吴燕珍 邱乡

摘要目的：探究辨证施护在早期肝硬化伴睡眠障碍患者中的临床应用效果。方法：选取2017年1月至2018年9月厦门大学附属第一医院收治的早期肝硬化伴有睡眠障碍患者48例作为研究对象，以抽取双色球的方式分为对照组和观察组，每组24例。对照组进行常规护理，观察组则在常规护理基础上实施辨证施护。比较2组的睡眠情况[阿森斯失眠量表（AIS）]及护理有效率。结果：观察组的AIS评分显著低于对照组，护理有效率显著高于对照组，差异有统计学意义（P<005）。结论：辨证施护在早期肝硬化伴睡眠障碍患者中的应用效果较好，并可有效改善其睡眠质量，值得临床推广。

关键词辨证施护;早期肝硬化;睡眠障碍;临床效果

Application Effect of Differential Nursing in Patients with Early Liver Cirrhosis Complicated with Sleep Quality and Influence for Sleep Quality

WU Yanzhen，QIU Xiang

（Department of Gastroenterology，First Affiliated Hospital of Xiamen University，Xiamen 361000，China）

AbstractObjective：To explore the clinical application effect of syndrome differentiation nursing in patients with early cirrhosis complicated with sleep disordersMethods：A total of 48 patients with early cirrhosis complicated with sleep disorders in First Affiliated Hospital of Xiamen University from January 2017 to September 2018 were divided into control group and research group by extracting twocolor ballsThe control group were with routine nursing，the research group were with dialectical nursing based on routine nursingThe sleep situation[Ascension Insomnia Scale（AIS）] and nursing effective rates of two groups were comparedResults：The AIS score of research group were significantly lower than those of control group，the nursing effective rate was significantly higher than that of control group，there were statistically significant differences（P<005）Conclusion：The application effect of syndrome differentiation nursing in patients with early cirrhosis complicated with sleep disorders is better，and it can effectively improve their sleep quality，so it is worthy of clinical promotion.

KeywordsDifferential nursing;Early liver cirrhosis;Sleep disorder;Clinical effect

中圖分类号：R33863;R4735文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.015

肝硬化属于消化系统疾病的一种，主要原因是肝细胞坏死，导致残留的肝细胞发生结缔组织增生以及结节性再生的情况，进一步形成纤维隔，小叶组织结构被破坏，逐渐由肝脏变形变硬恶化成肝硬化[1]。该疾病病程较长，且难以治愈，容易发生感染、癌变、睡眠障碍等并发症。其中睡眠障碍的产生加重了患者的心理负担，进一步加重病情，影响治疗效果。针对这一问题，需要给予合理的护理干预，在提高治疗效果的同时能帮助改善患者的睡眠质量[2]。基于此，本文探究辨证施护在早期肝硬化伴睡眠障碍患者中的临床效果，现报道如下。

1资料与方法

11一般资料选取2017年1月至2018年9月厦门大学附属第一医院收治的早期肝硬化伴有睡眠障碍患者48例作为研究对象，以抽取双色球的方式分为对照组和观察组，每组24例。对照……