针刺联合中医芳香疗法治疗失眠症患者的效果

Effects of acupuncture combined with traditional Chinese medicine aromatherapy on patients with insomnia

目的:观察针刺联合中医芳香疗法治疗失眠症患者的效果。方法:选取2020年2月至2021年3月该院收治的90例失眠症患者进行前瞻性研究,按随机数字表法将其分对照组与观察组各45例。对照组给予中医芳香疗法,观察组在对照组基础上联合针刺治疗,比较两组临床疗效、治疗前后匹兹堡睡眠质量指数(PSQI)评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、炎性因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)]水平和不良反应发生率。结果:观察组治疗总有效率为80.00%(36/45),高于对照组的55.56%(25/45),差异有统计学意义(P<0.05);观察组睡眠质量、睡眠时间、睡眠障碍、睡眠效率、日间功能障碍、催眠药物、入睡时间等PSQI评分均低于对照组,差异有统计学意义(P<0.05);观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);观察组IL-1β、TNF-α、IL-6水平均低于对照组,差异有统计学意义(P<0.05);治疗期间,两组均未出现明显不良反应。结论:针刺联合中医芳香疗法治疗失眠症患者可提高治疗总有效率,降低PSQI评分、负性情绪评分和炎性因子水平,其效果优于单纯中医芳香疗法治疗。

Objective:To observe effects of acupuncture combined with traditional Chinese medicine aromatherapy on patients with insomnia.Methods:A prospective study was performed on 90 patients with insomnia admitted to this hospital from February 2020 to March 2021,and they were divided into control group and observation group according to the random number table method,45 cases in each group.The control group was given traditional Chinese medicine aromatherapy,while the observation group was given acupuncture on the basis of that of the control group.The clinical efficacy,the Pittsburgh sleep quality index(PSQI)score,the negative mood score[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],the inflammatory factor levels[tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β),interleukin-6(IL-6)]levels and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:The total effective rate of the observation group was 80.00%(36/45),which was higher than 55.56%(25/45)of the control group,and the difference was statistically significant(P<0.05).The PSQI scores of sleep quality,sleep time,sleep disturbance,sleep efficiency,daytime dysfunction,hypnotic drugs,and sleep latency in the observation group were all lower than those in the control group,and the differences were statistically significant(P<0.05).The SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The levels of IL-1β,TNF-α,and IL-6 in the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).However,during the treatment period,there were no obvious adverse reactions in the two groups.Conclusions:Acupuncture combined with traditional Chinese medicine aromatherapy in the treatment of the patients with insomnia can improve the total effective rate of treatment and reduce the PSQI score,the negative emotion score and the inflammatory factor levels.Moreover,it is superior to single traditional Chinese medicine aromatherapy.