studyontheimpactofmidnight-noonebb-flow-临床与病理杂志.pdf

临床与病理杂志 2017, 37(2) J Clin Path ol R e s 301 doi: 10.3978/j.issn.2095-6959.2017.02.014 View this article at: /10.3978/j.issn.2095-6959.2017.02.014 子午流注穴位按摩对改善甲状腺术后患者头痛症状和 睡眠质量的临床研究 钱艳，周春姣，何为，傅强，韩玲 (广东省中医院大学城医院外三科，广州 510006) [摘　要] 目的：探讨子午流注穴位按摩对甲状腺术后患者的头痛及睡眠质量的临床效果。 方法：将 97名甲 状腺术后患者随机分为对照组 (49例 ) 和观察组 (48例 ) ，观察组实施子午流注穴位按摩，对照组实 施常规护理干预；收集并比较两组患者在术后第 1 ，3 ，5 ，7 天的头痛症状评分 (Headache Symptom Scores ，HSS) 和匹兹堡睡眠质量指数(Pittsburgh sleep quality index ，PSQI) 。结果：重复测量方差结 果显示，两组患者在第 1 、3 、5 、7 天的VA S 得分变化的组间效应、时间效应以及交互效应差异均 具有统计学意义 (P 0.001) ；除催眠药物以外，两组在各时间点PSQI值及各维度变化的组间效应、 时间效应以及交互效应均具有统计学意义(P 0.001) 。结论：子午流注穴位按摩能有效减轻甲状腺 术后患者的头痛情况，提高睡眠质量，且随时间的增加改善效果越明显。 [关键词] 甲状腺手术；头痛；睡眠障碍；子午流注；穴位按摩 Study on the impact of midnight-noon ebb-flow acupoint massage on improving headache and sleep quality of patients undergoing thyroid surgery QIAN Yan, ZHOU Chunjiao, HE Wei, FU Qiang, HAN Ling (Third Department of Surgery, Guangdong Hospital of Chinese Medicine, University Town Hospital, Guangzhou 510006, China) Abstract Objective: To explore the clinical effect of midnight-noon ebb-flow acupoint massage on headache and sleep quality of patients undergoing thyroid surgery. Methods: Ninety-seven patients undergoing thyroid surgery were randomly divided into a control group (49 cases) and an observation group (48 cases). The observation group adopted midnight-noon ebb-flow acupoint massage, while the control group adopted routine nursing intervention. Collected and compared Headache Symptom Scores (HSS) of the first, third