王不留行籽耳穴贴压对卒中恢复期患者疲劳干预对照研究
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摘要
目的探讨王不留行籽耳穴贴压对卒中后恢复期疲劳患者疲劳强度的影响。方法将64例卒中后恢复期疲劳患者随机分为王不留行籽耳穴贴压组、灯心草耳穴贴敷组,各32例。2组患者均接受常规护理方案,王不留行籽耳穴贴压组予王不留行籽耳穴按压,灯心草耳穴贴敷组予灯心草耳穴贴敷、不按压。每隔3 d更换另一侧耳廓贴敷,双耳交替,10 d为1个疗程,共3个疗程。王不留行籽耳穴贴压组,每次每穴按压10次,每日3餐后及睡前分别按压1次。干预前、干预1月末,采用个人疲劳强度问卷进行评定。结果共61例卒中后恢复期疲劳患者完成试验。干预1月末,2组卒中后恢复期疲劳患者个人疲劳强度总分、主观疲劳感、注意力、动力及体力各维度得分均低于干预前(P<0.01);王不留行籽耳穴贴压组疲劳程度总分、体力维度得分均低于灯心草耳穴贴敷组(P<0.05)。结论王不留行籽耳穴贴压和灯心草耳穴贴敷可以改善卒中恢复期疲劳患者的疲劳严重程度,且王不留行籽耳穴贴压的疗效优于灯心草耳穴贴敷。
Objective To explore the effect of auricular plaster therapy with cowherb seed on fatigue strength of convalescent stroke patients. Methods Sixty-four convalescent patients with post-stroke fatigue were randomly divided into cowherb seed group and juncus effuses group, with 32 cases in each group. Two groups accepted the conventional care. Furthermore, cowherb seed group pressed the points while the juncus effuses group not. The alternation of auricular sticking in two ears was conducted every 3 d for 30 days with 10 d as one course. The cowherb seed group was pressed each point after meals and before bedtime for 10 times. Before and after the intervention(1 month), the Checklist Individual Strength(CIS) was used to assess the fatigue of the patients in the 2 groups.Results A total of 61 cases completed the trial. After the intervention, the total scores of CIS, subjective experience of fatigue,concentration, motivation and physical activity of the 2 groups were lower than those before the intervention( P<0.01).The total scores of CIS and activity level of cowherb seed group were lower than those of juncus effuses group( P<0.05). Conclusion Both auricular acupoint pressing with cowherb seed and auricular acupoint sticking with juncus effuses could alleviate the fatigue of convalescent stroke patients, and the effect of former is superior to the latter.
Objective To explore the effect of auricular plaster therapy with cowherb seed on fatigue strength of convalescent stroke patients. Methods Sixty-four convalescent patients with post-stroke fatigue were randomly divided into cowherb seed group and juncus effuses group, with 32 cases in each group. Two groups accepted the conventional care. Furthermore, cowherb seed group pressed the points while the juncus effuses group not. The alternation of auricular sticking in two ears was conducted every 3 d for 30 days with 10 d as one course. The cowherb seed group was pressed each point after meals and before bedtime for 10 times. Before and after the intervention(1 month), the Checklist Individual Strength(CIS) was used to assess the fatigue of the patients in the 2 groups.Results A total of 61 cases completed the trial. After the intervention, the total scores of CIS, subjective experience of fatigue,concentration, motivation and physical activity of the 2 groups were lower than those before the intervention( P<0.01).The total scores of CIS and activity level of cowherb seed group were lower than those of juncus effuses group( P<0.05). Conclusion Both auricular acupoint pressing with cowherb seed and auricular acupoint sticking with juncus effuses could alleviate the fatigue of convalescent stroke patients, and the effect of former is superior to the latter.
引文
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[14]孙桂萍.耳穴疗法治疗老人失眠症之临床研究[J].针灸临床杂志,2005, 21(1):36-38.DOI:10.3969/j.issn.1005-0779.2005.01.028.
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[17]黄丽春.耳穴治疗学[M].北京:科学技术文献出版社,2005:43-66.
