耳穴压豆联合五音疗法干预慢性心力衰竭患者睡眠的临床疗效

目的:研究慢性心力衰竭(C H F)患者经耳穴压豆联合五音疗法干预后对患者睡眠质量的影响.方法:选取2018年1月至2021年10月扬州市中医院心血管内科收治的C H F失眠患者纳入62例,根据不同治疗方案分为观察组和对照组,每组各31例;其中对照组行常规治疗,观察组于对照组治疗基础上行五音疗法联合耳穴压豆进行临床治疗...

Clinical effect of ear acupoint pressing beans combined with five-tone therapy on sleep in patients with chronic heart failure

Objective:To study the effect of ear acupoint pressing beans combined with five-tone therapy on the sleep quality of patients with chronic heart failure(CHF).Methods:From January 2018 to October 2021,62 patients with CHF insomnia who were admitted to the Department of Cardiovascular Medicine,Yangzhou Hospital of Traditional Chinese Medicine were selected and divided into an observation group and a control group according to different treatment plans,with 31 cases in each group.the control group received routine treatment,the observation group received five-tone therapy combined with ear acupoint pressing beans on the basis of the control group for clinical treatment;the scores of Hamilton Depression(HAMD)and Hamilton Anxiety(HAMA)before and after treatment were compared between the two groups,and the Pittsburgh sleep quality was applied.The sleep quality of the two groups before and after treatment was evaluated by the PSQI index,and the quality of life and the total effective rate of clinical treatment were observed in the two groups at the same time.Results:The PSQI scores of the two groups after treatment were significantly lower than those before treatment(P<0.05),and the PSQI scores of the observation group were lower than those of the control group(P<0.05).After treatment,the HAMA and HAMD scores of the two groups were significantly lower than those before treatment(P<0.05),and the above two scores in the observation group were significantly lower than those in the control group(P<0.05).The quality of life score of the observation group after intervention was significantly lower than that of the control group(P<0.05).The total effective rate of clinical treatment in the observation group was 93.54%(29/31),which was significantly higher than that in the control group,which was 80.64%(25/31),and the difference was statistically significant(χ²=9.345,P<0.05).Conclusion:Ear point pressing beans combined with five-tone therapy has a significant clinical effect on the sleep quality of CHF patients,and can effectively improve the sleep quality and poor psychological state of patients.