音乐疗法联合耳穴贴压治疗失眠症的临床效果

Clinical effect of music therapy combined with auricular plaster therapy in the treatment of insomnia

目的观察音乐疗法联合耳穴贴压治疗失眠症的临床效果,探讨其治疗机制,为临床治疗失眠症提供理论基础。方法将湖北省十堰市太和医院康复中心2015年4月~2016年6月收治的失眠症患者184例,依据随机数字表法分为对照组及观察组,每组92例。对照组针灸并睡前口服右佐匹克隆片等常规治疗,观察组在此基础上应用音乐疗法联合柏子仁耳穴贴压垂前穴、神门、皮质下、交感诸穴治疗4周。记录两组患者治疗前后梭形慢波次数、区域性脑血流、睡眠相关参数、睡眠质量、生活质量和临床疗效。结果两组治疗后梭形慢波次数较治疗前减少,区域性脑血流较治疗前增多,差异有统计学意义(P<0.05)。观察组治疗后梭形慢波次数较对照组减少,区域性脑血流较对照组增多,差异有统计学意义(P<0.05)。两组治疗后眼快动相(REM)和入睡潜伏期较治疗前缩短,非眼快动相(NREM)和夜间睡眠时间较治疗前延长,睡眠效率和匹兹堡睡眠质量指数(PSQI)较治疗前降低,差异有统计学意义(P<0.05);观察组治疗后REM较对照组缩短,NREM和夜间睡眠时间较对照组延长,睡眠效率较对照组降低,差异有统计学意义(P<0.05)。两组治疗后心理、生理、社会关系、独立性评分较治疗前升高,差异有统计学意义(P<0.05);观察组治疗后上述四个方面评分高于对照组,差异有统计学意义(P<0.05)。观察组总有效率高于对照组,差异有统计学意义(P<0.05)。结论音乐疗法联合耳穴贴压可用于治疗失眠症,其临床疗效可靠,有一定的临床应用价值。

Objective To observe clinical effect of music therapy combined with auricular plaster therapy in the treatment of insomnia, explore therapeutic mechanism, provide a theoretical basis for clinical treatment of insomnia. Methods 184 patients with insomnia in Rehabilitation Center, Taihe Hospital of Shiyan City, Hubei Province from April 2015 to June 2016 were divided into control group and observation group according to the random number table method, each group of 92 cases. Control group was treated with acupuncture and Eszopiclone Tablets, observation group was treated by application of music therapy combination with semen boitae auricular point pressing Vertical hole, Shenmen, subcortex, sympathetic 4 weeks. Spindle slow wave number, regional cerebral blood flow, sleep related parameters, sleep quality, quality of life and clinical efficacy before and after treatment between two groups were recorded. Results After treatment, spindle slow Wave number in two groups was less than before treatment, regional cerebral blood flow in two groups was more than before treatment, with statistical differences （P 〈 0.05）. After treatment, spindle slow wave number in observation group was less than that in control group, regional cerebral blood flow in observation group was more than that in control group, with statistical differences （P 〈 0.05）. After treatment, rapid eye movement and sleep latency in two groups were shorter than before treatment, NREM and night sleep time in two groups were longer than before treatment, sleep efficiency and Pittsburgh sleep quality index （PSQI） in two groups were lower than before treatment, with statistical differences （P 〈 0.05）. After treatment, REM in observation group was shorter than that in control group,NREM and nighttime sleep time in observation group were longer than those in control group, sleep efficiency in observation group was lower than that in control group, with statistical differences （P 〈 0.05）. After treatment,psychological, physiological, social relations; independent scores in two.groups were higher than before treatment, with statistical difference （P 〈 0.05）. After treatment, the above four aspects of observation group were higher than those of control group, with statistical difference （P 〈 0.05）. Total effective rate of observation group was higher than that of control group, with statistical difference （P 〈 0.05）. Conclusion Music therapy combined with auricular plaster therapy can be used to the treatment of insomnia. Clinical effect is reliable with certain clinical application value.