北京市健宫医院 脑病科, 北京, 100054
收稿:2025-06-28,
修回:2025-08-12,
录用:2025-08-25,
网络出版:2025-11-13,
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张然. 1例颤证不寐患者的中医护理体会[DB/OL].中西医结合临床案例库, 2025.
ZHANG Ran. Nursing Experience with Traditional Chinese Medicine for a Patient with Tremor Syndrome and Insomnia[DB/OL].Clinical archives of integrative medicine, 2025.
张然. 1例颤证不寐患者的中医护理体会[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202506280020.
ZHANG Ran. Nursing Experience with Traditional Chinese Medicine for a Patient with Tremor Syndrome and Insomnia[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202506280020.
本文总结1例颤证不寐患者采用中医特色护理技术(耳穴压丸、中医舌操、坐式八段锦)联合酸枣仁汤足浴的干预效果及护理经验。基于系统性护理评估,团队实施多模态中医干预方案,并强化生活调摄、饮食指导及情志护理。经干预后,患者睡眠质量显著改善,匹兹堡睡眠指数量表(PSQI)由17分降至9分;汉密尔顿焦虑量表(HAMA)评分由30分降至16分;汉密尔顿抑郁量表(HAMD)评分由24分降至17分。结果表明,中医特色护理技术可有效改善颤证不寐患者的睡眠障碍,缓解焦虑抑郁情绪,且操作简便、疗效显著,对提升患者生活质量具有临床推广价值。
This article summarizes the intervention effects and nursing experience of applying Traditional Chinese Medicine (TCM) nursing techniques—including auricular acupressure with seed embedding, TCM tongue exercises, seated Baduanjin (Eight-Section Brocade), and Suanzaoren Tang (Ziziphi Spinosae Decoction) foot bath—to a patient with tremor syndrome and insomnia. Based on systematic nursing assessment, the team implemented a multimodal TCM intervention plan, complemented by lifestyle adjustments, dietary guidance, and emotional regulation. After the intervention, the patient showed significant improvement in sleep quality: the Pittsburgh Sleep Quality Index (PSQI) score decreased from 17 to 9, the Hamilton Anxiety Scale (HAMA) score decreased from 30 to 16, and the Hamilton Depression Scale (HAMD) score decreased from 24 to 17. The results demonstrate that TCM nursing techniques can effectively alleviate sleep disturbances and reduce anxiety and depressive symptoms in patients with tremor syndrome and insomnia. These methods are simple to perform, clinically effective, and valuable for improving patients' quality of life.
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