蔡丽娜 张绍华

摘要目的：观察不同耳穴刺激改善维持性血液透析患者睡眠质量的临床效果。方法：选取2018年5月至2019年5月福建省厦门市中医院血透室收治的维持性血液透析患者120例作为研究对象，随机分为A、B、C组，每组40例。C组实施常规护理，A、B2组实施耳穴刺激，其中A组选取双耳神门、肝、心、肾穴、耳穴组合，B组选取耳肩、肘、腰、踝穴、耳穴组合，观察临床效果。结果：治疗后，3组患者PSQI评分比较，差异有统计学意义（P<005）。A组患者评分明显低于B组和C组，B组患者评分明显低于C组，差异有统计学意义（P<005）。A组患者临床有效率9500%，明显高于B组、C组，差异有统计学意义（P<005）。结论：对维持性血液透析患者实施耳穴刺激治疗可有效改善睡眠质量，且刺激不同穴位效果不同，刺激病症相关耳穴效果更优。

关键词耳穴刺激;维持性血液透析;睡眠质量

Clinical Effect of Different Ear Point Stimulation on Sleep Quality of Maintenance Hemodialysis Patients

CAI Lina，ZHANG Shaohua

（Hemodialysis in Xiamen Hospital of Traditional Chinese Medicine，Xiamen 361000，China）

AbstractObjective：To observe the clinical effect of different auricular stimulation on sleep quality in maintenance hemodialysis patientsMethods：A total of 120 patients with maintenance hemodialysis were randomly assigned to the treatment period from May 20 to May 1919Group C was given routine nursing，and both groups were treated with auricular acupoint stimulationGroup A was selected from the combination of binaural Shenmen，liver，heart，kidney and auricular pointsGroup B was selected from the combination of ear，shoulder，elbow，waist，acupoint and auricular point，to observe the clinical effectResults：After treatment，the PSQI scores of the three groups were statistically significant（P<005）The scores of patients in group A were significantly lower than those in group B and group CThe scores of patients in group B were significantly lower than those in group C（P<005）The clinical effective rate of group A was 9500%，which was significantly higher than that of group B and group C（P<005）.Conclusion：The implementation of auricular acupoint stimulation in maintenance hemodialysis patients can effectively improve the quality of sleep，and stimulate different acupoints，and the effect of acupuncturerelated auricular points is better.

KeywordsAuricular stimulation; Maintenance hemodialysis; Sleep quality

中圖分类号：R6925文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.016

维持性血液透析无法完全替代肾脏维持机体内环境稳定，长期病痛折磨使患者容易出现不同程度的负面心理，进而对睡眠质量造成严重影响。睡眠质量是维持性血液透析患者最常见的并发症，以往临床采用安眠药治疗失眠症较多，但长期服用容易出现宿醉效应。近年来，相关研究指出，耳穴刺激可有效改善患者睡眠质量[1]。本文观察耳穴刺激对维持性血液透析患者睡眠障碍的治疗效用，现报道如下。

1资料与方法

11一般资料选取2018年5月至2019年5月福建省厦门市中医院血透室收治的维持性血液透析患者120例作为研究对象，随机分为A、B、C组，每组40例。A组中男22例，女18例，年龄30～77岁，平均年龄（524±34）岁;B组中男20例，女20例，年龄28～76岁，平均年龄（525±33）岁;C组中男21例，女19例，年龄27～78岁，平均年龄（523±35）岁。一般资料经统计学分析，差异无统计学意义（P>005），具有可比性。

12护理方法C组实施常规护理，及时给予患者安慰及鼓励，使患者保持良好的状态，帮助患者建立良好的家庭关系。A……