穴位敷贴联合中医调护法对灼口综合征虚实证患者疼痛及情绪睡眠状态的影响

Effects of acupoint application combined with TCM regulating therapy on pain and emotional sleep state in patients with deficiency of burning mouth syndrome

目的探讨穴位敷贴联合中医调护法对灼口综合征虚实证患者疼痛及情绪睡眠状态的影响。方法选取符合标准的80例灼口综合征虚实证患者,采用随机数字表法分为对照组和观察组,各40例。对照组给予穴位敷贴,观察组在对照组的基础上结合中医调护法。对比分析两组疗程开始前,治疗2周后和4周后的临床效果、睡眠质量、焦虑情况、疼痛情况。结果两组临床疗效比较,观察组总有效率为75%,对照组为50%,差异有统计学意义(P<0.05);治疗前和治疗2周后两组匹兹堡睡眠质量指数量表(PSQI)、汉密尔顿(HAMA)、疼痛(VAS)各项评分及总分比较,差异均无统计学意义(P>0.05);治疗4周后两组PSQI、汉密尔顿(HAMA)、疼痛(VAS)各项评分及总分比较,差异均有统计学意义(P<0.05)。结论灼口综合征虚实证患者使用穴位敷贴联合中医调护法之后疗效显著,患者的疼痛情况好转,情绪及睡眠状态也得到了改善,从而使临床疗效得到了显著提升。

Objective To investigate the effects of acupoint application combined with traditional Chinese medicine(TCM)regulating therapy on pain and emotional sleep state in patients with deficiency of burning mouth syndrome.Methods A total of 80 patients with deficiency of burning mouth syndrome were selected and divided into the control group and the observation group with 40 cases in each group by random number table method.The control group was given acupoint application,and the observation group was combined with the TCM regulating therapy on the basis of the control group.The clinical effect,sleep quality,anxiety and pain of the two groups were compared before treatment,two and four weeks after treatment.Results Compared with the clinical effect of the two groups,the total effective rate was 75%in the observation group and 50%in the control group,the difference was statistically significant(P<0.05).There were no significant differences in scores and total scores of Pittsburgh Sleep Quality Index(PSQI),Hamilton Anxiety Scale(HAMA)and pain Visual Analogue Scale(VAS)between the two groups before and two weeks after treatment(P>0.05).After four weeks of treatment,the scores and total scores of PSQI,HAMA and pain VAS were compared between the two groups,and the differences were statistically significant(P<0.05).Conclusion The treatment of acupoint application combined with TCM regulating therapy has a significant effect in patients with deficiency of burning mouth syndrome.The patients′pain situation is improved,and their emotion and sleep state are also improved,thus the clinical effect has been significantly improved.