经穴推拿联合耳穴贴压在睡眠障碍患者中的应用

Application of meridian massage combined with auricular acupoint sticking in patients with sleep disorders

目的研究经穴推拿联合耳穴贴压在睡眠障碍患者中的应用价值。方法选取2021年12月至2022年12月在连云港市中医院中医门诊接受治疗的82例睡眠障碍患者进行随机对照试验,根据随机数字表法将其分为对照组和研究组。对照组男20例、女21例,年龄(39.87±12.32)岁,行耳穴贴压;研究组男18例、女23例,年龄(40.02±12.35)岁,行经穴推拿按摩联合耳穴贴压。对照组和研究组均有1例患者因失访剔除,最终80例患者完成研究,每组40例,对比两组患者治疗首日、随访4周时的睡眠指标及睡眠质量。统计学方法采用χ^(2)检验、t检验。结果随访4周时,两组患者总睡眠时间、慢波睡眠时间、睡眠潜伏期、睡眠效率、觉醒次数、入睡后觉醒时间均较治疗首日有所改善,研究组均优于对照组[(439.68±21.23)min比(426.23±20.13)min、(5.98±1.09)min比(5.49±1.03)min、(20.31±3.19)min比(21.89±3.20)min、(86.87±3.46)%比(84.96±3.26)%、(1.50±0.19)次比(1.62±0.23)次、(5.46±1.39)min比(6.26±1.42)min],差异均有统计学意义(t=2.908、2.066、2.212、2.541、2.544、2.546,均P<0.05)。随访4周时,两组患者PSQI各维度评分及总评分均较治疗首日下降,研究组入睡时间、催眠药物使用、睡眠时间、睡眠障碍、睡眠质量、日间功能、睡眠效率、总分均低于对照组[(1.79±0.23)分比(1.92±0.29)分、(1.82±0.30)分比(1.98±0.36)分、(1.82±0.16)分比(1.91±0.19)分、(1.83±0.11)分比(1.89±0.12)分、(1.69±0.29)分比(1.86±0.31)分、(1.72±0.17)分比(1.82±0.19)分、(1.79±0.14)分比(1.86±0.16)分、(11.46±3.28)分比(13.24±3.26)分],差异均有统计学意义(t=2.221、2.159、2.292、2.331、2.533、2.481、2.082、2.434,均P<0.05)。结论经穴推拿联合耳穴贴压可有效提升睡眠障碍患者的睡眠质量,且改善程度优于单纯使用耳穴贴压。

Objective To study the value applying meridian massage and auricular acupoint sticking in patients with sleep disorders.Methods A total of 82 patients receiving treatment in Outpatient Department of Traditional Chinese Medicine,Lianyungang Hospital of Traditional Chinese Medicine from December 2021 to December 2022 were selected for the randomized controlled trial.They were divided into a control group and a research group by the random number table method,with 41 patients in each group.There were 20 males and 21 females in the control group;they were(39.87±12.32)years old.There were 18 males and 23 females in the research group;they were(40.02±12.35)years old.The control group received auricular acupoint sticking,while the research group received meridian massage and auricular acupoint sticking.The sleep indicators and sleep quality of the two groups were compared on the first day of treatment and when they were followed up for 4 weeks.χ^(2)and t tests were applied.Results When they were followed up for 4 weeks,the total sleep time,slow wave sleep time,sleep latency period,sleep efficiency,wake times,and wake time after sleep were improved in both groups,and those in the research group were better than those in the control group[(439.68±21.23)min vs.(426.23±20.13)min,(5.98±1.09)min vs.(5.49±1.03)min,(20.31±3.19)min vs.(21.89±3.20)min,(86.87±3.46)%vs.(84.96±3.26)%,(1.50±0.19)times vs.(1.62±0.23)times,and(5.46±1.39)min vs.(6.26±1.42)min],with statistical differences(t=2.908,2.066,2.212,2.541,2.544,and 2.546;all P<0.05);the scores of all dimensions and total score of Pittsburgh Sleep Quality Index(PSQI)were lower than those on the first day of treatment in both groups,and the scores of time getting into sleep,taking hypnotics,sleep time,sleep disorder,sleep quality,day time function,and sleep efficiency and the total score in the research group were lower than those in the control group[(1.79±0.23)vs.(1.92±0.29),(1.82±0.30)vs.(1.98±0.36),(1.82±0.16)vs.(1.91±0.19),(1.83±0.11)vs.(1.89±0.12),(1.69±0.29)vs.(1.86±0.31),(1.72±0.17)vs.(1.82±0.19),(1.79±0.14)vs.(1.86±0.16),and(11.46±3.28)vs.(13.24±3.26)],with statistical differences(t=2.221,2.159,2.292,2.331,2.533,2.481,2.082,and 2.434;all P<0.05).Conclusion Acupoint massage combined with auricular acupoint sticking can effectively improve the sleep quality of patients with sleep disorders,and the improvement degree is better than the simple use of auricular acupoint sticking.