杵针联合穴位贴敷在颈性眩晕患者中医护理中的应用研究

摘要/Abstract

摘要：

目的　探讨杵针联合穴位贴敷在颈性眩晕患者中医护理中的应用价值。方法　本研究为随机对照试验。选择2020年7月至2022年7月江西中医药大学附属医院收治的颈性眩晕患者82例，按随机数字表法分为对照组（41例）、观察组（41例）。对照组中男23例，女18例，年龄（42.59±4.61）岁，病程（36.91±8.24）个月；观察组中男24例，女17例；年龄（42.81±4.32）岁，病程（37.49±8.56）个月。对照组采用常规护理，观察组采用中医特色护理技术（杵针联合穴位贴敷），两组均护理21 d。对比分析两组颈性眩晕症状与功能、睡眠质量及生活质量。采用t检验、χ²检验。结果　护理后，观察组颈性眩晕症状与功能评估量表中的肩颈痛评分（2.98±0.35）分、眩晕评分（12.58±1.43）分、心理和社会状况评分（3.01±0.45）分、头痛评分（1.49±0.18）分、日常生活及工作评分（3.08±0.39）分、总评分（23.14±3.06）分，高于对照组的（2.34±0.31）分、（10.32±1.76）分、（2.38±0.30）分、（1.14±0.26）分、（2.43±0.34）分、（18.61±2.97）分，生活质量调查问卷评分高于对照组［（105.34±9.02）分比（90.13±8.17）分］，匹兹堡睡眠质量指数评分低于对照组［（7.21±1.23）分比（9.61±1.83）分］，差异均有统计学意义（t=8.765、6.381、7.459、7.087、8.044、6.802、8.003、6.970，均P<0.001）。结论　中医特色护理技术杵针联合穴位贴敷可缓解颈性眩晕患者临床症状，改善颈椎功能，减轻对其睡眠的影响，提高生活质量，临床应用价值较高。

关键词:

颈性眩晕, 中医护理, 杵针, 穴位贴敷, 睡眠质量, 生活质量

Abstract:

Objective　To explore the application value of pestle needle combined with acupoint application in traditional Chinese medicine (TCM) nursing for patients with cervical vertigo. Methods　This study was a randomized controlled trial. A prospective study was conducted to select 82 patients with cervical vertigo admitted to Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from July 2020 to July 2022. They were divided into a control group (41 cases) and an observation group (41 cases) according to the random number table method. In the control group, there were 23 males and 18 females, aged (42.59±4.61) years, with a course of disease of (36.91±8.24) months; in the observation group, there were 24 males and 17 females, aged (42.81±4.32) years, with a course of disease of (37.49±8.56) months. The control group received routine nursing care, while the observation group received TCM characteristic nursing techniques (pestle needle combined with acupoint application). Both groups received 21 days of nursing care. The symptoms and function of cervical vertigo, sleep quality, and quality of life were compared and analyzed in the two groups. t test and χ² test were used. Results　After nursing, the scores of shoulder and neck pain [(2.98±0.35)], vertigo [(12.58±1.43)], psychological and social status [(3.01±0.45)], headache [(1.49±0.18)], and daily life and work [(3.08±0.39)] and the total score [(23.14±3.06)] of the Evaluating Score for the Symptoms and Function Rehabilitation of Cervical Vertigo in the observation group were higher than those in the control group [(2.34±0.31), (10.32±1.76), (2.38±0.30), (1.14±0.26), (2.43±0.34), and (18.61±2.97)], the score of quality of life questionnaire was higher than that in the control group [(105.34±9.02) vs. (90.13±8.17)], and the score of Pittsburgh Sleep Quality Index was lower than that in the control group [(7.21±1.23) vs. (9.61±1.83)], with statistically significant differences (t=8.765, 6.381, 7.459, 7.087, 8.044, 6.802, 8.003, and 6.970, all P<0.001). Conclusion　TCM characteristic nursing technique of pestle acupuncture combined with acupoint application can alleviate the clinical symptoms in patients with cervical vertigo, improve their cervical function, reduce the impact on sleep, and improve their quality of life, with high clinical application value.

Key words:

Cervical vertigo, Traditional Chinese medicine nursing, Pestle needle, Acupoint application, Sleep quality, Quality of life

程建兰丁丽袁红梅.

杵针联合穴位贴敷在颈性眩晕患者中医护理中的应用研究 [J]. 国际医药卫生导报, 2023, 29(21): 3099-3102.

Cheng Jianlan, Ding Li, Yuan Hongmei.

Application of pestle needle combined with acupoint application in traditional Chinese medicine nursing for patients with cervical vertigo [J]. International Medicine and Health Guidance News, 2023, 29(21): 3099-3102.

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