the total score of the self-rating scale of sleep （SRSS） （P〈0.05）; in 2 months after the transplantation, there were significant differences in comparing the scores of sleep latency, sleep efficiency, sleep disturbance, sleep medications, daytime dysfunction, and the global score of Pittsburgh Sleep Quality Index （PSQI） between the two groups （P〈0.05）, indicating that the sleep quality in the observation group was markedly improved. Three months after transplantation, there were no significant differences in comparing the sleep indexes between the two groups （P〉0.05）.Conclusion Auricular point sticking at the insomnia zone can markedly improve the short-term sleep disorder in patients after liver transplantation, and can reduce the dose of sleep medications.
出处
《上海针灸杂志》
2014年第8期710-714,共5页
Shanghai Journal of Acupuncture and Moxibustion
基金
江苏省人民医院院级立项护理新技术新项目课题
关键词
肝移植
手术期间
睡眠
耳穴贴压
Liver transplantation
Intra-operation
Sleep
Auricular point sticking
