穴位贴敷联合耳穴压豆对脑梗死伴抑郁焦虑患者的效果研究

文章信息/Info

• Title:穴位贴敷联合耳穴压豆对脑梗死伴抑郁焦虑患者的效果研究

• 卷期:2023年21卷24期

• 作者:庞枫，刘娟

• 广州中医药大学第二附属医院综合一科，广东  广州 510120

• Author(s):Pang Feng, Liu Juan

• The First General Department, The Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510120, Guangdong, China

• 关键词耳穴压豆；脑梗死；不良情绪；生活质量；睡眠质量

• Keywords:ear acupoint pressing beans; cerebral infarction; negative emotions; quality of life; sleep quality

• 摘要: 目的：探讨穴位贴敷联合耳穴压豆干预脑梗死伴抑郁焦虑患者的临床效果。方法：将2020年1月至2021年12月我院综合一科收治的脑梗死伴抑郁焦虑患者80例，分为对照组和干预组，每组各40例。对照组给予常规治疗，干预组在此基础上加用穴位贴敷联合耳穴压豆，疗程为14d。比较两组患者治疗前后焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、匹兹堡睡眠质量指数量表（PSQI）评分、生活质量评分的变化。结果：干预后，两组患者SAS、SDS、PSQI、生活质量评分均较干预前降低（P<0.05），且干预后干预组SAS、SDS、PSQI、生活质量评分均低于对照组（P<0.05）。结论：穴位贴敷联合耳穴压豆可以提高脑梗死患者生活质量和睡眠质量，改善焦虑、抑郁等不良情绪。                                                                                                                                                                                

• Abstract: To explore the clinical effect of acupoint sticking combined with ear acupoint pressing beans in patients with cerebral infarction complicated with depression and anxiety. Methods: From January 2020 to December 2021, 80 patients with cerebral infarction complicated with depression and anxiety who were admitted to the first comprehensive department of our hospital were divided into a control group and an intervention group, with 40 cases in each group. The control group was given routine treatment, and the intervention group was additionally given acupoint sticking combined with auricular acupoint pressing for 14 days. The changes of Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Pittsburgh Sleep Quality Index (PSQI) and quality of life scores were compared between the two groups before and after treatment. Results: After the intervention, the SAS, SDS, PSQI, and quality of life scores of the two groups were lower than those before the intervention (P<0.05), and the SAS, SDS, PSQI, and quality of life scores of the intervention group were lower than those of the control group after the intervention (P<0.05). 0.05). Conclusion: Acupoint sticking combined with ear acupoint pressing beans can improve the quality of life and sleep quality of patients with cerebral infarction, and improve anxiety, depression and other negative emotions.

  脑梗死是我国最常见的脑血管疾病，是所有脑卒中的70%-80%，是导致我国致残、致死的最主要原因[1]。脑梗死患者常常遗留偏瘫、失语等后遗症，给患者的生活造成严重的不便，并且可引起便秘、坠积性肺炎等并发症，降低患者的生活质量[2]。脑梗死造成的后遗症，打击了患者的自信心，降低了患者的生存质量，导致不良情绪和失眠，进而影响患者治疗和康复的积极性和依从性，加速了死亡的进程，形成恶性循环[3]。