耳穴神门埋豆治疗肝硬化失代偿期失眠30例

Auricular acupoint Shenmen embedment therapy for insomnia in patients with decompensated liver cirrhosis: report of 30 cases

目的观察耳穴神门埋豆治疗肝硬化失代偿期失眠的临床疗效。方法将60例患者随机分为治疗组和对照组,每组30例。治疗组采用磁珠丸耳穴埋豆的方法干预,对照组仅以医用胶布敷贴耳穴。两组均治疗10次,观察失眠严重指数(ISI)量表评分变化情况。结果治疗前后组内比较,治疗组失眠问题严重程度、睡眠状况满意度、干扰日间生活程度、生活质量受损程度、焦虑/忧虑程度评分及ISI总分差异均有统计学意义(P<0.05),对照组睡眠状况满意度、干扰日间生活程度评分差异有统计学意义(P<0.05)。组间治疗前后差值比较,各指标差异均有统计学意义(P<0.05)。结论以耳穴神门为主埋豆治疗肝硬化失代偿期失眠疗效良好。

Objective To investigate the clinical efficacy of auricular acupoint Shenmen embedment therapy for insomnia in patients with deeompensated liver cirrhosis. Methods Sixty cases were randomized into two groups ： treatment group in which 30 cases were treated by ＂Cizhu Pill＂ -embedding therapy, and control group in which 30 cases were treated by medical proof fabric plaster therapy. Both of the groups were treated for ten times. The scale score of insomnia severity index （ISI） was evaluated. Results Between before and after treatment, there were significant differences in severity of insomnia, sleep satisfaction, interference day of living, deterioration of QOL, scores of anxiety and worry, total score of ISI in treatment group （ P 〈0.05 ） ; and significant differences were found in sleep satisfaction, interference day of living in control group （P 〈0.05 ）. There were significant difference in all the indexes between treatment group and control group （ P 〈0.05）. Conclusion Auricular acupoint Shenmen embedment therapy has positive effect on insomnia in patients with decompensated liver cirrhosis. It is worth of applying in clinics.