耳穴压丸与体穴揿针联合治疗心脾两虚型失眠的临床研究
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摘要
目的探讨耳穴压丸联合体穴揿针治疗心脾两虚型失眠的临床疗效,为临床治疗提供参考。方法选取2017年5月至2018年9月北京泰康燕园康复医院收治的64例失眠确诊患者,因耳部胀痛感明显退出治疗3例,剩余的随机分为观察组和对照组。对照组30例,接受耳穴压丸治疗,观察组31例接受耳穴压丸联合体穴揿针治疗。观察并比较两组临床疗效和不良反应发生情况;治疗前后,采用匹兹堡睡眠质量指数(PSQI)评分评估并比较两组睡眠质量。结果观察组临床总有效率为90.3%,明显高于对照组的83.3%,差异有统计学意义(P <0.05)。治疗前,两组患者PSQI评分比较,差异无统计学意义(P> 0.05);治疗后,观察组各项PSQI评分均低于本组治疗前和同期对照组,差异有统计学意义(P <0.05)。两组不良反应发生情况比较比较,差异无统计学意义(P> 0.05)。结论体穴揿针结合耳穴压丸治疗心脾两虚型失眠疗效确切,并在入睡时间、睡眠时间、睡眠效率、睡眠障碍方面优于单纯耳压组。
Objective To investigate the clinical efficacy of auricular acupoint compression combined with acupoint acupuncture in treating insomnia caused by heart and spleen deficiency, and provide reference for clinical treatment.Methods Sixty-four patients with insomnia who were admitted to Beijing Taikang Yanyuan Rehabilitation Hospital from May 2017 to September 2018 were enrolled. Three patients with insomnia due to ear pain were randomly divided into observation group and control group. The control group received auricular acupressure treatment, and the observation group received auricular acupoint compression combined with acupoint acupuncture. The clinical efficacy and adverse reactions of the two groups were observed and compared. Before and after treatment, the Pittsburgh Sleep Quality Index(PSQI) score was used to evaluate and compare the sleep quality of the two groups. Results The total effective rate of the observation group was 90.3%, which was significantly lower than that of the control group(83.3%). The difference was statistically significant(P<0.05). Before treatment, there was no significant difference in PSQI score between the two groups(P>0.05). After treatment, the PSQI scores of the observation group were lower than those of the control group before and during the control group, and the difference was statistically significant(P< 0.05). There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05). Conclusion Body acupuncture and acupuncture combined with auricular acupoints are effective in treating insomnia caused by heart and spleen deficiency,and are better than simple ear pressure group in sleep time, sleep time, sleep efficiency and sleep disorders.
Objective To investigate the clinical efficacy of auricular acupoint compression combined with acupoint acupuncture in treating insomnia caused by heart and spleen deficiency, and provide reference for clinical treatment.Methods Sixty-four patients with insomnia who were admitted to Beijing Taikang Yanyuan Rehabilitation Hospital from May 2017 to September 2018 were enrolled. Three patients with insomnia due to ear pain were randomly divided into observation group and control group. The control group received auricular acupressure treatment, and the observation group received auricular acupoint compression combined with acupoint acupuncture. The clinical efficacy and adverse reactions of the two groups were observed and compared. Before and after treatment, the Pittsburgh Sleep Quality Index(PSQI) score was used to evaluate and compare the sleep quality of the two groups. Results The total effective rate of the observation group was 90.3%, which was significantly lower than that of the control group(83.3%). The difference was statistically significant(P<0.05). Before treatment, there was no significant difference in PSQI score between the two groups(P>0.05). After treatment, the PSQI scores of the observation group were lower than those of the control group before and during the control group, and the difference was statistically significant(P< 0.05). There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05). Conclusion Body acupuncture and acupuncture combined with auricular acupoints are effective in treating insomnia caused by heart and spleen deficiency,and are better than simple ear pressure group in sleep time, sleep time, sleep efficiency and sleep disorders.
引文
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[13]祁佩云.耳穴压豆治疗失眠50例临床观察[J].光明中医,2012,27(9):1822-1823.
[14]李华.耳穴压丸法辨证治疗原发性失眠37例[J].广西中医学院学报,2012,15(2):6-7.
[15]冉维正.《内经》皮部理论的研究[D].北京:北京中医药大学,2013.
[16]黄苔铮.揿针埋针疗法治疗背肌筋膜疼痛综合征的临床研究[D].广州:广州中医药大学,2015.
[17]王占魁,周丹,小仓浩敬,等.试论浅刺发展史[J].江苏中医药,2014,46(2):72-74.
[18]刘炜宏,郝洋.针灸治疗技术的起源、发展现状及展望[J].中医杂志,2014,55(2):91-94.
[19]李可.耳穴压豆结合中药汤剂治疗老年虚证失眠临床研究[J].中国中医药信息杂志,2015,22(12):22-25.
[20]荣培晶.耳穴的研究进展[A].第四届国际针灸推拿技法演示暨2016年腧穴耳穴应用与针灸教育学术年会论文集[C].2016:2.
[2]中华医学会精神病学分会.中国精神障碍分类与诊断标准第三版(精神障碍分类)[J].中华精神科杂志,2001,34(3):184-188.
[3]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:31-32.
[4]中华人民共和国卫生部.中药新药临床研究指导原则[S].北京:人民卫生出版社,1993:186-187.
[5]路桃影,李艳.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学,2014,43(3):260-263.
[6] Paul Nogier撰,叶肖麟摘译,耳针疗法介绍[J],上海中医药杂志,1958(12):45-48.
[7]唐成林,朱丹,王明陵.浅淡耳穴诊断的临床价值及应用[J].实用中医药杂志,2005,21(4):243-244.
[8]马海洋.生物全息诊疗法的文献研究[D].济南:山东中医药大学,2015.
[9]张诗兴,姜文方.耳穴定位与神经、血管分布的研究[J].南京中医药大学学报,1998(4):39-40.
[10]赵敬军,李少源,焦玥,等.耳针治疗失眠的研究现状[J].针灸临床杂志,2014,30(9):82-85.
[11] Gao XY,Wang L,Gaischek I,et al. Brain modulated effects of auric-ular acupressure on the regulation of autonomic functioninhealthyvolunteers[J].EvidBasedComplement Alternat Med,2012:714391.
[12]黄小冬,傅立新.耳穴贴压治疗失眠的临床研究[J].吉林中医药,2011,31(2):154-155.
[13]祁佩云.耳穴压豆治疗失眠50例临床观察[J].光明中医,2012,27(9):1822-1823.
[14]李华.耳穴压丸法辨证治疗原发性失眠37例[J].广西中医学院学报,2012,15(2):6-7.
[15]冉维正.《内经》皮部理论的研究[D].北京:北京中医药大学,2013.
[16]黄苔铮.揿针埋针疗法治疗背肌筋膜疼痛综合征的临床研究[D].广州:广州中医药大学,2015.
[17]王占魁,周丹,小仓浩敬,等.试论浅刺发展史[J].江苏中医药,2014,46(2):72-74.
[18]刘炜宏,郝洋.针灸治疗技术的起源、发展现状及展望[J].中医杂志,2014,55(2):91-94.
[19]李可.耳穴压豆结合中药汤剂治疗老年虚证失眠临床研究[J].中国中医药信息杂志,2015,22(12):22-25.
[20]荣培晶.耳穴的研究进展[A].第四届国际针灸推拿技法演示暨2016年腧穴耳穴应用与针灸教育学术年会论文集[C].2016:2.