针灸联合耳穴压豆干预冠状动脉粥样硬化性心脏病失眠的效果观察

Observation on the Effect of Acupuncture and Moxibustion Combined with Auricular Point Pressing Pill Intervention on Insomnia Patients eith Coronary Heart Disease

目的 观察针灸联合耳穴压豆干预对冠状动脉粥样硬化性心脏病的效果。方法 选取2021年9月—2022年8月郑州市中心医院收治的134例冠心病失眠患者,按随机数字表法分为观察组和对照组各67例。两组均给予集束化护理干预,对照组在此基础上给予耳穴压豆干预,观察组联合给予中医针灸及耳穴压豆干预。比较两组睡眠改善效果、干预前后匹兹堡睡眠质量指数量表(PSQI)评分及多导睡眠图(PSG),两组干预前后血清褪黑素、瘦素水平变化。结果 干预后,观察组睡眠改善有效率高于对照组(P<0.05);两组PSQI评分均下降,观察组低于对照组(P<0.05);两组总睡眠时间均延长,觉醒次数、睡眠潜伏期均减少,观察组总睡眠时间长于对照组,觉醒次数及睡眠潜伏期少于对照组(P<0.05);两组褪黑素均升高,瘦素水平均较前下降,观察组褪黑素高于对照组,瘦素水平低于对照组(P<0.05)。结论 针灸联合耳穴压豆干预可以改善冠心病患者失眠症状,调节患者褪黑素及瘦素水平,提高睡眠质量,具有一定优势。

Objective To observe the effect of acupuncture and moxibustion combined with auricular point pressing pills on insomnia patients with coronary heart disease.Method 134 patients with coronary heart disease and insomnia admitted to Zhengzhou Central Hospital from September 2021 to August 2022 were randomly divided into an observation group(n=67) and a control group(n=67) using a random number table method.The two groups were given cluster nursing intervention,the control group was given auricular point pressing pill intervention on this basis,and the observation group was given Chinese medicine acupuncture and moxibustion and auricular point pressing pill intervention.Compare the sleep improvement effects,Pittsburgh Sleep Quality Index(PSQI) scores,and Polysomnogram(PSG) indicators between the two groups before and after intervention.Additionally,compare the changes in serum melatonin and leptin levels between the two groups before and after intervention.Result After intervention,the effective rate of sleep improvement in the observation group was higher than the control group(P<0.05),the PSQI scores of both groups decreased and the observation group was lower(P<0.05),the total sleep time of the two groups of patients was prolonged,and the number of awakenings and sleep latency were reduced compared to before intervention,the total sleep time of the observation group was longer than that of the control group,and the number of awakenings and sleep latency were less(P<0.05),melatonin levels in both groups increased and leptin levels decreased compared to before,the observation group had higher levels of melatonin than the control group,while leptin levels were lower than the control group,with a statistically significant difference(P<0.05).Conclusion The intervention of acupuncture and moxibustion combined with auricular pressing pills can improve the insomnia symptoms of patients with coronary heart disease,regulate the levels of melatonin and leptin,and improve the quality of sleep,which has certain advantages.