刮痧疗法联合穴位贴敷治疗慢性失眠症的效果观察

The effects of scraping therapy combined with acupoint application on sleep quality of patients with chronic insomnia

目的:观察刮痧疗法联合穴位贴敷治疗慢性失眠症的效果。方法:以2018年9月至2019年3月在河南中医药大学第一附属医院脑病医院收治的60例慢性失眠症患者为研究对象,采用随机数字表法分为观察组和对照组各30例,对照组给予口服药物艾司唑仑,观察组在对照组的基础上给予刮痧疗法联合穴位贴敷干预方案,两组患者均以30天为一个治疗周期;治疗结束后,分别对其临床疗效、匹兹堡睡眠质量指数量表(PSQI)积分、安全性评价数据进行统计分析。结果:观察组患者治疗总有效率为93.3%,优于对照组(P<0.01);干预前后两组患者PSQI得分均有降低(P<0.01),与对照组相比,观察组PSQI评分更低(P<0.01)。结论:刮痧疗法联合穴位贴敷方案能更有效地改善慢性失眠症患者的睡眠质量,效果优于单纯口服药物艾司唑仑治疗方案。

Objective: To investigate the effects of scraping therapy combined with acupoints application on sleep quality of patients with chronic insomnia.Methods: We enrolled 60 patients with chronic insomnia admitted in the First Affiliated Hospital of Henan University of Chinese Medicine from September 2018 to March 2019. These patients were evenly divided into the experimental group or the control group randomly. Patients in the control group received the rountine treatment of Estazolam. Patients in the experimental group received scraping therapy combined with acupoints application besides Estazolam. The treatment duration for both groups was 30 days. After treatment, we analyzed the clinical efficacy of the treatments, score of Pittsburgh Sleep Quality Index (PSQI), and treatment safety in both groups. Results: The total effective rate was 63.3% in the control group while it was 93.3% in the experimental group. The effective rate in the experimental group was significantly higher than that of the control group (P<0.01). The total PSQI scores were lower in the two groups after the treatments than those before the treatments (P<0.01). However, the total PSQI score was much lower in the experimental group than that in the control group (P<0.01). Conclusion: Scraping therapy combined with acupoints application can improve the sleep quality of patients with chronic insomnia, and its effectiveness is better than that of the routine Estazolam treatment.