磁珠耳穴贴压联合中药浴足改善系统性红斑狼疮患者睡眠障碍效果分析

目的:观察磁珠耳穴贴压联合中药浴足对激素治疗系统性红斑狼疮患者睡眠障碍的改善效果。方法:将84例有睡眠障碍的阴虚火旺型系统性红斑狼疮患者随机分为对照组和观察组各42例。对照组临睡前顿服阿普唑仑片。观察组采用磁珠耳穴贴压与中药浴足治疗。2组均给予心理护理、行为指导、健康宣教等护理措施。2组疗程均为4周。治疗前后评定匹兹堡睡眠质量指数量表(PSQI)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分和中医证候评分。比较2组的临床疗效。结果:治疗后,观察组临床疗效优于对照组(P<0.05)。2组PSQI睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍评分和总分均较治疗前下降(P<0.01),观察组各因子评分和总分均低于对照组(P<0.01)。2组SAS评分、SDS评分和中医证候评分均较治疗前下降(P<0.01),观察组3项分值均低于对照组(P<0.01)。结论:磁珠耳穴贴压联合中药浴足可有效改善系统性红斑狼疮患者的睡眠障碍,还可减轻患者的焦虑、抑郁情绪。

Effect Analysis of Auricular Point Sticking with Magnetic Beads Combined with Feet Bath with Chinese Herbal Medicine on Sleep Disorders in Patients with Systemic Lupus Erythematosus

Objective:To observe the effect of auricular point sticking with magnetic beads combined with feet bath with Chinese herbal medicine on sleep disorders in patients with systemic lupus erythematosus who was treated with hormone therapy.Methods:A total of 84 cases of patients with sleep disorders in systemic lupus erythematosus of yin deficiency with effulgent fire type were randomly divided into the control group and the observation group,42 cases in each group.The control group was administered at draught with alprazolam tablets before bedtime;the observation group was treated with auricular point sticking with magnetic beads combined with feet bath with Chinese herbal medicine.Both groups were given nursing measures including psychological nursing,behavioral guidance and health propaganda and education.Both groups were treated for four weeks.Before and after treatment,the scores of Pittsburgh Sleep Quality Index(PSQI),Self-rating Anxiety Scale(SAS),Self-rating Depressing Scale(SDS)and Chinese medicine syndromes were evaluated.The clinical effect in the two groups was compared.Results:After treatment,the clinical effect in the observation group was better than that in the control group(P<0.05).In PSQI,the scores of sleep quality,time for falling asleep,sleep time,sleep efficiency,sleep disorders,hypnotics and daytime dysfunction as well as the total scores in the two groups were decreased when compared with those before treatment(P<0.01),the scores of each factor and the total scores in the observation group were lower than those in the control group(P<0.01).The scores of SAS,SDS and Chinese medicine syndromes in the two groups were decreased when compared with those before treatment(P<0.01),and the above three scores in the observation group were lower than those in the control group(P<0.01).Conclusion:The therapy of auricular point sticking with magnetic beads combined with feet bath with Chinese herbal medicine can effectively improve sleep disorders of SLE patients and relieve their anxiety and depression.