耳穴联合清热化湿方外洗治疗慢性乙型肝炎伴失眠临床观察

Auricular Point Combined with Qingre Huashi Prescription in Treating Insomnia Patients with Chronic Hepatitis B

目的探讨耳穴联合清热化湿方外洗治疗慢性乙型肝炎失眠患者的临床疗效。方法选取慢性乙型肝炎失眠患者60例,随机分为治疗组和对照组,各30例。治疗组采用耳穴联合清热化湿方外洗结合基础治疗,对照组采用耳穴结合基础治疗。分别观察并比较患者治疗第2周、第4周、第12周、第24周的中医症候、匹茨堡睡眠量表评分。结果与对照组相比,治疗组患者中医症候的改善率、显效率及总有效率差异有统计学意义(P<0.05),入睡时间、实际睡眠时间及睡眠效率比较,积分更低(P<0.05),表明睡眠改善更好。结论耳穴联合清热化湿方外洗治疗慢性乙型肝炎失眠,能有效改善患者的中医症候和睡眠质量。

Objective To evaluate the clinical efficacy of auricular point combined with Qingre Huashi Prescription on insomnia patients with chronic hepatitis B. Methods 60 cases of insomnia patients with chronic hepatitis B were randomly divided into the treatment group and control group, 30 cases in each group. The treatment group was given auricular point combined with Qingre Huashi Prescription and antiviral therapy; the control group was given auricular point and antiviral therapy. The TCM symptoms and the Pittsburgh Sleep Rating Scale were observed and compared at the 2nd week, 4th week, 12th week and 24th week. Results Compared with the control group, the improvement rate, significant efficiency and total effective rate of TCM symptoms in the treatment group were significantly bet- ter（P 〈 0. 05）;the sleep time, the actual sleep time and the sleep efficiency score were lower（P 〈 0.05）. Conclusion Auricular point combined with Qingre Huashi Prescription on the insomnia patients with chronic hepatitis B, can effectively improve the TCM symptoms and the sleep quality of the patients.