针刺联合艾司唑仑治疗失眠的效果

Effect of Acupuncture Combined with Estazolam in the Treatment of Insomnia

目的:研究针刺联合艾司唑仑治疗失眠的效果。方法:选取2020年1月—2022年1月福建中医药大学附属康复医院的60例失眠患者为研究对象。随机将其分为观察组和对照组,各30例。对照组给予艾司唑仑片,观察组给予针刺联合艾司唑仑片治疗。比较两组治疗前后中医症候积分、睡眠质量、心理状态、生存质量及不良反应。结果:治疗后,两组入睡困难、梦多易醒、晨起困倦、惊悸易醒、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能评分均降低,且观察组入睡困难、梦多易醒、晨起困倦、惊悸易醒、萎靡倦怠、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能评分均低于对照组(P<0.05)。治疗后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组,生存质量测定量表(WHOQOL-BREF)评分高于对照组(P<0.05)。观察组不良反应发生率低于对照组(P<0.05)。结论:针刺联合艾司唑仑治疗失眠患者可缓解患者的临床症状,显著改善失眠患者的心理状态及睡眠质量,可进一步提高患者的生活质量,不良反应少。

Objective: To study the effect of acupuncture combined with Estazolam in the treatment of insomnia. Method: Sixty patients with insomnia admitted to Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine from January 2020 to January 2022 were selected as the research objects. They were randomly divided into observation group and control group, with 30 cases in each group. The control group was given Estazolam Tablets, and the observation group was given acupuncture combined with Estazolam Tablets treatment. The TCM symptom score, sleep quality, mental state, quality of life before and after treatment and adverse reactions were compared between the two groups. Result: After treatment, the scores of difficulty falling asleep, easy to wake up for more dreams, morning sleepiness, easy to wake up for palpitation, sleep quality, fall asleep time, sleep time, sleep efficiency, sleep disorder and daytime function were reduced in both groups, the scores of difficulty in falling asleep, easy to wake up for more dreams, morning sleepiness, easy to wake up for palpitation, lethargy and burnout, sleep quality, fall asleep time, sleep time, sleep efficiency, sleep disorder and daytime function in the observation group were lower than those in the control group(P<0.05). After treatment, the scores of self-rating anxiety scale(SAS) and self-rating depression scale(SDS) in the observation group were lower than those in the control group, and the score of quality of life measurement scale(WHOQOL-BREF) in the observation group was higher than that in the control group(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05). Conclusion: Acupuncture combined with Estazolam in the treatment of patients with insomnia can relieve the clinical symptoms of patients, significantly improve the psychological state and sleep quality of patients with insomnia, and further improve the quality of life of patients with fewer adverse reactions.