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
Abstract
Objective To evaluate and analyze the effect of Tongbian Gua Sha combined with balanced cupping on perimenopausal insomnia of kidney deficiency and liver depression based on the theory of "meridians in season". Methods 80 cases of perimenopausal insomnia patients with kidney deficiency and liver depression in our hospital were collected as research objects, conducted from December 2022 to January 2024, and randomly divided into TCM nursing group and traditional group, with 40 cases in each group. Both groups were treated with conventional Chinese and Western medicines, the traditional group was treated with conventional nursing intervention, and the traditional Chinese medicine nursing group was treated with combined balanced cupping therapy combined with nursing intervention on this basis. The intervention effect, TCM symptom score and sleep quality Scale (PSQI) score of the two groups were observed, and the statistical analysis was compared. Results After intervention, the total effective rate of TCM nursing group was 95.0% (38/40), which was higher than that of traditional nursing group (80.0% (32/40) (P < 0.05). Compared with before intervention, TCM symptom score and PSQI score of the two groups were significantly decreased after intervention, and the effect of TCM nursing group was better (P < 0.05). Conclusion Using the theory of "meridians in season", the evaluation theory of Tongbian Gua sha combined with balanced cupping in the treatment of perimenopausal insomnia of kidney deficiency and liver depression has obvious effect, and can better improve the insomnia state of patients, and is worthy of application.
Key words： "meridians in season" theory; Copper bian guasha; Balanced cupping; Kidney deficiency liver depression type perimenopausal insomnia
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