文章摘要
李艳,马君妍,景晓慧,杨喻,赵小锐,杨晓媛,赵婧玮.基于体质辨证的五行音乐疗法联合耳部全息铜砭刮痧对老年失眠症患者的影响[J]同济医院杂志社,2026,41(5):48-52
基于体质辨证的五行音乐疗法联合耳部全息铜砭刮痧对老年失眠症患者的影响
Effects of body constitution-based five-element music therapy combined with auricular copper-plate scraping on elderly patients with insomnia
投稿时间:2025-10-01  修订日期:2025-12-28
DOI:10.3870/j.issn.1001-4152.2026.05.048
中文关键词: 老年人;失眠症;耳部全息铜砭刮痧;五行音乐疗法;睡眠质量;体质辨证;中医护理
英文关键词: the elderly;insomnia;auricular copper-plate scraping;five-element music therapy;sleep quality;body constitution-based syndrome differentiation;traditional Chinese medicine nursing
基金项目:科研项目:2024年河南省中医药科学研究专项课题(2024ZY2015)
李艳,马君妍,景晓慧,杨喻,赵小锐,杨晓媛,赵婧玮
河南中医药大学第一附属医院老年病科(河南 郑州,450000)
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中文摘要:
      目的 探讨基于体质辨证的五行音乐疗法联合耳部全息铜砭刮痧在老年失眠症患者中的应用效果,为改善老年患者失眠提供依据。 方法 选取住院老年失眠症患者86例,将其随机分为对照组和干预组各43例。对照组根据患者的失眠证型给予耳部全息铜砭刮痧,干预组在对照组基础上增加五行音乐疗法。共干预2周。采用匹兹堡睡眠质量指数、失眠严重程度指数、焦虑自评量表、抑郁自评量表对两组患者进行调查,并评价临床疗效。 结果 干预后,干预组睡眠质量、失眠严重程度指数、焦虑、抑郁评分显著低于对照组,临床疗效显著优于对照组(均P<0.05)。 结论 基于体质辨证的五行音乐疗法联合耳部全息铜砭刮痧可有效改善老年失眠症患者的睡眠质量,降低其焦虑抑郁情绪。
英文摘要:
      Objective To explore the effects of body constitution-based five-element music therapy combined with auricular copper-plate scraping in elderly patients with insomnia, and to offer an avenue for improving sleep quality of the elderly. Methods Eighty-six hospitalized elderly patients with insomnia were randomly divided into two groups, with 43 in each group.The control group received auricular copper-plate scraping based on their insomnia syndrome type, while the intervention group additionally received five-element music therapy.The intervention lasted for two weeks.The Pittsburgh Sleep Quality Index (PSQI), the Insomnia Severity Index (ISI), the Self-rating Anxiety Scale (SAS), and the Self-rating Depression Scale (SDS) were used to evaluate the cli-nical efficacy. Results After the intervention, the intervention group showed significantly lower scores on the PSQI, ISI, SAS, and SDS compared to the control group, and demonstrated significantly higher clinical efficacy (all P<0.05). Conclusion Body constitution-based five-element music therapy combined with auricular copper-plate scraping can effectively improve sleep quality and ameliorate anxiety and depression in elderly patients with insomnia.
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