耳穴压豆联合平衡针灸改善顽固性失眠患者睡眠质量的临床观察

Clinical Observation on Ear Point Pressing Beans Combined with Balance Acupuncture and Moxibustion to Improve Sleep Quality of Patients with Refractory Insomnia

目的:探究对顽固性失眠患者开展耳穴压豆联合平衡针灸对睡眠质量的改善效果。方法:选取2022年4月至2023年11月南安市中医院收治的顽固性失眠患者94例作为研究对象,按照随机数字表法分为对照组和观察组,每组47例。对照组开展耳穴压豆治疗,观察组开展耳穴压豆联合平衡针灸治疗。针对2组患者睡眠质量、中医症状积分、心理状态以及注意力变化情况进行对比。结果:对比患者睡眠质量,治疗前匹兹堡睡眠质量指数(PSQI)评分无差异,治疗后观察组较对照组低,差异有统计学意义(P<0.05)。对比患者中医症状积分,多梦易醒、困倦乏力以及难以入睡评分,治疗前无差异,治疗后观察组较对照组低,差异有统计学意义(P<0.05)。对比患者心理状态,治疗前无差异,治疗后观察组贝克抑郁自评量表(BDI)、贝克焦虑量表(BAI)评分均低于对照组,差异有统计学意义(P<0.05)。对比患者持续性注意力变化,治疗前无差异,治疗后观察组较对照组高,差异有统计学意义(P<0.05)。结论:对顽固性失眠患者开展耳穴压豆联合平衡针灸治疗,可以提升睡眠质量,改善心理状态,并增加注意力,有助于患者进行恢复。

Objective:To explore the effect of ear point bean pressing combined with balance acupuncture and moxibustion on improving the sleep quality of patients with refractory insomnia.Methods:From April 2022 to November 2023,94 patients with intractable insomnia in Nan′an hospital of traditional Chinese medicine were selected.They were divided into control group and observation group according to random number table method,with 47 cases in each group.The control group carried out the conventional treatment of auricular point pressure bean,the observation group carried out auricular point pressure bean combined with balanced acupuncture treatment.Compare the sleep quality,traditional Chinese medicine symptom score,psychological state,and attention changes between two groups of cases.Results:Comparing the sleep quality of patients,there was no difference in the PSQI scale score before treatment,and the observation group was lower than the control group after treatment.the difference was statistically significant(P<0.05).Compared with the traditional Chinese medicine symptom scores of patients,there was no difference in the scores of frequent dreaming,fatigue,and difficulty falling asleep before treatment.After treatment,the observation group had a lower score than the control group,the difference was statistically significant(P<0.05).Comparing the psychological status of patients,there was no difference before treatment.After treatment,the BDI and BAI scores in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).Compared with the control group,there was no difference in the sustained attention changes of patients before treatment,but the observation group was higher after treatment,the difference was statistically significant(P<0.05).Conclusion:The combination of ear point pressing beans and balance acupuncture and moxibustion can improve the sleep quality of patients with refractory insomnia,improve their psychological state,increase their attention,and help patients recover.