耳穴贴压联合五音疗法干预大学生肝郁化火型亚健康失眠临床研究

Clinical Study on Combination of Ear Acupoint Pressing and Five Tone Therapy on Intervening Sub Healthy Insomnia of Liver Depression and Fire Transformation in College Students

目的 探讨耳穴贴压联合五音疗法干预大学生亚健康失眠(肝郁化火型)的临床疗效。方法 将符合标准亚健康失眠(肝郁化火型)的62例大学生随机分为治疗组和对照组,每组各31例。治疗组采用耳穴贴压联合五音疗法进行干预治疗,7 d为一个疗程,共治疗2个疗程;对照组未采取任何干预措施。试验结果采用匹兹堡睡眠质量指数(pittsburgh sleep quality index, PSQI)、有效率、复发率以及患者反馈等指标进行综合评价,治疗结束后随访一个月的复发情况。结果 研究期间脱落5例视为无效病例,实际获得有效统计样本量57例,其中治疗组27例,对照组30例。治疗前,两组大学生PSQI评分无统计学差异(P>0.05);治疗后,治疗组大学生PSQI评分明显低于对照组(P<0.05),且治疗组的总有效率为92.60%(25/27),高于对照组40%(12/30)。两组治疗前后评分差值比较,治疗组评分下降的差值大于对照组(P<0.05)。治疗组经30 d随访复发率为18.18%(4/22)。结论 耳穴贴压联合五音疗法能有效缓解大学生亚健康失眠(肝郁化火型)的临床症状,提高睡眠质量,治愈后复发率较低,患者青睐度高,推荐临床选用。

Objective To explore the clinical efficacy of ear acupoint pressing combined with five tone therapy in the intervention of sub healthy insomnia(liver depression and fire transformation type)in college students.Methods 62 college students who met the standard of sub-healthy insomnia(liver depression and fire transformation type)were randomly divided into a treatment group and a control group,with 31 cases in each group.The treatment group was treated with ear acupoint pressing combined with five tone therapy for intervention,with 7 days as a course of treatment,for a total of 2 courses of treatment;The control group did not take any intervention measures.The experimental results were comprehensively evaluated using indicators such as the Pittsburgh Sleep Quality Index(PSQI),effective rate,recurrence rate,and patient feedback.The recurrence rate was followed up for one month after treatment.Results During the observation period,5 cases were considered invalid cases,and a total of 57 effective statistical samples were obtained,including 27 cases in the treatment group and 30 cases in the control group.Before treatment,there was no statistically significant difference in PSQI scores between the two groups of college students(P>0.05);After treatment,the PSQI score of college students in the treatment group was significantly lower than that of the control group(P<0.05),and the total effective rate of the treatment group was 92.60%(25/27),which was 40%higher than that of the control group(12/30).The difference in scores between the two groups before and after treatment was greater in the treatment group than in the control group(P<0.05).The recurrence rate of the treatment group after 30 days of follow-up was 18.18%(4/22).Conclusion The combination of ear acupoint pressing and five tone therapy can effectively alleviate the clinical symptoms of sub healthy insomnia(liver depression and fire transformation type)in college students,improve sleep quality,and have a low recurrence rate after treatment.Patients are highly favored and recommended for clinical use.