穴位电刺激结合中药贴敷对腰椎间盘突出症患者激素治疗期间睡眠质量的影响(1)

http://www.100md.com 2020年3月25日 《中国现代医生》 20209

     [摘要] 目的 探讨穴位电刺激结合中药贴敷对腰椎间盘突出症患者激素治疗期间睡眠质量的影响。 方法 将90例激素治疗期间睡眠质量下降的腰椎间盘突出症患者随机分为治疗组和对照组，每组45例。两组患者均采用中药贴敷疗法，治疗组接受穴位电刺激，分别于干预前、干预1 d、2 d、3 d采用VASS评分和睡眠参数评价患者的睡眠质量。 结果 组间比较：干预前，治疗组和对照组VASS评分、入睡潜伏期及睡眠时间差异无统计学意义(P>0.05)，干预后治疗组和对照组VASS评分、入睡潜伏期及睡眠时间差异有统计学意义(P<0.05);组内比较：两组患者干预前后VASS评分、入睡潜伏期及睡眠时间比较，差异有统计学意义(P<0.05)。 结论 穴位电刺激结合中药贴敷能提高腰椎间盘突出症患者激素治疗期间的睡眠质量。

    [关键词] 穴位电刺激;中药贴敷;腰椎间盘突出症;激素;睡眠质量

    [中图分类号] R245.9 [文献标识码] B [文章编号] 1673-9701(2020)09-0166-04

    [Abstract] Objective To investigate the effect of acupoint electrical stimulation combined with traditional Chinese medicine patch application on sleep quality during hormone therapy in patients with lumbar disc herniation. Methods 90 patients with lumbar disc herniation who had decreased sleep quality during hormone therapy were randomly divided into treatment group and control group， with 45 cases in each group. Both groups of patients were treated with traditional Chinese medicine patch application. The treatment group was given acupoint electrical stimulation. The sleep quality of the patients was evaluated by VASS score and sleep parameters before intervention， and on 1 d， 2 d and 3 d of intervention. Results Comparison between groups： before intervention， there was no statistically significant difference in VASS score， sleep latency and sleep time between the treatment group and the control group(P>0.05). There were statistically significant differences in VASS score， sleep latency and sleep time between the treatment group and the control group after intervention(P<0.05); comparison within groups： there were statistically significant differences in VASS score， sleep latency and sleep time between the two groups(P<0.05). Conclusion Acupoint electrical stimulation combined with traditional Chinese medicine patch application can improve the quality of sleep during hormone therapy in patients with lumbar disc herniation.

    [Key words] Acupoint electrical stimulation; Traditional Chinese medicine patch application; Lumbar disc herniation; Hormone; Sleep quality

    腰椎間盘突出症(Lumbar disc herniation，LDH)为临床常见病、多发病，发病率为15.2%～30.0%[1，2]，临床主要表现为腰部疼痛，或伴有下肢放射性疼痛[3]。研究显示[4]，糖皮质激素(Glucocorticoide，GC)能够减轻腰部局部炎症反应，在LDH治疗过程中发挥了重要作用，但是GC在取得显著疗效的同时也表现出突出的不良反应，最常见的就是使患者的睡眠质量下降[5]。缺乏睡眠不仅影响腰椎受损细胞的修复，还会使机体免疫力下降，产生焦虑抑郁或恐惧心理，影响疾病的康复。本研究采用穴位电刺激结合中药贴敷对LDH患者GC治疗期间的睡眠质量进行干预，取得了满意的治疗效果，现报道如下。

    1 对象与方法

    1.1 研究对象, http://www.100md.com(王宝玉 郝亚兴)

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