辨证取穴择时耳穴压豆治疗胎动不安病不寐症患者的疗效观察

The observation on curative effect of auricular acupoint pressure bean therapy on patients with restless threatened abortion disease and insomnia by selecting acupoints based on syndrome differentiation

目的观察辨证取穴择时耳穴压豆治疗胎动不安病不寐症患者的疗效及安全性。方法将70例胎动不安患者随机分为对照组和治疗组,各35例,对照组采用在中药处方中另加15 g酸枣仁,治疗组在此基础上辨证取穴耳穴压豆并择时按压耳穴,干预前后用匹兹堡睡眠质量指数(PSQI)量表和中医症候积分量表评分,2个疗程后评估疗效,待患者孕12周时随访,调查胚胎存活情况。结果干预后,两组PSQI评分各单项积分、总分及中医症候积分较前均有明显下降,且治疗组低于对照组,差异有统计学意义(P<0.05);对照组孕12周继续妊娠25例(71.4%),治疗组孕12周继续妊娠27例(77.1%);两组患者孕12周继续妊娠率比较,差异无统计学意义(P>0.05);对照组痊愈7例,显效9例,有效13例,无效6例,总有效率82.8%(29/35),治疗组痊愈12例,显效15例,有效5例,无效3例,总有效率91.5%(32/35),治疗组疗效明显优于对照组(P<0.05)。结论采用辨证取穴择时耳穴压豆治疗胎动不安病不寐症可改善胎动不安的临床症状并提高患者睡眠质量,疗效显著,安全性高。

Objective To observe the efficacy and safety of auricular acupressure with beans in the treatment of threatened abortion disease insomnia.Methods 70 patients with threatened abortion were randomly divided into the control group and the treatment group with 35 patients in each group.The control group was treated with 15 g suanjujube kernel added to Chinese medicine prescription.The treatment group was treated with ear point pressure and ear point selection based on syndrome differentiation.The Pittsburgh Sleep Quality index(PSQI)scale and TCM syndrome score scale were used before and after the intervention.At 12 weeks of pregnancy,the patients were followed up to investigate the survival of the embryos.Results After the intervention,the PSQI scores of the two groups were significantly decreased,and the treatment group was lower than the control group,the difference was statistically significant(P<0.05).There were 25 cases(71.4%)in the control group and 27 cases(77.1%)in the treatment group.There was no significant difference in the rate of continued pregnancy at 12 weeks of gestation between 2 groups(P>0.05).The total effective rate was 82.8%(29/35)in the control group.The total effective rate was 91.5%(32/35)in the treatment group.The curative effect of the treatment group was significantly better than that of the control group(P<0.05).Conclusion The treatment of threatened abortion with insomnia can improve the clinical symptoms of threatened abortion and improve the sleep quality of patients.