针灸治疗妊娠期失眠35例临床疗效分析

Clinical Analysis of 35 Cases of Pregnancy Insomnia Treated by Acupuncture and Moxibustion

目的:探讨针灸治疗妊娠期失眠的临床疗效。方法:选取2019年1月至2019年12月陵城区人民医院收治的妊娠期失眠患者70例作为研究对象,按随机数表法分为观察组和对照组,每组35例。对照组接受常规健康指导,观察组在此基础上加用针灸治疗,比较2组临床治疗效果。结果:1)观察组治疗2周、6周后,阿森斯失眠量表(Athens Insomnia Scale,AIS)得分分别为(10.0±1.1)分、(3.0±0.7)分,对照组得分为(12.3±1.3)分、(5.3±0.7)分,2组比较差异有统计学意义(P<0.05);2)观察组早产率8.6%、流产率2.9%、剖宫产率14.3%均显著低于对照组,2组比较差异有统计学意义(P<0.05);3)观察组治疗过程中无阴道出血、低血压、晕针、宫缩增强、胎动频繁或减少等情况,部分患者出现疲倦、睡意等情况。对照组有7例患者因存在睡眠障碍,自身感觉疲劳、乏力,且精神状态不佳,失去分娩信心,主动要求剖宫产。结论:针灸治疗妊娠期失眠效果显著,值得推广。

Objective:To explore the clinical effect of acupuncture on insomnia during pregnancy.Methods:A total of 70 patients with insomnia during pregnancy admitted to Lingcheng District People's Hospital from January 2019 to December 2019 were selected as the research subjects,and divided into observation group and control group according to random number table method,with 35 cases in each group.The control group received routine health guidance,and the observation group was additively treated with acupuncture and moxibustion on this basis.The clinical therapeutic effects of the two groups were compared.Results:1)The scores of Athens Insomnia Scale(AIS)in the observation group were(10.0±1.1)and(3.0±0.7),respectively,and the scores of the control group were(12.3±1.3)and(5.3±0.7),and there was statistical difference between the two groups(P<0.05).2)The rate of premature birth,abortion and cesarean section in the observation group were 8.6%,2.9%and 14.3%,respectively,significantly lower than those in the control group,and the difference between the two groups was statistically significant(P<0.05).3)In the observation group,there was no vaginal bleeding,hypotension,needle sickness,increased contractions,frequent or decreased fetal movement,and some patients appeared fatigue and drowsiness.There were 7 patients in the control group because of sleep disorder,feeling fatigue,fatigue,and poor mental state,lost confidence in childbirth,and took the initiative to request cesarean section.Conclusion:Acupuncture and moxibustion is effective in treating insomnia during pregnancy,which is worth popularizing.