中西医结合护理 (Dec 2022)
Clinical effect of Chinese medicine preparation at Shenque and Dazhui acupoints on relieving the symptoms of sleep disorders in patients with laryngocarcinoma (中药制剂贴敷神阙和大椎改善喉癌患者睡眠障碍的效果观察)
Abstract
Objective To observe the clinical effect of Chinese medicine preparations at Shenque and Dazhui acupoints on relieving the symptoms of sleep disorders in patients with laryngocarcinoma. Methods A total of 50 hospitalized patients with laryngocarcinoma and sleep disorders were selected and randomly divided into treatment group (n=25) and control group(n=24, as one case lost to follow-up). In the treatment group, homemade herbal powders (the rhizome of Chinese goldthread and cinnamon) mixed with petroleum jelly and vinegar were applied to Dazhui and Shenque acupoints. In the control group, corn cobs and starch were used to make powder mixed with petroleum jelly and vinegar to make a placebo and then the same operation was performed to apply to the acupoints. The patient sleep quality was measured by using Pittsburgh Sleep Quality Index (PSQI) before treatment, after treatment and during follow-up. The Traditional Chinese Medicine (TCM) syndrome score of insomnia was compared between two groups, and the complication was recorded during treatment and follow-up. Results The total PSQI score decreased in both group after intervention and during follow-up, and the treatment group showed a significant reduction in total PSQI score compared with the control group (P＜0. 05). The TCM syndrome score decreased in both group after intervention, and TCM syndrome score in the treatment group was lower than that in the control group (P＜0. 05). One person in the treatment group experienced skin reaction. Conclusion Homemade Chinese medicine preparations applied externally to acupuncture points have relieved the symptoms of sleep disorders and improved the sleep quality of patients with laryngocarcinoma, which is worthy of promotion and application. (目的 观察中药制剂贴敷神阙和大椎改善喉癌患者睡眠障碍中的效果。方法 选取50例喉癌并发失眠的患者, 随机分入治疗组25例和对照组24例(脱落1例)。对照组给予常规护理并使用安慰剂贴敷神阙和大椎穴。治疗组则在常规护理的基础上采用黄连、肉桂中药粉剂掺入凡士林、陈醋赋形后贴敷于神阙、大椎穴。观察两组干预前后以及随访时匹兹堡睡眠量表(PSQI)得分, 比较两组干预前后失眠中医证候积分, 记录两组并发症发生情况。结果 干预后及随访时, 两组PSQI总分较干预前降低, 且治疗组PSQI总分均低于同期对照组, 差异有统计学意义(P＜0. 05)。干预后, 两组中医证候积分均降低, 且治疗组中医证候积分低于对照组, 差异有统计学意义(P＜0. 05)。对照组未发生不良反应事件, 治疗组仅出现1例皮肤发红症状。结论 自制黄连、肉桂中药制剂贴敷神阙、大椎穴可以有效改善喉癌患者失眠症状, 提高其睡眠质量, 值得临床推广运用。)
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