针刺联合浅针、耳穴治疗睡眠障碍的临床疗效分析

Clinical Efficacy Analysis of Acupuncture Combined with Superficial Acu⁃puncture and Auricular Acupuncture Points in the Treatment of Sleep Dis⁃orders

目的探讨针刺联合浅针、耳穴治疗睡眠障碍的临床疗效。方法便利选取2022年1-12月南平市人民医院接诊的84例睡眠障碍患者为研究对象,以随机数表法分为观察组和对照组,各42例。两组同时实施常规用药,在此基础上对照组行单纯针刺治疗,观察组则行针刺联合浅针、耳穴治疗。对比两组临床疗效、中医证候积分、睡眠质量。结果观察组临床总有效率为97.62%,高于对照组的78.57%,差异有统计学意义(P<0.05)。治疗后,观察组各项中医证候积分低于对照组,差异有统计学意义(P均<0.05)。治疗后,观察组匹兹堡睡眠质量指数各类目评分均低于对照组,总分(5.45±0.73)分低于对照组的(11.54±1.54)分,差异有统计学意义(P均<0.05)。结论针刺联合浅针、耳穴治疗睡眠障碍的临床疗效显著,经治疗后可以对患者睡眠质量进行有效改善,促进症状好转,加速病情康复速度。

Objective To discuss the clinical efficacy of acupuncture combined with superficial acupuncture and au-ricular acupuncture points in the treatment of sleep disorders.Methods A total of 84 patients with sleep disorders in Nanping People's Hospital from January to December 2022 were conveniently selected as the study objects,and were divided into the observation group and the control group by random number table method with 42 cases in each group.Both groups were treated with conventional medication,based on which the control group was treated with simple acu-puncture,while the observation group was treated with acupuncture combined with superficial needling and auricular acupuncture points.The clinical efficacy,Traditional Chinese Mendicine(TCM)symptom scores and the sleep quality of the two groups were compared.Results The total clinical efficacy rate of the observation group was 97.62%,which was higher than 78.57%of the control group,the difference was statistically significant(P<0.05).After treatment,the TCM symptom score of patients in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).After treatment,patients in the observation group had lower Pittsburgh Sleep Quality Index scores for each category of items than the control group and the total score in the observation group(5.45±0.73)points was lower than that in the control group(11.54±1.54)points,the differences were statistically significant(all P<0.05).Conclusion The clinical efficacy of acupuncture combined with superficial acupuncture and auricular acupunc-ture points in the treatment of sleep disorders is remarkable,and after treatment,it can effectively improve the sleep quality of the patients,promote the improvement of symptoms and accelerate the speed of recovery of the condition.