[18]吴春薇,刘占东,张拥波,等.个人疲劳强度问卷中译本在脑梗死患者中的临床应用与评价[J].中国康复理论与实践,2008, 14(2):116-118. DOI:10.3969/j.issn.1006-9771.2008.02.006.
[19]国家中医药管理局医政司.关于印发《护理人员中医技术使用手册》的通知[EB/OL].(2015-12-28)[2018-06-22].http://www.satcm.gov.cn/yizhengsi/gongzuodongtai/2018-03-24/2691.html.
[20]李成栋,陈治林,黄宁,等.脑卒中后疲劳的中医证候聚类分析[J].中西医结合心脑血管病杂志,2013, 11(8):913-915.DOI:10.3969/j.issn.1672-1349.2013.08.008.
[21]沈姣姣,汪小冬,张雅丽.耳穴贴压对改善维持性血液透析患者便秘的效果观察[J].护理学报, 2015,22(1):62-64.DOI:10.16460/j.issn1008-9969.2015.01.062.
[22]孙新亭,迟倩倩,王晓艳.大补肝汤治疗卒中后疲劳的临床效果[J].中国康复理论与实践,2014,20(3):266-268.DOI:10.3969/j.issn.1006-9771.2014.03.018.
[23]王正明.耳穴按压不同时间对原发性高血压患者即时降压效果影响的观察[D].济南:山东中医药大学,2012.
[24]温木生.论耳压材料与疗效的关系[J].针灸临床杂志,2006, 22(2):34-35.DOI:10.3969/j.issn.1005-0779.2006.02.025.
[25]钟伟泉,谭健忠,谭碧娆,等.耳穴贴压对慢性疲劳综合征患者整体症状评分与免疫球蛋白的影响[J].上海针灸杂志,2014,33(6):560-561.DOI:10.13460/j.issn.1005-0957.2014.06.0560.
[26]胡友樾.不同耳穴防治运动性疲劳的对照研究[D].广州:广州中医药大学学报,2011.
[27] Davis J M. Serotonin and Central Nervous System Fatigue;Nutritional Consideration[J]. Am J Clin nutrition,2007,72(2):573-578.DOI:10.1093/ajcn/72.2.573S.
[28]黄丹.中药足浴配合穴位按摩缓解脑卒中后疲劳的护理干预[J].内蒙古中医药,2016,35(14):176-177. DOI:10.3969/j.issn.1006-0979.2016.14.159.
[2]肖卫民,陈仰昆,徐立.卒中后疲劳的药物治疗与康复研究进展[J].中华脑血管病杂志(电子版),2012,6(4):177-180.DOI:10.3877/cma.j.issn.1672-9248.2012.04.001.
[3] Ponchel A, Bombois S, Bordet R, et al. Factors Associated with Poststroke Fatigue:A Systematic Review[J].Stroke Res Treat,2015,2015:1-11.DOI:10.1155/2015/347920.
[4]周丽娟,卞月秋,王茜.维持性血液透析患者疲劳与自我管理行为的相关性研究[J].护理学报, 2017, 24(7):38-41.DOI:10.16460/j.issn1008-9969.2017.07.038.
[5] Hubacher M, Calabrese P, Bassetti C, et al. Assessment of Post-Stroke Fatigue:The Fatigue Scale for Motor and Cognitive Functions[J]. Eur Neurol, 2012, 67(6):377-384.DOI:10.1159/000336736.
[6]王蓉芸,孙秋华.卒中后疲劳的国内外研究进展[J].中西医结合心脑血管病杂志, 2017, 15(15):1847-1849.DOI:10.3969/j.issn.1672-1349.2017.15.011.
[7]齐倩倩,杨巧芳,张艳.卒中后疲劳的非药物干预研究进展[J].护理学杂志, 2018,33(1):110-112.DOI:103870/j.issn.1001-4152.2018.01.110.
[8]吴殷夏,姚瑜,王瑾.耳穴贴压加穴位贴敷对缺血性脑卒中二级预防的临床观察[J].上海针灸杂志,2013,32(10):811-813. DOI:10.3969/j.issn.1005-0957.2013.10.811.
