基于“经脉当令”理论评价铜砭刮痧联合平衡火罐治疗肾虚肝郁型围绝经期失眠的疗效观察-临床护理进展.docx

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基于“经脉当令”理论评价铜砭刮痧联合平衡火罐治疗肾虚肝郁型围绝经期失眠的疗效观察

【摘要】目的评价和分析基于“经脉当令”理论铜砭刮痧联合平衡火罐治疗肾虚肝郁型围绝经期失眠的效果。方法收集我院诊治的肾虚肝郁型围绝经期失眠患者80例为研究对象，开展日期为2022年12月-2024年1月，随机分为中医护理组和传统组，各40例。两组均进行常规的中西药物治疗，传统组患者实施常规的护理干预，中医护理组在此基础上给予铜砭刮痧联合平衡火罐治疗配合护理干预。观察两组患者干预效果、干预前后的中医症状评分效果、睡眠质量量表（PSQI）评分，比较统计分析。结果经过干预后，中医护理组的干预总有效率为95.0%（38/40），高于传统组的80.0%（32/40）（P＜0.05）；与干预前相比，干预后两组患者中医症状评分、PSQI评分均明显下降，且中医护理组的效果更优（P＜0.05）。结论运用“经脉当令”理论下，评价理论铜砭刮痧联合平衡火罐治疗肾虚肝郁型围绝经期失眠的效果明显，且能够更好地改善患者的失眠状态，值得应用。

【关键词】“经脉当令”理论；铜砭刮痧；平衡火罐；肾虚肝郁型围绝经期失眠

【收稿日期】2024年6月10日【出刊日期】2024年7月26日【DOI】10.12208/j.jacnBasedonthetheoryofmeridiansinseasontoevaluatethecurativeeffectofTongbianscrapingcombinedwithbalancedcuppingintreatinginsomniaofkidneydeficiencyandliverdepressioninperimenopausalperiod

【Abstract】ObjectiveToevaluateandanalyzetheeffectofTongbianGuaShacombinedwithbalancedcuppingonperimenopausalinsomniaofkidneydeficiencyandliverdepressionbasedonthetheoryofmeridiansinseason.Methods80casesofperimenopausalinsomniapatientswithkidneydeficiencyandliverdepressioninourhospitalwerecollectedasresearchobjects,conductedfromDecember2022toJanuary2024,andrandomlydividedintoTCMnursinggroupandtraditionalgroup,with40casesineachgroup.BothgroupsweretreatedwithconventionalChineseandWesternmedicines,thetraditionalgroupwastreatedwithconventionalnursingintervention,andthetraditionalChinesemedicinenursinggroupwastreatedwithcombinedbalancedcuppingtherapycombinedwithnursinginterventiononthisbasis.Theinterventioneffect,TCMsymptomscoreandsleepqualityScale(PSQI)scoreofthetwogroupswereobserved,andthestatisticalanalysiswascompared.ResultsAfterintervention,thetotaleffectiverateofTCMnursinggroupwas95.0%(38/40),whichwashigherthanthatoftraditionalnursinggroup(80.0%(32/40)(P0.05).Comparedwithbeforeintervention