低频电针联合认知行为疗法干预失眠短期效果回顾性分析

Retrospective analysis of short-term efficacy of low-frequency electroacupuncture combined with cognitive behavioral therapy in the intervention of insomnia

目的评价低频电针联合认知行为疗法干预失眠的短期临床疗效。方法回顾性分析2018年1月至2023年5月南京医科大学附属无锡人民医院(南京医科大学无锡医学中心)针灸科门诊96例失眠患者临床资料,按照治疗方法不同将其分为观察组(n=48)和对照组(n=48)。观察组采用低频电针联合认知行为疗法治疗,对照组仅采用低频电针疗法治疗,在3次治疗前后分别对两组患者匹兹堡睡眠质量指数(PSQI)、失眠严重指数(ISI)、Epworth嗜睡量表(ESS)、睡眠个人信念与态度量表(DBAS)进行评分比较及综合疗效评价。结果治疗后,两组PSQI、ISI、ESS评分均低于治疗前,PSQI睡眠率、DBAS评分均高于治疗前,差异有统计学意义(P<0.05)。治疗后,观察组PSQI评分低于对照组,DBAS评分高于对照组,差异有统计学意义(P<0.05)。观察组PSQI评分、PSQI睡眠率、ISI评分、ESS评分、DBAS评分治疗前后差值大于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论单纯使用低频电针疗法与低频电针联合认知行为疗法均可在短期内改善失眠患者睡眠综合状态、降低ISI、改善患者日间嗜睡症状、纠正患者不良认知,但低频电针联合认知行为疗法在改善患者睡眠综合状态、纠正患者不良睡眠认知方面疗效更显著,值得临床推广。

Objective To evaluate the short-term clinical efficacy of low-frequency electroacupuncture combined with cognitive behavioral therapy in the intervention of insomnia.Methods The clinical data of 96 patients with insomnia admitted to the Department of Acupuncture and Moxibustion of the Affiliated Wuxi People’s Hospital of Nanjing Medical University(Wuxi People’s Hospital,Wuxi Medical Center,Nanjing Medical University)from January 2018 to May 2023 were retrospectively analyzed,and they were divided into the observation group(n=48)and the control group(n=48)according to different treatment methods.The observation group was treated with low-frequency electroacupuncture combined with cognitive behavioral therapy,and the control group was treated with low-frequency electroacupuncture alone.The scores of the Pittsburgh sleep quality index(PSQI),the insomnia severity index(ISI),Epworth sleepiness scale(ESS),and dysfunctional beliefs and attitudes about sleep scale(DBAS)of patients in the two groups were measured and compared before and after three treatments,and their comprehensive efficacy was evaluated.Results The PSQI,ISI,and ESS scores of the two groups after the treatment were lower than the scores before the treatment,while the PSQI sleep rate and DBAS scores were higher than those before the treatment,with statistically significant differences(P<0.05).After the treatment,the PSQI score of the observation group was lower than that of the control group,while the DBAS score was higher than that of the control group,with statistically significant differences(P<0.05).The difference in PSQI score,PSQI sleep rate,ISI score,ESS score,and DBAS score before and after the treatment in the observation group was greater than that in the control group,with statistically significant difference(P<0.05).The total effective rate of treatment of the observation group was higher than that of the control group,with statistically significant difference(P<0.05).Conclusion Both low-frequency electroacupuncture therapy and low-frequency electroacupuncture combined with cognitive-behavioral therapy can improve the sleep comprehensive state,reduce ISI,improve daytime drowsiness symptoms,and correct poor cognition in insomnia patients in the short term.However,low-frequency electroacupuncture combined with cognitive-behavioral therapy has more significant efficacy in improving patients’sleep comprehensive state and correcting poor sleep cognition,which is worth promoting.