[9]丁婷婷,袁红,李思诺,等.耳穴按压对大鼠精神性疲劳影响的实验研究[J].针灸临床杂志,2014,30(5):60-62. DOI:10.3969/j.issn.1005-0779.2014.05.022.
[10]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志,2015, 48(4):246-257.DOI:10.3760/cma.j.issn.1006-7876.2015.04.002.
[11]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国脑出血诊治指南(2014)[J].中华神经科杂志,2015, 48(6):435-444.DOI:10.3760/cma.j.issn.1006-7876.2015.06.002.
[12] de Groot M H, Phillips S J, Eskes G A. Fatigue Associated with Stroke and other Neurologic Conditions:Implications for Stroke Rehabilitation[J]. Arch Phys Med Rehabil,2003,84(11):1714-1720.DOI:10.1053/S0003-9993(03)00346-0.
[13]吴春薇,王得新.疲劳严重度量表中译本应用于脑梗死患者的临床与评价[J].中华物理医学与康复杂志,2007,29(9):608-611.DOI:10.3760/j.issn:0254-1424.2007.09.009.
[14]孙桂萍.耳穴疗法治疗老人失眠症之临床研究[J].针灸临床杂志,2005, 21(1):36-38.DOI:10.3969/j.issn.1005-0779.2005.01.028.
[15]中国国家标准化管理委员会.耳穴名称与定位:GB/T 13734-2008[S].北京:中华人民共和国家质量监督检验检疫总局,2008.
[16]付慧中.不同耳穴组方治疗围绝经期阴虚火旺型失眠症的临床研究[D].福州:福建中医药大学,2013.
[17]黄丽春.耳穴治疗学[M].北京:科学技术文献出版社,2005:43-66.
[18]吴春薇,刘占东,张拥波,等.个人疲劳强度问卷中译本在脑梗死患者中的临床应用与评价[J].中国康复理论与实践,2008, 14(2):116-118. DOI:10.3969/j.issn.1006-9771.2008.02.006.
[19]国家中医药管理局医政司.关于印发《护理人员中医技术使用手册》的通知[EB/OL].(2015-12-28)[2018-06-22].http://www.satcm.gov.cn/yizhengsi/gongzuodongtai/2018-03-24/2691.html.
[20]李成栋,陈治林,黄宁,等.脑卒中后疲劳的中医证候聚类分析[J].中西医结合心脑血管病杂志,2013, 11(8):913-915.DOI:10.3969/j.issn.1672-1349.2013.08.008.
[21]沈姣姣,汪小冬,张雅丽.耳穴贴压对改善维持性血液透析患者便秘的效果观察[J].护理学报, 2015,22(1):62-64.DOI:10.16460/j.issn1008-9969.2015.01.062.
[22]孙新亭,迟倩倩,王晓艳.大补肝汤治疗卒中后疲劳的临床效果[J].中国康复理论与实践,2014,20(3):266-268.DOI:10.3969/j.issn.1006-9771.2014.03.018.
[23]王正明.耳穴按压不同时间对原发性高血压患者即时降压效果影响的观察[D].济南:山东中医药大学,2012.
[24]温木生.论耳压材料与疗效的关系[J].针灸临床杂志,2006, 22(2):34-35.DOI:10.3969/j.issn.1005-0779.2006.02.025.
[25]钟伟泉,谭健忠,谭碧娆,等.耳穴贴压对慢性疲劳综合征患者整体症状评分与免疫球蛋白的影响[J].上海针灸杂志,2014,33(6):560-561.DOI:10.13460/j.issn.1005-0957.2014.06.0560.
[26]胡友樾.不同耳穴防治运动性疲劳的对照研究[D].广州:广州中医药大学学报,2011.
[27] Davis J M. Serotonin and Central Nervous System Fatigue;Nutritional Consideration[J]. Am J Clin nutrition,2007,72(2):573-578.DOI:10.1093/ajcn/72.2.573S.
[28]黄丹.中药足浴配合穴位按摩缓解脑卒中后疲劳的护理干预[J].内蒙古中医药,2016,35(14):176-177. DOI:10.3969/j.issn.1006-0979.2016.14.159.