耳穴贴压联合耳部铜砭刮痧治疗失眠症的疗效观察

Efficacy Observation of Auricular Scraping with A Copper Scraper Combined with Auricular Point Sticking for Insomnia

目的观察耳穴贴压联合耳部铜砭刮痧治疗失眠症的疗效及对患者睡眠质量的影响。方法选取失眠症患者132例,按照随机数字表法分为A组(药物治疗)、B组(耳部铜砭刮痧治疗)、C组(耳穴贴压治疗)、D组(耳部铜砭刮痧联合耳穴贴压治疗),每组33例。比较4组治疗前后匹兹堡睡眠质量指数量表(PSQI)评分、中医证候评分的变化,采用多导睡眠监测仪观察4组治疗前后的睡眠质量,比较4组临床疗效。结果治疗前,4组患者的PSQI评分、睡眠结构和进程、中医证候评分比较,差异无统计学意义(P>0.05)。治疗后,B组、C组和D组患者PSQI各维度评分及总分较同组治疗前降低(P<0.05);D组睡眠质量、入睡时间、睡眠效率明显优于其余3组(F=8.262,P=0.029)。治疗后,4组睡眠潜伏期(SOL)、觉醒次数(AT)和非快速眼球运动(NREM)-1期睡眠时间均较同组治疗前减少(F=9.598,P<0.05),总睡眠时间(TST)、NREM-2期、NREM-3期、快速眼球运动(REM)期时间均较治疗前增加(F=8.139,P<0.05);D组患者NREM-3期、REM期、TST、SOL、AT明显优于其余3组(F=8.761,P=0.028)。D组总有效率(93.8%)明显优于A组(70.0%)、B组(84.4%)和C组(80.6%),差异具有统计学意义(P<0.05)。结论耳穴贴压联合耳部铜砭刮痧可有效改善失眠症患者的睡眠质量及睡眠结构,提高临床疗效。

Objective To observe the efficacy of auricular scraping with a copper scraper plus auricular point sticking in treating insomnia and its effect on the patient’s sleep quality.Method A total of 132 insomnia patients were selected and divided using the random number table method into group A(medication treatment),group B(auricular scraping treatment with a copper scraper),group C(auricular point sticking treatment),and group D(auricular scraping treatment with a copper scraper plus auricular point sticking),with 33 cases in each group.The changes in the Pittsburgh sleep quality index(PSQI)score and symptom score of traditional Chinese medicine(TCM)in the four groups were compared before and after the treatment,the sleep quality was observed using polysomnography,and the clinical efficacy was also compared.Result Before the treatment,there were no significant differences in the PSQI score,sleep structure and process,or TCM symptom score among the four groups(P>0.05).After the treatment,the dimension scores and global score of PSQI dropped in group B,group C and group D(P<0.05);group D was notably superior to the other three groups comparing sleep quality,sleep latency,and sleep efficiency(F=8.262,P=0.029).The sleep onset latency(SOL),apperception time(AT),and non-rapid eye movement(NREM)stage 1(NREM-1)decreased after the treatment in the four groups(F=9.598,P<0.05),and the total sleep time(TST),NREM stage 2(NREM-2),NREM stage 3(NREM-3),and rapid eye movement(REM)period increased(F=8.139,P<0.05).Group D was superior to the other three groups comparing the NREM-3,REM period,TST,SOL,and AT(F=8.761,P=0.028).The total effective rate in group D(93.8%)was higher than that in groups A(70.0%),B(84.4%),and C(80.6%),and the differences were statistically significant(P<0.05).Conclusion Auricular scraping with a copper scraper plus auricular point sticking can effectively improve the sleep quality and structure and enhance clinical efficacy in treating insomnia patients.