耳穴疗法治疗老人失眠症之临床研究

A clinical trial to evaluate the effect of auricular therapy on sleep promotion in the elderly.

目的 :尝试利用科学性之方法探讨耳穴磁疗对老人失眠症之效果。方法 :12 0位 6 0岁或以上之老年患者 ,随机分配入三组。第一组及第二组为对照组 ,分别贴有灯芯或王不留行籽 (不加压 ) ;第三组为实验组 ,贴有每粒含 6 6高斯之磁珠 (不加压 )。为针对老年患者常见之脏腑功能衰弱而致失眠 ,各人均选取相同之穴位 :神门、心、肾、肝、脾、皮质下及枕 ,疗程共 3周。结果 :疗程完毕后 ,使用磁珠作耳疗之实验组于治疗前后的睡眠效果指数有明显之改进 (P <0 .0 5 ) ,显效 17% ,有效为 6 5 % ,总有效率为82 %。此外 ,利用多元回归之反向淘法分析女性参加者之数据 ,发现利用磁珠作耳疗及参加者年龄对预测睡眠效果指数达显著水准 (F3 ,10 6=9.0 4 ,P <0 .0 0 1,R2 =0 .2 0 )。结论 :耳穴磁疗能有效地改善老人失眠症。

Objective:Adopting a scientific approach to examine the effectiveness of auricular therapy using magnetic pearls on sleep promotion in the elderly.Methods:One hundred and twenty eligible participants were randomly allocated to receive a 3-week auricular therapy using Junci Medulla (control group),Semen Vaccariae(control group) or magnetic pearls (experimental group).Seven auricular points(Shenmen,Heart,Kidney,Liver,Spleen,Subcortex,Occiput)which are thought to have an effect on promoting sleep in the elderly were selected.Results:Significant improvement in the sleep efficiency (SE) collected by wrist actigraphy was observed in the experimental group using magnetic pearls after the therapy ( P <0.05),the markedly effective rate was 17%,the effective rate was 65%,and the overall effective rate was 82%.In a backward multiple regression,the effect of auricular therapy on sleep efficiency (SE) after allowing of age in female participants is of high statistical significance (F 3,106 =9.04, P <0.001,R 2=0.20).Conclusion:Auricular therapy using magnetic pearls is an effective means of treating insomnia in the elderly.