Abstract
This article explored the intervention effect of the dual auricular therapy (auricular holographic copper Bian-stone scraping combined with auricular acupoint pressing) based on the holographic theory for a twin-pregnant patient with insomnia and migraine, and summarized related nursing measures. A 34-year-old twin-pregnant patient (17 weeks and 6 days of gestation) was enrolled. She was diagnosed with heart-spleen deficiency pattern, with a Pittsburgh Sleep Quality Index (PSQI) score of 17, a Self-rating Anxiety Scale (SAS) score of 62, and migraine episodes occurring 4-5 times daily, with the Numerical Rating Scale (NRS) score of 6. On the basis of routine nursing care, the patient received auricular holographic copper Bian-stone scraping (once weekly) combined with auricular acupoint pressing (3-5 times daily, replaced weekly) for 3 consecutive weeks. After intervention, the patient's PSQI score decreased to 10, with nocturnal continuous sleep prolonged from 3-4 hours to 6-7 hours. The SAS score dropped to 52. Migraine episodes reduced to 1-2 times weekly, with the NRS score declining to 0-1. The patient’s appetite, defecation, and mental status also improved significantly. The dual auricular therapy can effectively alleviate insomnia and migraine symptoms, and reduce anxiety in twin-pregnant patients, with favorable safety. It provides a feasible non-pharmacological nursing reference for such conditions during pregnancy. (本文总结基于全息理论的耳部两联疗法(耳部全息铜砭刮痧联合耳穴压豆)干预1例双胎妊娠孕妇不寐及偏头痛的护理经验。本例患者为34岁双胎妊娠(孕17+6周), 辨证为心脾两虚证, 匹兹堡睡眠质量指数(PSQI)评分17分, 焦虑自评量表(SAS)评分62分, 偏头痛每日发作4～5次, 发作时疼痛数字评分(NRS)6分。在常规护理基础上, 实施耳部全息铜砭刮痧(每周1次)及耳穴压豆(每日按压3～5次, 每周更换), 连续干预3周。干预后, 患者PSQI评分降至10分, 夜间连续睡眠由3～4 h延长至6～7 h; SAS评分降至52分; 偏头痛发作频率减至每周1～2次, NRS评分降至0～1分; 食欲、排便及精神状态均明显改善。耳部两联疗法可有效缓解双胎妊娠患者的失眠与偏头痛症状, 减轻焦虑, 且安全性良好, 为妊娠期此类病症的非药物护理提供可行参考。)