Abstract:

Objective To explore the effect of midnight-noon ebb-flow timing aromatherapy combined with balanced cupping on Traditional Chinese Medicine（TCM） nursing of perimenopausal insomnia patients with kidney yin deficiency，and to provide references for clinical TCM nursing practice. Methods From January to September 2023，132 patients with perimenopausal insomnia of kidney yin deficiency type who were admitted to the gynecology clinic of traditional Chinese medicine in a tertiary A hospital in Hangzhou were selected as research subjects. They were divided into an aromatic group，a balanced cupping group，a combined group and a control group by random number table method，with 33 cases in each group. The intervention plan was determined through literature research and expert group meetings，and the intervention plan was revised through pre-experiment. The aromatic group was treated with midnight-noon ebb-flow timing aromatherapy on the basis of routine nursing. The balanced cupping group was treated with midnight-noon ebb-flow timing balanced cupping on the basis of routine nursing. The combined group was treated with midnight-noon ebb-flow timing aromatherapy combined with balanced cupping on the basis of routine nursing. The control group was given routine nursing. The course of treatment was 4 weeks. The Pittsburgh Sleep Quality Index（PSQI） score，TCM syndrome score and adverse reactions were compared between the 4 groups before and after intervention. Results After 4 weeks of intervention，the total effective rate of the combined group was 71.87%，which was higher than that of the control group（P<0.001） and the aromatic group（P<0.05）. The cure rate of the combined group was 31.25%，which was higher than 12.50% of the aromatic group（P<0.001） and 12.50% of the balanced cupping group（P<0.001）. After intervention，the TCM syndrome score of the aromatic group was9.00（5.00，10.00），and the balanced cupping group was8.00（4.00，12.00），and the combined group was 9.00（4.00，10.00），which were all lower than12.00（9.00，17.00） in the control group（P<<0.001），and the difference was statistically significant. Conclusion The timing aromatherapy combined with balanced cupping can effectively improve the sleep status of perimenopausal insomnia patients and reduce the syndrome of kidney yin deficiency，and the intervention plan is scientific and feasible.

Key words: Zi Wu Liu Zhu, Perimenopausal, Insomnia, Aromatherapy, Balanced Cupping, Traditional Chinese Medicine Nursing

摘要：

目的 探讨择时芳香疗法联合平衡火罐对肾阴虚型围绝经期失眠患者的护理效果，为中医护理临床实践提供参考依据。 方法 选取2023年1—9月就诊于杭州市某三级甲等医院中医妇科门诊的肾阴虚型围绝经期失眠患者132例作为研究对象，采用随机数字表法，分为芳香组、平衡火罐组、联合组和对照组，每组各33例。通过文献研究和专家小组会议确定干预方案，并通过预试验修订干预方案。芳香组在常规护理基础上予择时芳香疗法，平衡火罐组在常规护理基础上予择时平衡火罐，联合组在常规护理基础上予择时芳香疗法联合平衡火罐，对照组予常规护理，疗程均为4周。比较干预前后4组匹兹堡睡眠指数、中医证候积分以及不良反应发生情况的差异。 结果 干预4周后，联合组总有效率为71.87%，高于对照组（P<0.001）和芳香组（P<0.05）；联合组痊愈率为31.25%，高于芳香组的12.50%（P<0.001）和平衡火罐组的12.50%（P<0.001）。干预后芳香组中医证候积分为9.00（5.00，10.00）分、平衡火罐组为8.00（4.00，12.00）分、联合组为9.00（4.00，10.00）分，均低于对照组的12.00（9.00，17.00）分（P<0.001）。 结论 择时芳香疗法联合平衡火罐能有效改善围绝经期失眠患者的睡眠状况，缓解肾阴虚证，且干预方案具有良好的科学性和可行性。

关键词: 子午流注, 围绝经期, 失眠, 芳香疗法, 平衡火罐, 中医护理学