基于升降理论的针灸疗法在产后失眠患者中的应用

Application of acupuncture and moxibustion therapy based on ascending and descending theory in postpartum insomnia patients

目的探究基于升降理论的针灸疗法在产后失眠患者中的应用效果。方法选取131例产后失眠患者,按照随机数字表法分为对照组65例和观察组66例。对照组采用常规治疗,观察组采用基于升降理论的针灸疗法配合治疗,比较两组治疗前后的睡眠监测情况、过度觉醒情况及睡眠质量。结果治疗后,观察组的睡眠总时长高于对照组,睡眠潜伏期、觉醒次数均低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组的浅睡眠时间低于对照组,慢波睡眠时间、REM睡眠时间均高于对照组(P<0.05)。治疗7 d后、14 d后,观察组的HAS均低于对照组,PSQI评分均高于对照组(P<0.05)。结论基于升降理论的针灸疗法能有效改善产后失眠患者的睡眠监测结果、过度觉醒情况及睡眠质量,有较高的应用价值。

Objective To observe the application effect of acupuncture and moxibustion therapy based on the ascending and descending theory on postpartum insomnia patients.Methods 131 patients with postpartum insomnia were randomly divided into the observation group(66 cases)and the control group(65 cases)by random number table method.The control group were given routine treatment,and the observation group were given acupuncture and moxibustion therapy based on the ascending and descending theory.The sleep monitoring results,excessive arousal and sleep quality of the two groups were compared before and after treatment.Results After treatment,the total sleep duration of the observation group was higher than that of the control group,and the sleep latency and awakening frequency were lower than those of the control group,with a statistically significant difference(P<0.05).After treatment,the time of NREM light sleep in the observation group was lower than that in the control group,while the time of slow-wave sleep and REM were higher than those in the control group(P<0.05).The HAS of the observation group after 7 and 14 days of treatment was lower than that of the control group,and the PSQI scores of the observation group after 7 and 14 days of treatment were significantly higher than those of the control group(P<0.05).Conclusion The acupuncture and moxibustion therapy based on the ascending and descending theory can effectively improve the sleep monitoring results,excessive arousal and sleep quality of postpartum insomnia patients,and has high application value.