Nursing Experience of Auricular Acupoint Three-Step Therapy in Improving One Case of Hemifacial Spasm Complicated with Insomnia

LI Lele; XIE Wei; ZHANG Wenwen; ZENG Qiang; YANG Yuhan; ZHI Yiqian; WU Shiyao; YANG Fanglan

doi:10.12209/CAIM202605190009

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Nursing Experience of Auricular Acupoint Three-Step Therapy in Improving One Case of Hemifacial Spasm Complicated with Insomnia

更新时间：2026-07-23

- Nursing Experience of Auricular Acupoint Three-Step Therapy in Improving One Case of Hemifacial Spasm Complicated with Insomnia
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  1.贵州中医药大学护理学院，贵州贵阳， 550002
  2.贵州中医药大学第一附属医院护理部，贵州贵阳， 550001
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202605190009
  CLC：
- Received：19 May 2026，
  
  Revised：2026-06-10，
  
  Accepted：11 June 2026，
  
  Online First：23 July 2026，
- 稿件说明：
移动端阅览
LI Lele, XIE Wei, ZHANG Wenwen, et al. Nursing Experience of Auricular Acupoint Three-Step Therapy in Improving One Case of Hemifacial Spasm Complicated with Insomnia[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

LI Lele, XIE Wei, ZHANG Wenwen, et al. Nursing Experience of Auricular Acupoint Three-Step Therapy in Improving One Case of Hemifacial Spasm Complicated with Insomnia[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202605190009.

摘要

本文总结1例面肌痉挛合并失眠患者采用耳穴三序疗法的护理体会。护理过程中，予耳部按摩、铜砭刮痧及耳穴贴压联合干预，配合个体化情志护理与睡眠指导，连续治疗2个疗程。干预后，患者面肌痉挛症状缓解，Cohen痉挛强度分级与Penn痉挛频率分级均由3级降至2级；睡眠质量明显改善，匹兹堡睡眠质量指数（PSQI）评分从16分降至8分。结果表明，耳穴三序疗法在改善面肌痉挛合并失眠患者症状方面效果确切，且该疗法操作简便、安全性高，具有一定临床推广价值。

Abstract

This article summarizes the nursing experience of applying auricular acupoint three-step therapy to a patient with hemifacial spasm complicated with insomnia. During the nursing process， a combined intervention of auricular massage， copper needle Gua Sha （scraping therapy）， and auricular acupoint pressing was implemented， along with individualized emotional care and sleep guidance， for two consecutive treatment courses. Following the intervention， the patient's hemifacial spasm symptoms were alleviated， with both the Cohen Spasm Intensity Scale and Penn Spasm Frequency Scale decreasing from grade 3 to grade 2. Sleep quality was significantly improved， with the Pittsburgh Sleep Quality Index （PSQI） score decreasing from 16 to 8. The results indicate that auricular acupoint three-step therapy demonstrates definite efficacy in ameliorating the symptoms of patients with hemifacial spasm complicated with insomnia. Moreover， this therapy is simple to perform， safe， and holds certain clinical promotional value.

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