电针结合耳穴贴压对围绝经期失眠患者睡眠及生活质量的影响

Effect of electroacupuncture combined with auricular acupressure on sleep quality and life quality of perimenopausal insomnia patients

目的观察电针结合耳穴贴压对围绝经期失眠患者睡眠及生活质量的影响。方法将60例围绝经期失眠患者随机分为治疗组和对照组,每组30例。对照组采用口服艾司唑仑治疗,治疗组采用电针结合耳穴贴压治疗。两组疗程均为28 d,观察临床疗效,比较匹兹堡睡眠质量指数(PSQI)评分及围绝经期生存质量量表(MENQOL)评分的变化情况,同时进行安全性评价。结果①治疗组、对照组总有效率分别为93.3%、73.3%;两组临床疗效比较,治疗组明显优于对照组(P<0.05)。②治疗前后组内比较,治疗组PSQI中各维度评分及总分均减少(P<0.05),对照组入睡时间、睡眠时间、睡眠效率评分及总分减少(P<0.05);组间治疗后比较,治疗组睡眠质量、睡眠障碍、日间功能评分及总分少于对照组(P<0.05)。③治疗前后组内比较,两组MENQOL评分减少(P<0.05);组间治疗后比较,治疗组MENQOL评分少于对照组(P<0.05)。④两组均未见明显的不良反应。结论电针结合耳穴贴压治疗围绝经期失眠疗效满意,能有效改善患者的睡眠质量和生活质量,且安全性好,值得临床推广应用。

Objective To observe the effect of electroacupuncture combined with auricular acupressure on sleep quality and life quality of perimenopausal women with insomnia.Method A total of 60 participants were randomly divided into the treatment group and the control group,with 30 participants in each group.Patients in the control group were prescribed Estazolam tablets while patients in the treatment group were treated with electroacupuncture combined with auricular acupressure.The treatment course was 28 days in both groups.The clinical efficacy was observed.The changes of Pittsburgh sleep quality index(PSQI)score and perimenopausal life quality inventory(MENQOL)score were compared.Safety was evaluated.Results①The overall effective rate was 93.3%in the treatment group and 73.3%in the control group;and the clinical efficacy in the treatment group was superior to that in the control group(P<0.05).②The PSQI total score and sub-scores decreased compared to those before treatment in the treatment group(P<0.05),and PSQI total score,sleep time sub-score,sleep duration time sub-score,sleep efficiency sub-score decreased compared to those before treatment in the control group(P<0.05).After treatment,PSQI total score,sleep quality sub-score,sleep disturbance sub-score and daytime function sub-score of the treatment group were significantly lower than those of the control group(P<0.05).③MENQOL score decreased significantly in both groups after treatment compared to that before treatment(P<0.05),and MENQOL score of the treatment group was lower than that of the control group after treatment(P<0.05).④There was no obvious adverse reaction in both groups.Conclusion Electroacupuncture combined with auricular acupressure achieved satisfactory results in the treatment of perimenopausal insomnia.It is worthy of clinical promotion and application as it can effectively improve the sleep quality and life quality with good safety.